Original Research

Evaluation of HIV counselling and testing, self-disclosure, social support and sexual behaviour change among a rural sample of HIV reactive patients in South Africa

E Sethosa, K Peltzer
Curationis | Vol 28, No 1 | a912 | DOI: https://doi.org/10.4102/curationis.v28i1.912 | © 2005 E Sethosa, K Peltzer | This work is licensed under CC Attribution 4.0
Submitted: 28 September 2005 | Published: 28 September 2005

About the author(s)

E Sethosa, Health behaviour research unit, University of the North, South Africa
K Peltzer, University of Venda for science and technology and human Sciences research council, South Africa

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Abstract

The aim of this study was to evaluate HIV counselling and testing, self-disclosure, social support and sexual behavior change among HIV reactive patients among a rural sample of HIV reactive patients in South Africa. The sample consisted at the post-test counselling exit interview of 55 participants (41 women and 14 men) who tested HIV-positive conveniently selected from a rural hospital and at five months follow-up at their homes 47. Results indicated that most patients had an HIV test because of medical reasons. At follow-up only 36% had disclosed their HIV status and half of the participants had had sex without condoms in the past three weeks. Major reason for not disclosing of their HIV status were being afraid of negative reactions, fear of discrimination, fear of violence, concerns about confidentiality and not yet ready. Social support was found to be significantly related to disclosure of HIV status, while counselling context and content and counselling satisfaction were not related with HIV disclosure.

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