title: HIV Disclosure and Unprotected Sex Among Vietnamese Men with a History of Drug Use.
abstract: Additional barriers to self-disclosure of HIV status exist for people living with HIV (PLH) with a history of drug use. The objectives of this study were to explore the extent of HIV disclosure, sexual practice patterns and the relationships between HIV disclosure and unprotected sex among Vietnamese male PLH with a history of drug use. We used cross-sectional data of a sample of 133 PLH collected from a randomized controlled intervention trial in Vietnam. More than one-quarter of the participants reported not disclosing their HIV status to any sexual partners. Self-reported rates of condom use were 67.8, 51.1 and 32.6% with regular, casual, and commercial partners, respectively. Unprotected sex, testing positive for heroin, and fewer years since HIV diagnosis were significantly associated with lower level of HIV disclosure. Future intervention programs should focus on the complex interplay among HIV disclosure, drug use, and unprotected sexual practices in this vulnerable population.
authors.affiliation: Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, 10920 Wilshire Blvd., Los Angeles, CA, 90024, USA. lililili@ucla.edu.
authors.forename: Li
authors.initials: L
authors.lastname: Li
authors.affiliation: Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, 10920 Wilshire Blvd., Los Angeles, CA, 90024, USA.
authors.forename: Sitong
authors.initials: S
authors.lastname: Luo
authors.affiliation: Department of Biostatistics, University of California Los Angeles, Los Angeles, CA, USA.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Rogers
authors.affiliation: Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, 10920 Wilshire Blvd., Los Angeles, CA, 90024, USA.
authors.forename: Sung-Jae
authors.initials: SJ
authors.lastname: Lee
authors.affiliation: National Institute of Hygiene and Epidemiology, Hanoi, Vietnam.
authors.forename: Nguyen Anh
authors.initials: NA
authors.lastname: Tuan
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000453:epidemiology / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D021841:Safe Sex / Q000523:psychology / Q000706:statistics & numerical data; D012650:Self Disclosure; D012725:Sexual Behavior; D012747:Sexual Partners; D019966:Substance-Related Disorders / Q000453:epidemiology; D014342:Truth Disclosure; D047568:Unsafe Sex / Q000523:psychology / Q000706:statistics & numerical data*; D014744:Vietnam / Q000453:epidemiology; D055815:Young Adult
keywords: Drug use; HIV disclosure; People living with HIV; Vietnam