%0 Journal Article %J AIDS patient care and STDs %D 2008 %T Factors affecting disclosure in South African HIV-positive pregnant women. %A Makin, Jennifer D %A Forsyth, Brian W C %A Visser, Maretha J %A Sikkema, Kathleen J %A Neufeld, Sharon %A Jeffery, Bridget %K AIDS Serodiagnosis %K Demography %K Disclosure %K Female %K HIV Seropositivity %K Humans %K Longitudinal Studies %K Pregnancy %K Pregnancy Complications, Infectious %K Psychology %K Questionnaires %K Risk Factors %K Sexual Partners %K Socioeconomic Factors %K South Africa %N 11 %P 907-16 %R 10.1089/apc.2007.0194 %V 22 %X To provide understanding of social and psychological factors that affect disclosure of HIV status among women diagnosed HIV-positive in pregnancy, 438 HIV positive women attending antenatal al clinics in Pretoria, South Africa were invited to participate in a longitudinal study. A total of 293 (62%) women were enrolled from June 2003 to December 2004. Questionnaires assessing sociodemographics and psychological measures were administered during pregnancy and at 3 months postdelivery. At enrollment, 59% had disclosed to their partners and 42% to others. This rose to 67% and 59%, respectively, by follow-up. Logistic regression analysis identified being married (adjusted odds Ratio [AOR] 2.32; 95% confidence interval [CI] 1.20-4.47), prior discussion about testing (AOR 4.19; CI 2.34-7.49), having a partner with tertiary education (AOR 2.76; CI 1.29-5.88) and less experience of violence (AOR 0.48; CI 0.24-0.97) as factors associated with having disclosed to partners prior to enrollment. Better housing (AOR 1.26; CI 1.06-1.49), less financial dependence on partners (AOR 0.46; CI 0.25-0.85), and knowing someone with HIV (AOR 2.13; CI 1.20-3.76) were associated with prior disclosure to others. Increased levels of stigma at baseline decreased the likelihood of disclosure to partners postenrollment (AOR 0.91; CI 0.84-0.98) and increased levels of avoidant coping decreased subsequent disclosure to others (AOR 0.84; CI 0.72-0.97). These results provide understanding of disclosure for women diagnosed as HIV positive in pregnancy, and identify variables that could be used to screen for women who require help. %8 2008 Nov