Disclosure of HIV Status Beyond Sexual Partners by People Living with HIV in France: A Call for Help? Results from the National Cross-Sectional Survey ANRS-VESPA2.
HIV status disclosure remains a complex issue for most people living with HIV (PLWH). We analyzed PLWH disclosure behaviors in France, where treatment is free and where the social image of HIV has improved in the general population. Analyses focused on disclosure to the social network excluding sexual partners (close family, other relatives, friends, colleagues). The study sample comprised 3016 participants from the nationally representative survey ANRS-VESPA2. Three PLWH clusters were identified using hierarchical classification ("high disclosure level": 28.2 %, "medium disclosure level": 27.5 %, and "low disclosure level": 44.3 %). In multivariable analyses, the variable "not living in a couple but psychological social support needed" was independently associated with medium (AOR [95 % CI] 1.8 [1.4; 2.3]) and high levels of disclosure (1.4 [1.1; 1.8]) (multinomial regression models). For PLWH living alone, HIV status disclosure may reveal a need for psychological social support, a key component to treatment adherence and positive prevention.
Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Marseille, France. fabienne.marcellin@inserm.fr.|ORS PACA, Observatoire régional de la santé Provence-Alpes-Côte d'Azur, Marseille, France. fabienne.marcellin@inserm.fr.|UMR 912-SESSTIM-ORS PACA, Faculté de Médecine, 3ème étage - Aile Bleue, 27 bd Jean Moulin, 13385, Marseille Cedex 5, France. fabienne.marcellin@inserm.fr.
Fabienne
http://orcid.org/0000-0001-8853-3829
F
Marcellin
Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Marseille, France.|ORS PACA, Observatoire régional de la santé Provence-Alpes-Côte d'Azur, Marseille, France.
Marie
M
Suzan-Monti
Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Marseille, France.|ORS PACA, Observatoire régional de la santé Provence-Alpes-Côte d'Azur, Marseille, France.
Antoine
A
Vilotitch
Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Marseille, France.|ORS PACA, Observatoire régional de la santé Provence-Alpes-Côte d'Azur, Marseille, France.
Luis
L
Sagaon-Teyssier
Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Marseille, France.|ORS PACA, Observatoire régional de la santé Provence-Alpes-Côte d'Azur, Marseille, France.
Marion
M
Mora
INSERM, UMR_S1136, Pierre Louis Institute of Epidemiology and Public Health, Team Research in Social Epidemiology, 75013, Paris, France.|Sorbonne Universités, UPMC Univ Paris 06, UMR_S1136, Pierre Louis Institute of Epidemiology and Public Health, Team Research in Social Epidemiology, 75013, Paris, France.
Rosemary
R
Dray-Spira
Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Marseille, France.|GRePS, Psychology Institute, Lyon 2 University, 5 Avenue Pierre Mendes-France, 69500, Bron, France.
Marie
M
Préau
Centre de recherche en épidémiologie et santé des populations, Inserm U1018, Villejuif, France.
France
F
Lert
Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Marseille, France.|ORS PACA, Observatoire régional de la santé Provence-Alpes-Côte d'Azur, Marseille, France.
Bruno
B
Spire
D003430:Cross-Sectional Studies; D005190:Family; D005260:Female; D005602:France; D033062:Friends; D015658:HIV Infections / Q000523:psychology*; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D012650:Self Disclosure; D012747:Sexual Partners; D012944:Social Support; D011795:Surveys and Questionnaires; D014342:Truth Disclosure
Clusters; Disclosure; HIV status; National survey