{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:42:05Z","timestamp":1786725725529,"version":"build-2736575974"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Disclosure of human immunodeficiency virus (HIV) seropositivity by infected women is crucial in HIV control. To determine the rates, patterns, effects, and determinants of disclosure of status among HIV-positive women in Lagos, Nigeria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was a descriptive cross-sectional study. Simple random sampling method was used to select 364 HIV-positive women accessing care in HIV treatment centers in Lagos Island. Data were collected using interviewer-administered questionnaires and analyzed with Epi Info (version 3.5.3). Inferential statistics done was Chi-square test and level of statistical significance was set at &lt;5%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Mean age of respondents was 37.3 \u00b1 3 years, and most were married or cohabiting in monogamous families. The disclosure rates were 81.9% to anyone (excluding a health care professional); 60.4% to spouse\/sexual partners; and 67.7% disclosed on the same day of diagnosis. Main reasons for disclosure were failing health (49.3%) and a sense of responsibility to the spouse\/sexual partner (33.6%). Major reasons for nondisclosure were negative public opinion (84.8%) and fear of losing relationships (40.3%). Positive reactions following disclosure were mostly acceptance: 75.2% (family member) and 72.3% (spouse\/sexual partner) while blame was the main negative outcome. Longer duration of diagnosis significantly improved disclosure to anyone (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Older age (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) and awareness of spouse\/sexual partner's HIV status (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) significantly improved disclosure to spouse\/sexual partner.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Many respondents had not disclosed their status and require support and counseling to do so. Community education regarding stigmatization should be intensified.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijpvm.ijpvm_136_15","type":"journal-article","created":{"date-parts":[[2017,8,29]],"date-time":"2017-08-29T05:44:48Z","timestamp":1503985488000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Issues Surrounding HIV Status Disclosure: Experiences of Seropositive Women in Lagos, Nigeria"],"prefix":"10.4103","volume":"8","author":[{"given":"Oluwaseun E.","family":"Oseni","sequence":"first","affiliation":[{"name":"Department of Community Health and Primary Care, College of Medicine, University of Lagos, PMB 12003, Lagos, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ifeoma P.","family":"Okafor","sequence":"additional","affiliation":[{"name":"Department of Community Health and Primary Care, College of Medicine, University of Lagos, PMB 12003, Lagos, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adekemi O.","family":"Sekoni","sequence":"additional","affiliation":[{"name":"Department of Community Health and Primary Care, College of Medicine, University of Lagos, PMB 12003, Lagos, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2017,8,31]]},"reference":[{"key":"R8-20250812","doi-asserted-by":"crossref","first-page":"385","DOI":"10.4103\/1119-3077.104507","article-title":"Predictors of disclosure of sero-status to sexual partners among people living with HIV\/AIDS in Ogun State, Nigeria","volume":"15","author":"Amoran","year":"2012","journal-title":"Niger J Clin Pract"},{"key":"R9-20250812","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1007\/s12098-008-0039-0","article-title":"Perinatal HIV","volume":"75","author":"Saharan","year":"2008","journal-title":"Indian J 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