title: Determinants of HIV serostatus disclosure to sexual partner among HIV-positive alcohol users in Haiti.
abstract: This study examined the relationship between antiretroviral therapy use, participants' knowledge of partner's HIV serostatus, number of sex partners, perceived infectivity and HIV disclosure to a main sexual partner among 258 HIV-positive Haitian alcohol users. Only 38.6 % had disclosed their HIV serostatus to sexual partners. Logistic regression analyses revealed that participants who self-reported having an HIV-negative partner (OR = 0.36, 95 % CI 0.13-0.97) or a partner of unknown HIV status (OR = 0.09, 95 % CI 0.04-0.22) were less likely to disclose their HIV serostatus than participants who self-reported having an HIV-positive partner. Participants who had more than one sexual partner in the past 3 months (OR = 0.41, 95 % CI 0.19-0.90) were also less likely to disclose than participants who had one partner. These findings suggest the need for couples-based programs to assist people living with HIV (PLWH) with the disclosure process, especially among PLWH who have more than one sexual partner and/or are in serodiscordant relationships.
authors.affiliation: Division of Infectious Diseases and Department of Health Behavior, The University of North Carolina at Chapel Hill, Chapel Hill, USA, dxc341@gmail.com.
authors.forename: Donaldson F
authors.initials: DF
authors.lastname: Conserve
authors.forename: Gary
authors.initials: G
authors.lastname: King
authors.forename: Jessy G
authors.initials: JG
authors.lastname: Dévieux
authors.forename: Michèle
authors.initials: M
authors.lastname: Jean-Gilles
authors.forename: Robert
authors.initials: R
authors.lastname: Malow
mesh_terms: D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000523:psychology*; D019380:Anti-HIV Agents / Q000627:therapeutic use; D004522:Educational Status; D005260:Female; D006679:HIV Seropositivity / Q000453:epidemiology / Q000523:psychology*; D006205:Haiti / Q000453:epidemiology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D012747:Sexual Partners / Q000523:psychology*; D057545:Social Stigma; D014342:Truth Disclosure
chemical_list: D019380:Anti-HIV Agents