Table 2.
Correlates of non-disclosure of HIV-positive status to the primary partner among START measurement cohort participants with spouse or other primary partner1
| HIV status disclosed (N=167, 75.9%) |
HIV status not disclosed (N=53, 24.1%) |
Crude OR for non-disclosure (95% CI) |
Adjusted OR for non-disclosure (95% CI)4 |
|
|---|---|---|---|---|
| Demographic variables | ||||
| Age, median (IQR)2 | 36.5 (31–44) | 38 (31–47) | 1.01 (0.98–1.04) | |
| Female, n (%)3 | 54 (66.7%) | 27 (33.3%) | 2.28 (1.21–4.31) | 2.11 (0.97–4.57) |
| Marital status, n (%) | ||||
| Married/living together | 164 (83.7%) | 32 (16.3%) | 0.03 (0.01–0.10) | 0.03 (0.01–0.12) |
| Not married/living together | 3 (12.5%) | 21 (87.5%) | REF | REF |
| Head of household (sole/shared), n (%)3 | 92 (78.0%) | 26 (22.0%) | 0.97 (0.41–1.43) | |
| Education, n (%) | ||||
| None | 17 (77.3%) | 5 (22.7%) | REF | |
| Primary | 100 (73.0%) | 37 (27.0%) | 1.22 (0.42–3.55) | |
| Secondary or higher | 50 (82.0%) | 11 (18.0%) | 0.72 (0.22–2.41) | |
| Home amenities, n (%) | ||||
| Improved drinking water3 | 139 (74.7%) | 47 (25.3%) | 1.63 (0.63–4.20) | |
| Any electricity3 | 91 (82.7%) | 19 (17.3%) | 0.47 (0.25–0.89) | 0.38 (0.17–0.85) |
| Psychosocial variables | ||||
| Depressive symptoms, n (%) | ||||
| None | 49 (77.8%) | 14 (22.2%) | REF | |
| Mild | 63 (76.8%) | 19 (23.2%) | 1.05 (0.48–2.30) | |
| Moderate to severe | 50 (75.8%) | 16 (24.2%) | 1.11 (0.49–2.51) | |
| Hazardous or harmful alcohol use, n (%)3 | 39 (75.0%) | 13 (25.0%) | 1.17 (0.56–2.42) | |
| Size of support network, median (IQR)2 | 4 (3–8) | 4 (4–8) | 1.00 (0.96–1.04) | |
| Little trouble understanding written medical information, n (%)3 | 117 (74.5%) | 40 (25.5%) | 1.79 (0.80–3.97) | |
| Social desirability score, median (IQR)2 | 37 (35–44) | 40 (35–46) | 1.02 (0.97–1.08) | |
| TB- and HIV-related variables | ||||
| Time since HIV diagnosis, median days (IQR)2 | 33 (20–158) | 38 (21–500) | 1.00 (1.00–1.00) | |
| CD4 cell count/μL at ART initiation, median (IQR)2 | 167 (70–280) | 105 (52–341) | 1.00 (1.00–1.00) | |
| Does not know if partner has HIV, n (%)3 | 128 (71.5%) | 51 (28.5%) | 7.75 (1.80–33.33) | 4.20 (0.93–18.91) |
| HIV knowledge, median (IQR)2 | 5 (4–6) | 5 (4–6) | 1.12 (0.88–1.43) | |
| TB knowledge, median (IQR)2 | 6 (5–6) | 5 (4–6) | 0.73 (0.59–0.90) | 0.76 (0.59–0.98) |
| Plan to disclose TB status, n (%)3 | 149 (75.3%) | 49 (24.7%) | 4.27 (0.55–33.33) | |
| Perceived TB stigma score, median (IQR)2 | 41 (38–44) | 41 (39–46) | 1.01 (0.97–1.05) | |
| CIP study arm, n (%)3 | 84 (75.7%) | 27 (24.3%) | 1.03 (0.48–2.24) | |
Column numbers may not sum to totals due to missing data. Row percentages are provided among non–missing data (n missing: age, 1; head of household, 3; depression category, 9; alcohol use, 6; support network size, 7; social desirability, 13; health literacy, 7; time since HIV diagnosis, 17; CD4 count, 91; other HIV in home, 11; plan to disclose TB, 8; TB stigma, 23).
Continuous variable; reference for odds ratio is a one–unit decrease.
Binary variable; reference group for odds ratio is the complementary value (i.e. male, not head of household, no improved drinking water, no electricity, no hazardous/harmful use, substantial trouble understanding written medical information, knows partner is HIV+, does not plan to disclose TB status, SOC arm).
Covariate data were complete for all participants (n=220).