title: Discussing HIV Status: Is It Easier After 10 Years of Antiretroviral Treatment? The ANRS CO8 APROCO-COPILOTE Cohort.
abstract: This study's objective was to explore the factors associated with the belief (or not) by people living with HIV that it is easier to talk about their seropositivity 10 years after initiating a protease inhibitor-containing ART. All patients in the ANRS CO8 APROCO-COPILOTE cohort who completed a self-administered questionnaire at 10 years of follow-up were included in this study. Forty-four percent of patients declared that discussing their seropositivity with their family was easier 10 years later, while 28 % declared this was true for discussing their status with a new sexual partner. Having a low socioeconomic status, not receiving social support from a steady partner and declaring a low number of discomforting symptoms 12 months after PI initiation were all independently associated with less difficulty in discussing seropositivity. This study highlights the difficulties in disclosing HIV 10 years after PI initiation, and the important influence of psychosocial factors and patients' daily-life experience on disclosure.
authors.affiliation: GRePS, Psychology Institute, Lyon 2 University, 5 avenue Pierre Mendes-France, 69500, Bron, France. marie.preau@inserm.fr.|INSERM, UMR912 (SESSTIM), 13006, Marseille, France. marie.preau@inserm.fr.
authors.forename: Marie
authors.initials: M
authors.lastname: Préau
authors.affiliation: GRePS, Psychology Institute, Lyon 2 University, 5 avenue Pierre Mendes-France, 69500, Bron, France.
authors.forename: Vanessa
authors.initials: V
authors.lastname: Laguette
authors.affiliation: INSERM, UMR912 (SESSTIM), 13006, Marseille, France.|Aix Marseille Université, UMR_S912, IRD, 13006, Marseille, France.|ORS PACA, Observatoire Régional de la Santé Provence-Alpes-Côte d'Azur, Marseille, France.
authors.forename: Laura
authors.initials: L
authors.lastname: March
authors.affiliation: Service de Maladies Infectieuses et Tropicales, CHU de Nancy, Nancy, France.
authors.forename: Christian
authors.initials: C
authors.lastname: Rabaud
authors.affiliation: INSERM, U897, Université Bordeaux Segalen, ISPED, Bordeaux, France.
authors.forename: Lucile
authors.initials: L
authors.lastname: Hardel
authors.affiliation: INSERM, UMR912 (SESSTIM), 13006, Marseille, France.|Aix Marseille Université, UMR_S912, IRD, 13006, Marseille, France.|ORS PACA, Observatoire Régional de la Santé Provence-Alpes-Côte d'Azur, Marseille, France.
authors.forename: Camelia
authors.initials: C
authors.lastname: Protopopescu
authors.affiliation: Service de maladies infectieuses, CH Fleyriat, Bourg en Bresse, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Granier
authors.affiliation: CERMES, Villejuif, France.
authors.forename: Janine
authors.initials: J
authors.lastname: Pierret
authors.affiliation: INSERM, IAME, UMR 1137, Paris, France.|Université Paris Diderot, Sorbonne Paris Cité, Paris, France.
authors.forename: Catherine
authors.initials: C
authors.lastname: Leport
authors.affiliation: Hotel Dieu, Nantes, France.
authors.forename: François
authors.initials: F
authors.lastname: Raffi
mesh_terms: D000328:Adult; D023241:Antiretroviral Therapy, Highly Active; D015331:Cohort Studies; D005190:Family; D005260:Female; D005602:France; D015658:HIV Infections / Q000188:drug therapy / Q000523:psychology*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D012650:Self Disclosure; D012747:Sexual Partners; D012923:Social Class; D012944:Social Support; D011795:Surveys and Questionnaires; D013997:Time Factors
keywords: Disclosure; Experience of HIV infection; Longitudinal data; Symptoms