Social concerns related to HIV status disclosure and participation in the prevention of mother-to-child transmission of HIV care among pregnant women in Kenya

Table 2 Social concerns and association with HIV status disclosure (N = 423)

Disclosure of HIV status to:	%	Partner^a OR (95% CI)	Relative^b OR (95% CI)
Concern that attending PMTCT visits or taking
ART would lead to:
Involuntary HIV status disclosure^c
Yes	21.5	0.75 (0.39–1.44)	1.02 (0.60–1.71)
Uncertain	3.8	0.62 (0.14–2.70)	1.69 (0.53–5.41)
No	74.7	1.00 (ref.)	1.00 (ref.)
Being a burden or source of concern for others
Yes	16.1	0.87 (0.38–1.98)	1.17 (0.63–2.16)
No	83.9	1.00 (ref.)	1.00 (ref.)
Losing respect of family or community
Yes	11.3	0.95 (0.34–2.63)	0.62 (0.29–1.30)
No	88.7	1.00 (ref.)	1.00 (ref.)
Isolation or lack of support from family or friends
Yes	9.5	0.33 (0.12–0.85)	0.37 (0.16–0.85)
No	90.5	1.00 (ref.)	1.00 (ref.)
Teasing or insulting
Yes	8.0	2.09 (0.62–7.06)	0.93 (0.42–2.09)
No	92.0	1.00 (ref.)	1.00 (ref.)
Separation^d from partner
Yes	5.4	0.17 (0.05–0.57)	0.44 (0.15–1.31)
No	94.6	1.00 (ref.)	1.00 (ref.)
Conflict with partner
Yes	5.0	0.18 (0.05–0.67)	1.73 (0.58–5.15)
No	95.0	1.00 (ref.)	1.00 (ref.)
Losing customers or a job
Yes	4.7	0.42 (0.11–1.66)	1.00 (0.36–2.76)
No	95.3	1.00 (ref.)	1.00 (ref.)

PMTCT Prevention of mother-to-child transmission of HIV, ART Antiretroviral therapy, OR Odds ratio, CI Confidence interval
^a Partner i.e. spouse or steady sexual partner
^b Relative i.e. mother, father, brother, sister, child or other relative
^c This question was asked more broadly to include general HIV care
^d Separation i.e. separation, divorce or abandonment
Multivariable logistic regression model adjusted for age, education, marital-and cohabitation status, employment status, economic responsibility to other people, living with relatives, and time since HIV diagnosis

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