title: HIV disclosure and subsequent sexual behaviors among men who have sex with men who meet online.
abstract: To assess HIV disclosure discussions and related sexual behaviors among men who have sex with men (MSM) who meet sex partners online, 28 qualitative interviews with Seattle-area MSM were analyzed using grounded theory methods and themes and behavior patterns were identified. MSM found a greater ease in communicating and could prescreen partners through the Internet. However, no consistent relationship was found between HIV disclosure and subsequent behaviors: some were safer based on disclosure while perceived HIV status led others to risky behaviors. Interventions need to promote accurate disclosure while acknowledging its limitations and the need for men to self-protect.
authors.affiliation: Department of Health Services, University of Washington, Seattle, Washington, USA. saintdelore@gmail.com
authors.forename: Jef
authors.initials: J
authors.lastname: St De Lore
authors.forename: Hanne
authors.initials: H
authors.lastname: Thiede
authors.forename: Allen
authors.initials: A
authors.lastname: Cheadle
authors.forename: Gary
authors.initials: G
authors.lastname: Goldbaum
authors.forename: James W
authors.initials: JW
authors.lastname: Carey
authors.forename: Rebecca E
authors.initials: RE
authors.lastname: Hutcheson
authors.forename: Richard A
authors.initials: RA
authors.lastname: Jenkins
authors.forename: Matthew R
authors.initials: MR
authors.lastname: Golden
mesh_terms: D000328:Adult; D015658:HIV Infections / Q000523:psychology*; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D020407:Internet; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D012650:Self Disclosure; D012725:Sexual Behavior / Q000523:psychology*; D047568:Unsafe Sex / Q000523:psychology; D014861:Washington; D055815:Young Adult