title: Formation of personal HIV disclosure policies among HIV-positive men who have sex with men.
abstract: Given the increasing emphasis on "prevention with positives" programs designed to promote HIV transmission risk reduction among people living with HIV/AIDS, better understanding of influences upon serostatus disclosure in sexual situations is needed. Based on grounded theory analyses of individual interviews, this exploratory research hypothesizes and interprets how 15 HIV-positive men who have sex with men (MSM) formed personal HIV disclosure policies for sexual situations. Participants described five elements influencing development of their personal policies, including: (1) making sense of having been infected, (2) envisioning sex as an HIV-positive man, (3) sorting through feelings of responsibility for others, (4) responding to views of friends and the gay community, and (5) anticipating reactions and consequences of disclosure. The article concludes with implications for current initiatives for prevention with positives.
authors.affiliation: College of Health Professions and Social Work, Temple University, Philadelphia, Pennsylvania 19122-6091, USA. srutled@temple.edu
authors.forename: Scott Edward
authors.initials: SE
authors.lastname: Rutledge
mesh_terms: D000328:Adult; D003657:Decision Making; D015658:HIV Infections / Q000517:prevention & control / Q000635:transmission; D006679:HIV Seropositivity; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008404:Massachusetts; D008875:Middle Aged; D040242:Risk Reduction Behavior; D012650:Self Disclosure; D012725:Sexual Behavior; D012747:Sexual Partners / Q000523:psychology*; D014342:Truth Disclosure