Correlates of sex without serostatus disclosure among a national probability sample of HIV patients

Duru, O. Kenrik; Collins, Rebecca L.; Ciccarone, Daniel; Morton, Sally C.; Stall, Ronald D.; Beckman, Robin L.; Miu, Angela; Kanouse, David E.

doi:10.1007/s10461-006-9089-3

Cited by 52 publications

(67 citation statements)

References 38 publications

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“…Disclosure to sexual partners is more likely in longer-term, romantic relationships than in casual relationships like one night stands, anonymous partners, group scenes etc. (Duru et al 2006).…”

Section: Disclosure and Social Relationshipsmentioning

confidence: 99%

Social context of disclosing HIV test results in Tanzania

Lugalla

Yoder²,

Sigalla

et al. 2012

Culture, Health & Sexuality

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This study sought to understand how individuals reveal their HIV test results to others and the ways in which social relations affect the disclosure process. The data were collected through open-ended interviews administered in Swahili to informants who had just been tested for HIV and to those who were living with HIV in Dar es Salaam and Iringa regions. Analysis shows that social relations influence the decisions individuals make about disclosure. Most people preferred to reveal their HIV status to close family members. Most also mentioned the fear of being rejected and discriminated against as major reasons for not disclosing their test results to others.

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Section: Disclosure and Social Relationshipsmentioning

confidence: 99%

Social context of disclosing HIV test results in Tanzania

Lugalla

Yoder²,

Sigalla

et al. 2012

Culture, Health & Sexuality

View full text Add to dashboard Cite

show abstract

“…Growing evidence suggests that lack of correct knowledge about HIV and not knowing sex partners' HIV-positive status are significant factors in non-disclosure of HIV serostatus [37][38][39]. A study conducted in China found that unwillingness to disclose HIV seropositive status was associated with misconceptions about HIV transmission [26].…”

Section: Introductionmentioning

confidence: 99%

HIV Serostatus Disclosure to Sexual Partners Among Sexually Active People Living with HIV in South Africa: Results from the 2012 National Population-Based Household Survey

et al. 2016

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This paper explores the prevalence and correlates of HIV seropositive status disclosure to sexual partners by people living with HIV (PLHIV) in South Africa. Secondary analysis of the 2012 South African National HIV Prevalence, Incidence and Behaviour Survey was conducted on data obtained from 934 sexually active PLHIV aged 15 years and older who responded to the question about HIV seropositive status disclosure. Overall, a large majority of respondents (77.1 %) reported disclosing their HIV-positive status to all their current sex partners. Multiple regression analysis, after adjustments for sex, marital status and locality type, revealed that those who were living together, going steady, and those who were single were all 60 % [adjusted odds ratio (AOR) = 0.4, 95 % CIs 0.20-0.78; AOR = 0.4, 95 % CIs 0.24-0.77; and AOR = 0.4, 95 % CIs 0.19-1.00, all ps < 0.05] less likely to disclose their HIV positive status to their partners compared to those who were married. Those who lived in rural formal areas were 70 % less likely to disclose their HIV status to their partners compared to those who stayed in urban formal areas (AOR = 0.3, 95 % CI 0.17-0.69, p < 0.001). Those who had correct HIV knowledge and rejection of myths were 2.0 times more likely to disclose their HIV status to their partners compared to those who did not have correct HIV knowledge and rejection of myths (AOR = 2.0, 95 % CI 1.04-3.68, p < 0.05). In conclusion, intervention programmes which help improve HIV seropositive status disclosure are needed by PLHIV who are not married, live in rural formal areas, and have incorrect HIV knowledge and rejection of myths.

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“…22 In fact, several studies have found differences between these three groups in serostatus disclosure to sex partners. 18,32,34,35 Specifically, HIV-positive MSM are typically less likely to disclose to sexual partners relative to MSW and WSM, citing fears of rejection, issues of confidentiality, and concerns of stigmatization as barriers to HIV disclosure. 19,36 These findings, combined with the disclosure processes model, suggest that disclosure goals and effects on behavior may vary for different sexual behavior groups.…”

Section: Introductionmentioning

confidence: 99%

Examining the Role of Serostatus Disclosure on Unprotected Sex Among People Living with HIV

Przybyla

Golin

Widman

et al. 2014

AIDS Patient Care and STDs

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Given the increasing prevalence of HIV, it is important to identify factors associated with safer sex behaviors between people living with HIV and their partners. Utilizing a diverse sample of 242 HIV-infected adults [n = 69 men who have sex with men (MSM); n = 68 men who have sex with women (MSW); n = 105 women who have sex with men (WSM)], we examined the association between serostatus disclosure and unprotected anal or vaginal intercourse (UAVI) and the moderating effect of sexual behavior group on this association. Overall, 88.7% disclosed to their current partner. Approximately 18.8% of MSM, 17.7% of MSW, and 29.5% of WSM reported UAVI. Controlling for age, time since diagnosis, and partner serostatus, we found main effects on UAVI for disclosure and sexual behavior group; specifically, disclosure was inversely related to unprotected sex [AOR = 0.09, 95% CI (0.02, 0.43), p < 0.001], and MSM were less likely to engage in UAVI relative to WSM [AOR = 0.11, 95% CI (0.17, 0.82), p < 0.05]. However, the relationship between disclosure and UAVI was not moderated by sexual behavior group. Future strategies that aim to increase disclosure to partners may consider focusing on its value as a means by which to reduce sexual risk behavior.

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Correlates of sex without serostatus disclosure among a national probability sample of HIV patients

Cited by 52 publications

References 38 publications

Social context of disclosing HIV test results in Tanzania

Social context of disclosing HIV test results in Tanzania

HIV Serostatus Disclosure to Sexual Partners Among Sexually Active People Living with HIV in South Africa: Results from the 2012 National Population-Based Household Survey

Examining the Role of Serostatus Disclosure on Unprotected Sex Among People Living with HIV

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