International Journal of STD & AIDS > Volume 20, Number 11 > Pp. 765-767

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Original research articles

HIV testing men in the antenatal setting: understanding male non-disclosure

D A Katz MPH ^* , J N Kiarie MMed MPH , G C John-Stewart MD PhD ^*  , B A Richardson PhD ^** , F N John BSc  and C Farquhar MD MPH ^* 

^* Department of Epidemiology, University of Washington, Seattle, WA, USA; Department of Obstetrics/Gynaecology, University of Nairobi, Nairobi, Kenya; Department of Medicine; Department of Global Health; ^** Department of Biostatistics, University of Washington; Division of Public Health Sciences, Fred Hutchinson Cancer Research Cancer, Seattle, WA, USA

Correspondence to: D A Katz, MPH, International AIDS Research and Training Program, University of Washington, 325 Ninth Avenue, Box 359909, Seattle, WA 98104, USA Email: dkatz7{at}u.washington.edu

Prevention of infant HIV is a powerful incentive for maternal HIV diagnosis and an opportunity to increase male HIV testing and disclosure of HIV status within couples. We examined male HIV disclosure in couples who attended a Nairobi antenatal clinic (ANC), had individual HIV testing, and were counselled to disclose to their partner. At two-week follow-up, men and women independently reported HIV disclosure. Of 2104 women, 1993 requested partner attendance; 313 male partners came, of whom 183 chose individual HIV testing. Of 106 couples who followed up, 93% of both partners reported disclosure by women versus 71% by men (P < 0.0001); 27% of men reported disclosure while their female partner reported not knowing partner HIV status. In these couples, male ANC HIV testing did not result in shared knowledge of HIV status. Couple counselling models that incorporate disclosure may yield greater HIV prevention benefits than offering individual partner HIV testing services at ANC.

Key Words: HIV counselling and testing • Africa • men • serostatus disclosure • couples

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