HIV status disclosure during acute HIV infection in Malawi.

Journal Article (Clinical Trial;Journal Article)

Diagnosis of acute HIV infection (AHI) presents an opportunity to prevent HIV transmission during a highly infectious period. Disclosure is important during AHI as a means to facilitate safer sex practices and notify partners, particularly as those with AHI may be better able to identify the source of their infection because of the recency of HIV acquisition. However, little is known about disclosure during AHI. We conducted 40 semi-structured interviews with Malawians diagnosed with AHI (24 men; 21 married). Most participants reported disclosing to a sexual partner within a month of diagnosis, and knew or had a strong suspicion about the source of their infection. Participants often assumed their source had knowingly infected them, contributing to anger and feeling that disclosure is futile if the source already knew their HIV status. Assisted partner notification, individual and couples counseling, and couples HIV testing may facilitate disclosure during AHI.

Clinical trial registration number


Full Text

Duke Authors

Cited Authors

  • Hino, S; Grodensky, C; Rutstein, SE; Golin, C; Smith, MK; Christmas, L; Miller, W; Phiri, S; Massa, C; Kamanga, G; Pettifor, A

Published Date

  • January 2018

Published In

Volume / Issue

  • 13 / 7

Start / End Page

  • e0201265 -

PubMed ID

  • 30048496

Pubmed Central ID

  • PMC6062079

Electronic International Standard Serial Number (EISSN)

  • 1932-6203

International Standard Serial Number (ISSN)

  • 1932-6203

Digital Object Identifier (DOI)

  • 10.1371/journal.pone.0201265


  • eng