title: Methamphetamine-dependent gay men's disclosure of their HIV status to sexual partners.
abstract: Disclosure of one's HIV status to a potential sexual partner has important HIV prevention implications. This paper qualitatively evaluates the social and sexual contexts that influence disclosure of HIV status among methamphetamine-dependent gay men enrolled in an outpatient drug treatment research program. As part of an open-ended, semi-structured interview, 34 HIV-positive and HIV-negative men discussed how, when, to whom and under what circumstances they reveal information about their HIV status. The four factors that influence participants' decision to disclose include: (1) an HIV-negative sexual partner's disclosure; (2) sexual venue (private versus public); (3) primary versus non-primary partner; and (4) the perceived risk of the sexual act. Sexual encounters among the men in this sample often occurred in public environments with non-primary partners, and involved use of illicit substances. In these social and sexual contexts, both HIV-positive and HIV-negative participants believed that it is HIV-negative rather than HIV-positive men who should initiate safer sex dialogue and safer sex practices. Findings are helpful in crafting HIV-prevention interventions targeting substance-using gay men whose sexual practices place them at high-risk for HIV-infection.
authors.affiliation: Friends Research Institute, UCLA Integrated Substance Abuse Programs, 90025, USA. Slarkins@mindspring.com
authors.forename: S
authors.initials: S
authors.lastname: Larkins
authors.forename: C J
authors.initials: CJ
authors.lastname: Reback
authors.forename: S
authors.initials: S
authors.lastname: Shoptaw
authors.forename: R
authors.initials: R
authors.lastname: Veniegas
mesh_terms: D000328:Adult; D019969:Amphetamine-Related Disorders / Q000523:psychology*; D015658:HIV Infections / Q000517:prevention & control*; D018023:HIV Seronegativity; D006679:HIV Seropositivity; D006716:Homosexuality / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012650:Self Disclosure; D012747:Sexual Partners; D011795:Surveys and Questionnaires