{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T15:21:09Z","timestamp":1790868069665,"version":"4.1.0"},"reference-count":41,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T00:00:00Z","timestamp":1683849600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Institutional Open Access Publication Fund"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infectious Disease Reports"],"abstract":"<jats:p>Objective: To investigate sexual behavior changes adopted by People Living with Human Immunodeficiency Virus (PLHIV) on Antiretroviral therapy (ART) in the Northern Region of Ghana. Methods: We employed a cross-sectional survey with a questionnaire to collect data from 900 clients from 9 major ART centers within the region. Chi-square and logistic regression analyses were applied to the data. Results: More than 50% of PLHIV on ART use condoms, reduce sexual partners, practice abstinence, reduce unprotected sex with married\/regular partners, and avoid casual sex. Fear of others getting to know patients\u2019 HIV-positive status (\u03c72 = 7.916, p = 0.005), stigma (\u03c72 = 5.201, p = 0.023), and fear of loss of family support (\u03c72 = 4.211, p = 0.040) significantly predict non-disclosure of HIV-positive status among the participants. Change in sexual behavior is influenced by the following: \u201cto avoid spreading the disease to others\u201d (R2 = 0.043, F (1, 898) = 40.237, p &lt; 0.0005), \u201cto avoid contracting other STIs\u201d (R2 = 0.010, F (1, 898) = 8.937, p &lt; 0.0005), \u201cto live long\u201d (R2 = 0.038, F (1, 898) = 35.816, p &lt; 0.0005), \u201cto hide HIV-positive status\u201d (R2 = 0.038, F (1, 898) = 35.587, p &lt; 0.0005), \u201cto achieve good results from ART treatment\u201d (R2 = 0.005, F (1, 898) = 4. 282, p &lt; 0.05), and \u201cto live a Godly life\u201d (R2 = 0.023, F (1, 898) = 20. 880, p &lt; 0.0005). Conclusions: High self-disclosure rate of HIV-positive status was identified, with participants disclosing to their spouses or parents. Reasons for disclosure and non-disclosure differed from person to person.<\/jats:p>","DOI":"10.3390\/idr15030026","type":"journal-article","created":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T10:49:51Z","timestamp":1683888591000},"page":"255-266","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Positive Status Disclosure and Sexual Risk Behavior Changes among People Living with HIV in the Northern Region of Ghana"],"prefix":"10.3390","volume":"15","author":[{"given":"Peter Claver","family":"Kabriku","sequence":"first","affiliation":[{"name":"Tamale Nursing and Midwifery Training College, Tamale, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9450-7774","authenticated-orcid":false,"given":"Edward Wilson","family":"Ansah","sequence":"additional","affiliation":[{"name":"Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3530-6133","authenticated-orcid":false,"suffix":"Jr.","given":"John Elvis","family":"Hagan","sequence":"additional","affiliation":[{"name":"Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana"},{"name":"Neurocognition and Action-Biomechanics-Research Group, Faculty of Psychology and Sport Sciences, Bielefeld University, Postfach 10 01 31, 33501 Bielefeld, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,5,12]]},"reference":[{"key":"ref_1","unstructured":"UNAIDS Data Estimate (2018). State of the Epidemic, UNAIDS. Available online: https:\/\/www.unaids.org\/sites\/default\/files\/media_asset\/2019-UNAIDS-data_en.pdf."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"S24","DOI":"10.1093\/jpids\/piu070","article-title":"Mother-to-child transmission of human T-cell lymphotropic viruses-1\/2: What we know, and what are the gaps in understanding and preventing this route of infection","volume":"3","author":"Bastos","year":"2014","journal-title":"J. Pediatr. Infect. Dis. Soc."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1111\/jan.13087","article-title":"Sexual transmission-risk behaviour among HIV-positive persons: A multisite study using social action theory","volume":"73","author":"Sullivan","year":"2017","journal-title":"J. Adv. Nurs."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Mehraeen, M., Heydari, M., Lankarani, K.B., Joulaei, H., and Faghih, M. (2021). Investigating the contributing factors to HIV\/AIDS infection from the perspective of HIV-infected patients. BMC Psychol., 9.","DOI":"10.1186\/s40359-021-00513-w"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2094","DOI":"10.1111\/j.1365-2648.2010.05354.x","article-title":"HIV disclosure among HIV positive individuals: A concept analysis","volume":"66","author":"Eustace","year":"2010","journal-title":"J. Adv. Nurs."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1007\/s10461-010-9804-y","article-title":"A dynamic social systems model for considering structural factors in HIV prevention and detection","volume":"14","author":"Latkin","year":"2010","journal-title":"AIDS Behav."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.2105\/AJPH.2010.300102","article-title":"Facilitating HIV disclosure across diverse settings: A review","volume":"101","author":"Obermeyer","year":"2011","journal-title":"Am. J. Public Health"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5539\/gjhs.v5n4p1","article-title":"HIV disclosure to partners and family among women enrolled in prevention of mother to child transmission of HIV program: Implications for infant feeding in poor resourced communities in South Africa","volume":"5","author":"Madiba","year":"2013","journal-title":"Glob. J. Health Sci."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1177\/109019819001700107","article-title":"Towards an understanding of risk behavior: An AIDS risk reduction model (ARRM)","volume":"17","author":"Catania","year":"1990","journal-title":"Health Educ. Q."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1080\/00970050.1980.10619222","article-title":"Ethical dilemmas in health education","volume":"11","author":"Hochbaum","year":"1980","journal-title":"Health Educ."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1080\/09540121.2016.1168917","article-title":"\u201cHow can I tell?\u201d Consequences of HIV status disclosure among couples in eastern African communities in the context of an ongoing HIV \u201ctest-and-treat\u201d trial","volume":"28","author":"Maeri","year":"2016","journal-title":"AIDS Care"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Dessalegn, N.G., Hailemichael, R.G., Shewa-Amare, A., Sawleshwarkar, S., Lodebo, B., Amberbir, A., and Hillman, R.J. (2019). HIV Disclosure: HIV-positive status disclosure to sexual partners among individuals receiving HIV care in Addis Ababa, Ethiopia. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0211967"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1089\/apc.2010.0062","article-title":"Reasons for disclosure of HIV status by people living with HIV\/AIDS and in HIV care in Uganda: An exploratory study","volume":"24","author":"Ssali","year":"2010","journal-title":"AIDS Patient Care STDs"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Atuyambe, L.M., Ssegujja, E., Ssali, S., Tumwine, C., Nekesa, N., Nannungi, A., Ryan, G., and Wagner, G. (2014). HIV\/AIDS status disclosure increases support, behavioural change and, HIV prevention in the long term: A case for an Urban Clinic, Kampala, Uganda. BMC Health Serv. Res., 14.","DOI":"10.1186\/1472-6963-14-276"},{"key":"ref_15","first-page":"227","article-title":"Socio-demographic inequalities in the prevalence of sexual intercourse among school going adolescents in the Central Region of Ghana","volume":"7","author":"Thomas","year":"2018","journal-title":"EC Psychol. Psychiatry"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"270","DOI":"10.3329\/jhpn.v30i3.12290","article-title":"Rates and predictors of consistent condom-use by people living with HIV\/AIDS on antiretroviral treatment in Uganda","volume":"30","author":"Ayiga","year":"2012","journal-title":"J. Health Popul. Nutr."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1421","DOI":"10.1007\/s10508-015-0559-4","article-title":"Sexual behaviors and transmission risks among people living with HIV: Beliefs, perceptions, and challenges to using treatments as prevention","volume":"45","author":"Kalichman","year":"2016","journal-title":"Arch. Sex. Behav."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Kembabazi, A., Bajunirwe, F., Hunt, P.W., Martin, J.N., Muzoora, C., Haberer, J.E., Bangsberg, D.R., and Siedner, M.J. (2013). Disinhibition in risky sexual behavior in men, but not women, during four years of antiretroviral therapy in rural, Southwestern Uganda. PLoS ONE, 8.","DOI":"10.1371\/journal.pone.0069634"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Yaya, I., Saka, B., Landoh, D.E., Patchali, P., Makawa, M.S., Senanou, S., Idrissou, D., Lamboni, B., and Pitche, P. (2014). Sexual risk behavior among people living with HIV and AIDS on antiretroviral therapy at the regional hospital of Sokod\u00e9, Togo. BMC Public Health, 14.","DOI":"10.1186\/1471-2458-14-636"},{"key":"ref_20","first-page":"1","article-title":"Behaviour of people living with HIV Aids in Northeastern Nigeria","volume":"4","author":"Bolori","year":"2017","journal-title":"Open Access Libr. J."},{"key":"ref_21","unstructured":"Ghana AIDS Commission (2015). Country Aids Response Progress Report, January 2013\u2013December 2014, Ghana AIDS Commission."},{"key":"ref_22","unstructured":"Ghana AIDS Commission (2014). Country Aids Response Progress Report, January 2012\u2013December 2013, Ghana AIDS Commission."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Malta, M., Magnanini, M., Mello, M., Pascom, A.R., Linhares, Y., and Bastos, F. (2010). HIV prevalence among female sex workers, drug users and men who have sex with men in Brazil: A systematic review and meta-analysis. BMC Public Health, 10.","DOI":"10.1186\/1471-2458-10-317"},{"key":"ref_24","unstructured":"Regional HIV Data Unit (2019). Northern Regional HIV Data Report for 2019, Ghana Health Service."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1080\/09540120600983971","article-title":"It\u2019s not just what you say: Relationships of HIV disclosure and risk reduction among MSM in the post-HAART era","volume":"19","author":"Klitzman","year":"2007","journal-title":"AIDS Care"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1007\/s10508-008-9363-8","article-title":"Psychosocial correlates of unprotected sex without disclosure of HIV-positivity among African-American, Latino, and White men who have sex with men and women","volume":"37","author":"Mutchler","year":"2008","journal-title":"Arch. Sex. Behav."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1093\/her\/18.1.32","article-title":"Disclosure of HIV infection: How do women decide to tell?","volume":"18","author":"Sowell","year":"2003","journal-title":"Health Educ. Res."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1080\/03630242.2010.516697","article-title":"Female disclosure of HIV-positive serostatus to sex partners: A two-city study","volume":"50","author":"Sullivan","year":"2010","journal-title":"Women Health"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Wallen, N.E., and Fraenkel, J.R. (2013). Educational Research: A Guide to the Process, Routledge.","DOI":"10.4324\/9781410601001"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"31999","DOI":"10.3402\/gha.v9.31999","article-title":"The impact of a livelihood program on depressive symptoms among people living with HIV in Cambodia","volume":"9","author":"Shimizu","year":"2016","journal-title":"Glob. Health Action"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"20296","DOI":"10.7448\/IAS.18.7.20296","article-title":"90-90-90\u2013Charting a steady course to end the paediatric HIV epidemic","volume":"18","author":"Abrams","year":"2015","journal-title":"J. Int. AIDS Soc."},{"key":"ref_32","first-page":"7134908","article-title":"Consistent condom use and associated factors among HIV-positive clients on antiretroviral therapy in North West Ethiopian Health Center, 2016 GC","volume":"2019","author":"Ali","year":"2019","journal-title":"AIDS Res. Treat."},{"key":"ref_33","first-page":"123","article-title":"Sexual risk behaviour among HIV-positive persons in Kumasi, Ghana","volume":"46","author":"Ncube","year":"2012","journal-title":"Ghana Med. J."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"99","DOI":"10.4103\/1596-3519.134378","article-title":"Condom use among people living with HIV\/AIDS attending Abejukolo General Hospital in Kogi State, North Central Nigeria","volume":"13","author":"Salaudeen","year":"2014","journal-title":"Ann. Afr. Med."},{"key":"ref_35","first-page":"2","article-title":"The sexual behaviours of HIV positive patients receiving antiretroviral therapy in HIV treatment centre in Nigeria","volume":"5","author":"Ak","year":"2014","journal-title":"J. AIDS Clin. Res."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/1742-6405-11-5","article-title":"HIV serostatus disclosure among people living with HIV\/AIDS in Mwanza, Tanzania","volume":"11","author":"Yonah","year":"2014","journal-title":"AIDS Res. Ther."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1097\/QAI.0000000000000600","article-title":"Antiretroviral therapy availability and HIV disclosure to spouse in Rakai, Uganda: A longitudinal population-based study","volume":"69","author":"Haberlen","year":"2015","journal-title":"J. Acquir. Immune Defic. Syndr."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1007\/s10461-014-0951-4","article-title":"HIV-positive status disclosure in patients in care in rural South Africa: Implications for scaling up treatment and prevention interventions","volume":"19","author":"Dellar","year":"2015","journal-title":"AIDS Behav."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"S5","DOI":"10.1080\/02664763.2012.755319","article-title":"The social and gender context of HIV disclosure in sub-Saharan Africa: A review of policies and practices","volume":"10","author":"Bott","year":"2013","journal-title":"SAHARA-J J. Soc. Asp. HIV\/AIDS"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1080\/17290376.2010.9724953","article-title":"Gender differences regarding barriers and motivators of HIV status disclosure among HIV-positive service users","volume":"7","author":"Deribe","year":"2010","journal-title":"Sahara-J: J. Soc. Asp. HIV\/AIDS"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"2194791","DOI":"10.1155\/2018\/2194791","article-title":"Factors affecting intention to disclose HIV status among adult population in Sarawak, Malaysia","volume":"2018","author":"Lemin","year":"2018","journal-title":"J. Environ. Public Health"}],"container-title":["Infectious Disease Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2036-7449\/15\/3\/26\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:33:46Z","timestamp":1760124826000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2036-7449\/15\/3\/26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,12]]},"references-count":41,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,6]]}},"alternative-id":["idr15030026"],"URL":"https:\/\/doi.org\/10.3390\/idr15030026","relation":{},"ISSN":["2036-7449"],"issn-type":[{"value":"2036-7449","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,12]]}}}