Acquisition of New Sexual Partners Among Women With HIV Infection: Patterns of Disclosure and Sexual Behavior within New Partnerships

Wilson, Tracey E.; Feldman, Joseph; Vega, Miriam Y.; Gandhi, Monica; Richardson, Jean L.; Cohen, Mardge H.; McKaig, Rosemary G.; Ostrow, David G.; Robison, Esther; Gange, Stephen J.

doi:10.1521/aeap.2007.19.2.151

Cited by 27 publications

(23 citation statements)

References 16 publications

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“…Such an approach would (1) step-up efforts to educate all MSM about the seriousness of HIV infection and the need to continue to practice safer sex whenever possible. Older MSM no longer have the constant reminder of seeing their friends and associates dying of AIDS, whereas many younger MSM did not experience this at all; (2) continue to stress the importance of HIV antibody testing, contact referral or tracking and seeking treatment as early as possible in order to reduce both the sequelae of HIV infection and the possibility of newly infected men transmitting HIV to their sexual partners before they know that they have been infected; and (3) at the same time, mount energetic campaigns to counter the increasingly prevalent attitudes of reduced HIV concern and safer sex fatigue seen among homosexually active men, women (Wilson et al, 2007) and IDUs (Tun et al, 2003).…”

Section: Hiv-seropositivementioning

confidence: 99%

Prospective Study of Attitudinal and Relationship Predictors of Sexual Risk in the Multicenter AIDS Cohort Study

et al. 2007

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We examined the influence of attitudes concerning HIV transmission, safe sex, and sexual sensation seeking, as well as negotiated risk reduction with primary partners, on the proportion of unprotected sexual partners (%UASP) among men who have sex with men (MSM). Participants were 263 HIV-seropositive and 238 HIV-seronegative MSM in the Multicenter AIDS Cohort Study between 1999 and 2003 who completed a 20-item attitude survey twice. Behavioral data were collected concurrently and 6-12 months after each survey. Among seropositives, decreased HIV concern and increased safer sex fatigue were associated with higher %UASP at 6 and 12 months. Among seronegatives, increased %UASP at 12 months was associated with safer sex fatigue. At 6 months and 12 months, risk reduction agreements were associated with increased %UASP among seronegatives in seroconcordant monogamous relationships, reflecting their abandonment of condoms in such partnerships. We conclude that HIV prevention efforts should target modifiable attitudes (reduced concern about HIV and safer sex fatigue) and increases in sexual risk-taking of MSM, particularly among HIV+ men having sex with serodiscordant partners.

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Section: Hiv-seropositivementioning

confidence: 99%

Prospective Study of Attitudinal and Relationship Predictors of Sexual Risk in the Multicenter AIDS Cohort Study

et al. 2007

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“…An ongoing challenge to secondary prevention of HIV is understanding and intervening with factors influencing continued engagement in unprotected sex with new and existing partners. [1][2][3] HIV-positive women with childhood abuse histories, including both physical and sexual abuse in childhood, have been identified as a particularly vulnerable population, with higher rates of unprotected sex, greater numbers of partners, and additional health risk behaviors, such as substance use, and poorer adherence than their counterparts without abuse histories. [4][5][6][7][8][9] One potentially relevant mechanism linking abuse and engagement in unprotected sex is disclosure of HIV status.…”

Section: Introductionmentioning

confidence: 99%

Strategies and Outcomes of HIV Status Disclosure in HIV-Positive Young Women with Abuse Histories

Clum

Czaplicki

Andrinopoulos

et al. 2013

AIDS Patient Care and STDs

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Young women with HIV and histories of physical and/or sexual abuse in childhood may be vulnerable to difficulties with disclosure to sexual partners. Abuse in childhood is highly prevalent in HIV-positive women, and has been associated with poorer communication, low assertiveness, low self worth, and increased risk for sexual and other risk behaviors that increase the risk of secondary transmission of HIV. HIV disclosure may be an important link between abuse and sexual risk behaviors. Qualitative interviews with 40 HIV-positive young women with childhood physical and/or sexual abuse were conducted; some women had also experienced adult victimization. Results suggest that HIV-positive women with abuse histories use a host of strategies to deal with disclosure of HIV status, including delaying disclosure, assessing hypothetical responses of partners, and determining appropriate stages in a relationship to disclose. Stigma was an important theme related to disclosure. We discuss how these disclosure processes impact sexual behavior and relationships and discuss intervention opportunities based on our findings.

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“…However, in a study published in 2007, 25.7% of women interviewed (n 5 74) chose to become pregnant after diagnosis with HIV (Craft, Delaney, Bautista, & Serovich, 2007). Other studies have reported that women with HIV are comparable to women without HIV in relation to conceiving and/or terminating a pregnancy (Ahluwalia, DeVellis, & Thomas, 1998;Wilson et al 2007). Richter, Sowell, and Pluto (2002) reported that women living with HIV desired pregnancy and were committed to becoming mothers.…”

mentioning

confidence: 99%

Sexual Behaviors and Practices of Women Living With HIV in Relation to Pregnancy

Sanders¹

2009

Journal of the Association of Nurses in AIDS Care

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It has been estimated that 80% of women infected with HIV are of childbearing age. Few data exist to describe the sexual behaviors and practices in relation to pregnancy and childbearing of women living with HIV. This study is a secondary analysis of qualitative data previously gathered to explore the lived experience of pregnancy after diagnosis with HIV. Interviews with a purposive sample of 9 mothers ages 34 to 53 who were previously diagnosed with HIV were tape recorded, transcribed, and analyzed to describe sexual behaviors and practices of women living with HIV in relation to childbearing. The data showed three themes: (a) unprotected sexual relations with the intent to become pregnant, (b) shifting responsibility for condom use as the relationship progressed, and (c) insufficient knowledge of how to reduce partner transmission risk in relation to childbearing. Participants were knowledgeable about the means to minimize transmission to the fetus. Consideration of this information may enhance the provision of health care to minimize transmission risk and encourage the development of further studies about this topic.

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Acquisition of New Sexual Partners Among Women With HIV Infection: Patterns of Disclosure and Sexual Behavior within New Partnerships

Abstract: These findings highlight the importance of ongoing support for sexual risk reduction among women with HIV-infection and for strategies that reduce the strength of relationships between ART beliefs and sexual risk behavior.

Cited by 27 publications

References 16 publications

Prospective Study of Attitudinal and Relationship Predictors of Sexual Risk in the Multicenter AIDS Cohort Study

Prospective Study of Attitudinal and Relationship Predictors of Sexual Risk in the Multicenter AIDS Cohort Study

Strategies and Outcomes of HIV Status Disclosure in HIV-Positive Young Women with Abuse Histories

Sexual Behaviors and Practices of Women Living With HIV in Relation to Pregnancy

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