Don't ask, don't tell: patterns of HIV disclosure among HIV positive men who have sex with men with recent STI practising high risk behaviour in Los Angeles and Seattle

Gorbach, Pamina M.; Galea, Jerome T; Amani, Bita; Shin, Andrew; Celum, C; Kerndt, PR; Golden, Matthew R.

doi:10.1136/sti.2004.010918

Cited by 86 publications

(102 citation statements)

References 17 publications

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“…Perceived responsibility to disclose has been reported recently as a key factor relating to disclosure to sexual partners within convenience samples of men enrolled in HIV clinical trials (Serovich & Mosack, 2003), and men actively seeking treatment for sexually transmitted infections (Gorbach et al, 2004). However, generalizability of such results to the broader population with HIV was questionable.…”

Section: Discussionmentioning

confidence: 73%

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

et al. 2006

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We examined potential correlates of sex without HIV disclosure within a sample of 875 participants from the HIV Cost and Services Utilization Study. Interviews with each participant assessed sexual activities with up to six recent partners, and this study included both respondent and partnership characteristics. Compared with marriage and/or primary same-sex relationsips, occasional partnerships and one-time encounters were associated with sex with disclosure, and shorter relationships were more likely to involve sex without disclosure. Knowledge of partner scrostatus was also associated with sex without disclosure. Women were less likely to have sex without disclosure than men having sex with men. We found an association between the perceived duty to disclosure to all partners and sex without disclosure, while we found no association in multivariate analyses between outcome expectancies and sex without disclosure.

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Section: Discussionmentioning

confidence: 73%

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

et al. 2006

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“…Integrating treatment for depression into HIV care, including cognitive behavioral therapy (CBT) and pharmacological approaches, has been successful among patients living with HIV 45 and, in turn, can increase HIV treatment adherence. 46 So that both partners in a sexual relationship can make informed decisions about risk reduction, 47 efforts to increase disclosure should specifically address disclosure self-efficacy for the different types of partners and situations in which one may need to disclose. Disclosure skills building can readily be integrated into the initial stages of HIV care.…”

Section: Discussionmentioning

confidence: 99%

Depression and HIV Serostatus Disclosure to Sexual Partners Among Newly HIV-Diagnosed Men Who Have Sex with Men

Abler

Sikkema

Watt

et al. 2015

AIDS Patient Care and STDs

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HIV disclosure to sexual partners facilitates joint decision-making and risk reduction strategies for safer sex behaviors, but disclosure may be impacted by depression symptoms. Disclosure is also associated with disclosure self-efficacy, which in turn may also be influenced by depressive symptoms. This study examined the relationship between depression and HIV disclosure to partners following diagnosis among men who have sex with men (MSM), mediated by disclosure self-efficacy. Newly HIV-diagnosed MSM (n = 92) who reported sexual activity after diagnosis completed an assessment soon after diagnosis which measured depressive symptoms, and another assessment within 3 months of diagnosis that measured disclosure self-efficacy and disclosure. Over one-third of the sample reported elevated depressive symptoms soon after diagnosis and equal proportions (one-third each) disclosed to none, some, or all partners in the 3 months after diagnosis. Depressive symptoms were negatively associated with disclosure self-efficacy and disclosure to partners, while disclosure self-efficacy was positively associated with disclosure. Disclosure self-efficacy partially mediated the relationship between depression and disclosure, accounting for 33% of the total effect. These findings highlight the importance of addressing depression that follows diagnosis to enhance subsequent disclosure to sexual partners.

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“…46,47 A variety of interpersonal and contextual factors have been associated with disclosure in sexual situations, including partner characteristics and behaviors, beliefs about viral load, and setting. [48][49][50] For example, in a qualitative study of MSM with recent sexually transmitted infections in Los Angeles, California, and Seattle, Washington, 51 participants tended to be more likely to disclose to sex partners if they had feelings for the other person, felt responsible for sex partners, or feared arrest. They were less likely to disclose if they minimized the importance of sex, believed having a low viral load reduced transmission likelihood, or feared rejection.…”

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confidence: 99%

Formation of Personal HIV Disclosure Policies among HIV-Positive Men Who Have Sex with Men

Rutledge

2009

AIDS Patient Care and STDs

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Given the increasing emphasis on ''prevention with positives'' programs designed to promote HIV transmission risk reduction among people living with HIV=AIDS, better understanding of influences upon serostatus disclosure in sexual situations is needed. Based on grounded theory analyses of individual interviews, this exploratory research hypothesizes and interprets how 15 HIV-positive men who have sex with men (MSM) formed personal HIV disclosure policies for sexual situations. Participants described five elements influencing development of their personal policies, including: (1) making sense of having been infected, (2) envisioning sex as an HIV-positive man, (3) sorting through feelings of responsibility for others, (4) responding to views of friends and the gay community, and (5) anticipating reactions and consequences of disclosure. The article concludes with implications for current initiatives for prevention with positives.

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Don't ask, don't tell: patterns of HIV disclosure among HIV positive men who have sex with men with recent STI practising high risk behaviour in Los Angeles and Seattle

Cited by 86 publications

References 17 publications

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

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

Depression and HIV Serostatus Disclosure to Sexual Partners Among Newly HIV-Diagnosed Men Who Have Sex with Men

Formation of Personal HIV Disclosure Policies among HIV-Positive Men Who Have Sex with Men

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