Predictors of HIV disclosure to secondary partners and sexual risk behavior among a high-risk sample of HIV-positive MSM: results from six epicenters in the US.
This study sought to identify predictors of HIV disclosure and serodiscordant unprotected anal intercourse (SDUAI) among HIV-positive men who have sex with men (MSM). Between January 2005 and April 2006, 675 HIV-positive MSM were recruited into the Positive Connections intervention trial held in six US cities with intentional over-sampling of HIV-positive MSM of Color (74%) and men engaging in unprotected anal intercourse (UAI) in the previous year. Baseline survey data showed 30 and 31%, respectively, of participants disclosed to none or some of their secondary sex partners in the last 90 days. Greater disclosure to secondary partners was associated with having fewer sexual partners, being extremely out as MSM, longer HIV diagnosis, knowledge of CD4 count, detectable viral load and being white. Disclosure to all secondary partners was associated with lower SDUAI. Recommendations for prevention for HIV-positive MSM include the promotion of serodisclosure to all secondary partners and increasing comfort with, and outness about, one's sexuality.
Simon Rosser
B R
BR
Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, US. rosser@umn.edu
Horvath
K J
KJ
Hatfield
L A
LA
Peterson
J L
JL
Jacoby
S
S
Stately
A
A
D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000523:psychology* / Q000635:transmission; D000328:Adult; D006679:HIV Seropositivity / Q000453:epidemiology / Q000523:psychology* / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D018451:Homosexuality, Male / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012044:Regression Analysis; D012650:Self Disclosure; D012747:Sexual Partners / Q000523:psychology*; D014342:Truth Disclosure; D014481:United States / Q000453:epidemiology; D047568:Unsafe Sex / Q000706:statistics & numerical data*
J Homosex. 2008;55(2):185-203
18982569
J Acquir Immune Defic Syndr. 2004 Oct 1;37 Suppl 2:S119-21
15385908
Health Psychol. 1997 Sep;16(5):458-67
9302543
J Acquir Immune Defic Syndr. 2001 May 1;27(1):79-85
11404524
AIDS Educ Prev. 2002 Jun;14(3 Suppl A):59-71
12092938
AIDS. 2005 Apr;19 Suppl 1:S87-97
15838198
J Sex Res. 2002 Aug;39(3):179-89
12476265
AIDS Care. 1997 Oct;9(5):589-99
9404400
AIDS Care. 1998 Oct;10(5):599-610
9828956
J Acquir Immune Defic Syndr. 2004 Oct 1;37 Suppl 2:S101-9
15385906
Health Psychol. 1999 May;18(3):281-7
10357509
J Acquir Immune Defic Syndr. 2004 Jun 1;36(2):734-42
15167293
AIDS Care. 2003 Jun;15(3):379-87
12745398
Top HIV Med. 2004 Oct-Nov;12(4):109-18
15516708
AIDS Care. 2007 Apr;19(4):514-22
17453592
J Sex Marital Ther. 2001 Jul-Sep;27(4):325-32
11441516
AIDS Behav. 2005 Jun;9(2):155-66
15933835
Am J Public Health. 2003 Jun;93(6):894-8
12773346
J Consult Clin Psychol. 1975 Apr;43(2):183-91
1120828
AIDS Behav. 2003 Jun;7(2):143-52
14586199
J Pers Assess. 1990 Winter;55(3-4):610-7
2280326