Evaluation of HIV Disclosure Behavior Following a Randomized Controlled Disclosure Intervention for Men Who Have Sex with Men Living with HIV

Abstract

Preventing the transmission of HIV, especially among high-risk populations, is a U.S. public health priority. Interventions aimed at easing the burden of HIV disclosure to casual sexual partners among men who have sex with men (MSM) living with HIV are essential in this endeavor. This randomized controlled study evaluated differences in disclosure behavior between a disclosure intervention (DI) and attention control case management (ACCM) group for MSM living with HIV (N = 315) and determinants (self-efficacy, outcome expectancy) of disclosure. Mixed-effects models results showed no significant differences in disclosure behavior between the DI and ACCM groups. Further, disclosure behavior changed in a curvilinear manner over 12 months and benefited from a booster session. Both disclosure self-efficacy and outcome expectancy predicted disclosure behavior. Interventions targeting HIV disclosure among MSM living with HIV should focus on improving perceptions of disclosure self-efficacy and outcome expectancy and include a booster session to facilitate HIV disclosure.

Social-Environmental Resilience, PrEP Uptake, and Viral Suppression among Young Black Men Who Have Sex with Men and Young Black Transgender Women: the Neighborhoods and Networks (N2) Study in Chicago

“…Among participants living with HIV infection, we found that confidants' awareness of participants' HIV status was positively associated with being virally suppressed. To date, most studies that examine HIV serostatus disclosure among MSM only focus on disclosure within sexual partnerships [48][49][50]. Our finding further extends the understanding of HIV status disclosure within close personal networks.…”

Criminalization of HIV: Ethical and legal issues for the practice of psychology in Canada.

“…Other considerations may include collaboration with victim services, social work and housing—especially for those persons living with HIV, and other intersecting sociostructural challenges (e.g., Katz et al, 2013). Unfortunately, efforts to develop safe disclosure practices have not successfully lead to increased disclosure (Kennedy, Haberlen, Amin, Baggaley, & Narasimhan, 2015; Serovich, Laschober, Brown, & Kimberly, 2018). In their systematic review, Kennedy and colleagues (2015) identified only two empirically sound intervention studies on safe disclosure for persons living with HIV.…”

Substance Use, HIV Serostatus Disclosure, and Sexual Risk Behavior in People Living with HIV: An Event-Level Analysis

“…Disclosure of positive HIV serostatus enables sexual partners of PLWH to make informed choices regarding acceptable levels of HIV transmission risk. As such, sexual partner disclosure has been targeted as an important component of prevention interventions in PLWH (Chiasson, Shaw, Humberstone, Hirshfield, & Hartel, 2009;Conserve, Groves, & Maman, 2015;Kalichman et al, 2001;Serovich, Laschober, Brown, & Kimberly, 2017) . Such interventions propose that if non-HIV-positive sex partners are informed of their acute risk of HIV transmission, they will be more motivated to implement HIV prevention strategies such as condom use.…”