“Do I need to or do I want to?” A typology of HIV status disclosure among gay, bisexual, and other men who have sex with men

Lim, Jane Mingjie; Tan, Rayner Kay Jin; Chan, Jeremiah Kah Wai

doi:10.1080/09540121.2020.1742865

Cited by 6 publications

(4 citation statements)

References 13 publications

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“…Unlike the general disclosure of previous studies, HIV disclosure makes it easier to obtain understanding, emotional support and positive response. It will increase MSM patients’ belief in fighting disease, improve their self-efficacy, help them actively seek medical treatment strategies, and reduce the probability of missing drugs or hindering their access to medical services [ 49 , 50 ]. In addition, disclosure behaviour is a positive and reinforcing experience that helps patients accept their disease condition.…”

Section: Discussionmentioning

confidence: 99%

HIV infection disclosure, treatment self-efficacy and quality of life in HIV-infected MSM receiving antiretroviral therapy

Jia

Jiao

et al. 2022

BMC Infect Dis

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Background Research on the relationship between disclosure of HIV status to male sexual partners (HIV disclosure) and quality of life (QOL) revealed complex and even contradictory results. The impact of HIV disclosure on various domains of QOL and the mediation effect between them are unclear. The purposes of this study were to explore the impact of HIV disclosure on QOL among men who have sex with men (MSM), and whether HIV treatment self-efficacy mediated these relationships. Methods The data came from a baseline survey on the design of a randomized control trial conducted in Shandong, China. A total of 579 MSM patients were included. SPSS 24.0 was used to conduct independent samples t test, one-way analysis of variance and nonparametric tests and the PROCESS macro was used to conduct mediation analysis. Results Among 579 participants, 16.06% disclosed their HIV infection status to their male sexual partners. The effect of HIV disclosure on QOL was mediated by treatment self-efficacy. Self-efficacy played partial mediating role in social relationships, meaning that HIV disclosure had both direct and indirect effects on this factor. In the overall QOL and domains of physical, psychological, independence, and environment, HIV disclosure had an indirect effect only through self-efficacy and no significant effect on the spirituality domain. Conclusions The results emphasize the importance of HIV disclosure and self-efficacy on the QOL of MSM patients and suggest that health care providers should assist MSM patients in deciding whether to disclose their HIV status during daily medical services.

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Section: Discussionmentioning

confidence: 99%

HIV infection disclosure, treatment self-efficacy and quality of life in HIV-infected MSM receiving antiretroviral therapy

Jia

Jiao

et al. 2022

BMC Infect Dis

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“…Disclosure is motivated by a desire to protect one’s partner [ 80 , 81 ], a sense of duty and responsibility [ 71 , 75 ], a desire to facilitate connection [ 77 ], and to acquire emotional, physical and social support [ 82 ]. Disclosure decisions can vary based on previous reactions to disclosure [ 83 ], relationship status [ 84 ], context [ 85 ], residence and demographic factors (such as age, sex, race, ethnicity, and SES) [ 41 ].…”

Section: Introductionmentioning

confidence: 99%

Life and love under criminalization: The experiences of people living with HIV in Canada

Tatham

2024

PLoS ONE

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Based upon qualitative interviews with 54 women and men living with HIV across Ontario, Canada, this paper examines the impact of HIV criminalization on the sexual and romantic relationships of people living with HIV. This research highlights the navigation strategies people living with HIV create and employ to both navigate and protect themselves from the law. Through a thematic and intersectional analysis, this study shows how adoption of these strategies is unequal, with access to navigation strategies varying along lines of gender, race, and sexual orientation. As a result, women and racialized people living with HIV face more difficulties navigating the impact of the law. HIV criminalization in Canada fuels and validates HIV stigma and produces vulnerability both within and outside of the relationships of people living with HIV. This paper seeks to understand HIV criminalization from the perspective of those governed by the law, in hopes of producing knowledge which will contribute to legal reform, inform policy, and support the development of efficacious secondary prevention initiatives.

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“…6,7 Understandings of HIV risk, the use of different risk reduction methods and experiences and expectations of stigma (negative reactions) influence the likelihood of HIV status disclosure. 8 Before the rapid increase in PrEP uptake among GBM in Australia, expectations about disclosure differed: one study found that 76% of HIV-negative GBM expected HIV-positive partners to disclose their status but only expected 42% of HIVnegative partners to do so. 9 People living with HIV often face negative reactions when disclosing their HIV status to sexual partners, and may moderate or avoid disclosure in some situations to reduce negative reactions.…”

Section: Introductionmentioning

confidence: 99%

The effect of pre-exposure prophylaxis (PrEP) on negotiating casual sex between gay men: disclosure, assumptions, and communication

et al. 2022

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Background. The disclosure of HIV status and pre-exposure prophylaxis (PrEP) use can be important in the negotiation of safe sex. With the rapid uptake of PrEP in Australia, norms and expectations about discussion and disclosure may have changed. Methods. We explored the disclosure of PrEP use, HIV status and communication with sex partners by HIV-negative gay men in Sydney, Australia. We conducted semi-structured interviews from October 2017 to May 2018 and analysed data using a codebook thematic analysis approach. Results. Participants had a variety of expectations of what they should tell their partners and what they expected in return. For some participants, PrEP had negated the need for any discussion about HIV. Many participants assumed their partners would find information about their HIV status or PrEP use on their online profiles or that partners would ask, if necessary. Conclusions. Building a stronger, shared understanding among gay men that disclosure and discussion no longer automatically occur before sexual encounters may be useful.

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“Do I need to or do I want to?” A typology of HIV status disclosure among gay, bisexual, and other men who have sex with men

Cited by 6 publications

References 13 publications

HIV infection disclosure, treatment self-efficacy and quality of life in HIV-infected MSM receiving antiretroviral therapy

HIV infection disclosure, treatment self-efficacy and quality of life in HIV-infected MSM receiving antiretroviral therapy

Life and love under criminalization: The experiences of people living with HIV in Canada

The effect of pre-exposure prophylaxis (PrEP) on negotiating casual sex between gay men: disclosure, assumptions, and communication

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