Poster partages def.ok

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Poster partages def.ok

  1. 1. Abstract  number:  WEPE427  Do women disclose their HIV-status more than men?  Results  from  a  community-­‐based  research  among  PLHIV  in  Morocco   A. Abadie1, M.K. Hilali2, M. Loukid2, E. Henry3, J. Otis4, M. Karkouri5, N. Rafif1,O. Mellouk1, H. Himmich5, L. Ouarsas6, M. Préau7   1Association de Lutte Contre le SIDA, Marrakech, Morocco, 2University Cadi Ayyad, Laboratoire dEcologie Humaine, Marrakech, Morocco, 3Coalition Plus SIDA, Paris, France, 4Université de Québec à Montréal, CREcES, Montréal, Canada, 5Association de Lutte Contre le SIDA, Casablanca, Morocco, 6Association de Lutte Contre le SIDA, Agadir, Morocco, 7Université de Nantes, LABECD, Nantes, France     Background     DISCLOSURE   MOROCCO   E   75,8%  have  disclosed  their  status,  essenLally  with  their   o   Low  prevalence  Muslim  country  (<  0,1%)   regular  sexual  partner   Figure  1:  Percentage  of  disclosure  with  regular  sexual  partner  by  gender   o   Concentrated  epidemic  among  MARPS  (Agadir  :  5,6%  of   prevalence  among  MSM  -­‐  5,1%  among  FSW)   100   90   80   o   HIV  infecLon  is  a  socio-­‐cultural  taboo   70   60   no   si   50   o   High  rates  of  sLgma  against  PLHIV   40   30   20   -­‐>  Difficulty  to  disclose  one’s  HIV-­‐status   10   0   Women   Men     Disclosure:   E Men  have  disclosed  with  the  partner  sexual  more  than   o   Seems  parLcularly  difficult  for  women   women  but  not  significantly   o   No  scienLfic  data  on  this  issue  available  to  date   E   Women  were  more  likely  to  disclose  with  female  family   members:  mother  (51,2%),  sister  (44,6%)  versus  father  Methods     (15,38%),  brother  (15,8%).     Figure  2  :  Pecentage  of  disclosure  with  family  members    by  gender   AN  INTERNATIONAL  STUDY  PARTAGES’     60   50   •   InternaLonal  research  consorLum  engaging  academics  and     NGOs  from  Mali,  DemocraLc  Republic  of  Congo,  Ecuador,     40   Romania,  Morocco,  France,  Canada  in  a  community-­‐based   30   Women   research     Men   20     -­‐>  Development  of  a  research  program  to  study  serostatus   10   disclosure  in  order  to  inform  policies  and  propose  suitable     0   intervenLons     father   mother   sister   brother   •   A  standardized  quesLonnaire  was  developed   ASSISTANCE  TO  DISCLOSURE   •   Eligibility  criteria  for  parLcipaLon:    PLHIV  aged  18  or  older   E Few  PLHIV  have  already  asked  for  assistance  to  disclose   and  knowing  its  for  at  least  six  months   (10,4%)   •   Data  collecLon  between  May  and  October  2011   E More  women  have  asked  for  assistance  to  disclose  than   men  (W:  12,4%;  M:  7,6%;  p  <  0.18)       IN  MOROCCO   DISCLOSURE  PERCEPTION  AND  CONCEALMENT   •   Mixed  team:  ALCS  (AssociaLon  de  Lu^e  Contre  le  Sida)/  Cadi   E Both  men  and  women  (89%)  considered  disclosure  risky   Ayyad  University  (Human  Ecology  Laboratory)  of  Marrakesh   E More  women  would  have  asked  their  relaLves  to  keep   •   300  PLHIV  in  contact  with  ALCS  interviewed  in  5  ciLes:  Agadir,   their  HIV-­‐status  secrete  (W:  82,5%;  M:  60,2%;  p  <  0.001)     Casablanca,  Marrakesh,  Rabat,  Fes   E More  women  felt  the  "need  to  hide”  it  (W:  90,6%;  M:   •   Preliminary  descripLve  analysis  using    SPSS  10   84%;  p  <  0.09)   E 46,5%  of  women  who  disclosed  considered  it  was  a   Results   mistake  (M:  28%  ;  p  <  0.004)   Figure  3:  Disclosure  percepUon  by  gender  (in  percent)   100   SOCIO-­‐DEMOGRAPHIC  CHARACTERISTICS   90     80   70   E 56,7%  female,  39,7%  male  and  3,7%  transgender.   60   50   women   Transgender  people  are  not  integrated  in  this  analysis.     40   men   30       20  Variables   Men  (%)   Women  (%)     10     0   is  risky   ask  their  relaLves  to  keep  it   feel  the  "need  to  hide"   is  a  mistake*  Marital  status:         secrete    Married  Ø  45.4   32.9   Conclusion     *  among  those  who  disclosed  their  status    Ø Concubinage   3.4   7.6     q  Women  are  less  likely  to  disclose  their  HIV-­‐status  and  feel    Ø Divorced/  separated   8.4   30.6     more  vulnerable  aber  disclosure.    Educa-on         The  socio-­‐cultural  and  religious  context  may  explain  this  Ø No  educaLon   16.1   45.9     situaLon.    Ø Primary/  Secondary  level   73.7   50.6   q   Disclosure  of  HIV-­‐status  is  crucial  regarding  prevenLon  Ø Post  secondary  level   10.2   1.2   and  treatment  adherence  and  may  influence  PLHIV   behaviors  and  aftudes.  Main  financial  ressources  for  living       q   The  results  of  this  study  need  to  be  used  to  develop  a  Ø Self-­‐income   55.5   19.4   comprehensive  and  gender-­‐oriented  approach  of  disclosure  Ø Family  network   26.9   54.7   programs.    

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