title: Variations in the Role of Social Support on Disclosure Among Newly Diagnosed HIV-Infected People Who Inject Drugs in Vietnam.
abstract: Stigma and perceived social support can influence the decision to disclose HIV positive status, especially for people who inject drugs (PWID). In this analysis, the association between social support and HIV disclosure among 336 newly diagnosed HIV-infected PWID in Northern Vietnam was assessed. One month after diagnosis, 34.8 % of participants had not disclosed to anyone. Disclosure to anyone and to a family member specifically, was associated with baseline social support in the form of positive interactions and a history of incarceration. Disclosing to a family member was less likely among those who had unprotected sex in the previous 3 months. Disclosure to an injecting partner was more likely among those with a history of being in a drug treatment program, knowing someone on ART and believing that ART is safe. These data suggest that social support may facilitate disclosure among family members, including spouses, while disclosure to injecting partners is greater when PWID know that ART is a safe and viable option.
authors.affiliation: Department of Health Behavior, University of North Carolina Gillings School of Global Public Health, 361 Rosenau Hall, Campus Box 7440, Chapel Hill, NC, 27599-7440, USA. vgo@unc.edu.
authors.forename: Vivian F
authors.identifier: http://orcid.org/0000-0003-4828-6880
authors.initials: VF
authors.lastname: Go
authors.affiliation: Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: Carl
authors.initials: C
authors.lastname: Latkin
authors.affiliation: Thai Nguyen Center for Preventive Medicine, Thai Nguyen, Vietnam.
authors.forename: Nguyen
authors.initials: N
authors.lastname: Le Minh
authors.affiliation: Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: Constantine
authors.initials: C
authors.lastname: Frangakis
authors.affiliation: Department of Health Behavior, University of North Carolina Gillings School of Global Public Health, 361 Rosenau Hall, Campus Box 7440, Chapel Hill, NC, 27599-7440, USA.
authors.forename: Tran Viet
authors.initials: TV
authors.lastname: Ha
authors.affiliation: Department of Health Behavior, University of North Carolina Gillings School of Global Public Health, 361 Rosenau Hall, Campus Box 7440, Chapel Hill, NC, 27599-7440, USA.
authors.forename: Teerada
authors.initials: T
authors.lastname: Sripaipan
authors.affiliation: Department of Health Behavior, University of North Carolina Gillings School of Global Public Health, 361 Rosenau Hall, Campus Box 7440, Chapel Hill, NC, 27599-7440, USA.
authors.forename: Tran Thi
authors.initials: TT
authors.lastname: Mo
authors.affiliation: Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: Wendy W
authors.initials: WW
authors.lastname: Davis
authors.affiliation: Thai Nguyen Center for Preventive Medicine, Thai Nguyen, Vietnam.
authors.forename: Pham The
authors.initials: PT
authors.lastname: Vu
authors.affiliation: Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: Vu Minh
authors.initials: VM
authors.lastname: Quan
mesh_terms: D000293:Adolescent; D000328:Adult; D004192:Discrimination, Psychological; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012650:Self Disclosure; D012747:Sexual Partners; D012931:Social Environment; D057545:Social Stigma; D012944:Social Support; D012959:Socioeconomic Factors; D015819:Substance Abuse, Intravenous / Q000150:complications / Q000523:psychology*; D014342:Truth Disclosure; D014744:Vietnam; D055815:Young Adult
keywords: HIV disclosure; Injection drug use; People living with HIV; Social support; Stigma