Determinants of HIV Serostatus Disclosure to Sexual Partner Among HIV-Positive Alcohol Users in Haiti

Conserve, Donaldson F.; King, Gary; Dévieux, Jessy G.; Jean‐Gilles, Michèle; Malow, Robert M.

doi:10.1007/s10461-013-0685-8

Cited by 22 publications

(20 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One study of HIV-positive alcohol users in Haiti found that 61% of people living with HIV had not disclosed their HIV status to sex partners, and individuals with multiple sex partners in a 3-month period were significantly less likely to have disclosed their HIV status. 16 These rates of disclosure to sex partners are similar to those observed among HIV-infected youth, where 67% report not disclosing their HIV status to first-time sex partners. 17 There is also evidence suggesting that HIV status disclosure should be considered within a broader context of sexual risk reduction communications skills.…”

Section: Introductionsupporting

confidence: 58%

HIV Disclosure and Transmission Risks to Sex Partners Among HIV-Positive Men

Kalichman

Cherry

et al. 2016

AIDS Patient Care and STDs

View full text Add to dashboard Cite

Disclosure of HIV-positive status to sex partners is critical to protecting uninfected partners. In addition, people living with HIV often risk criminal prosecution when they do not inform sex partners of their HIV status. The current study examined factors associated with nondisclosure of HIV status by men living with HIV in Atlanta, GA (92% African African, mean age = 43.8), who engage in condomless sex with uninfected sex partners. Sexually active HIV-positive men (N = 538) completed daily electronic sexual behavior assessments over the course of 28 days and completed computerized interviews, drug testing, medication adherence assessments, and HIV viral load retrieved from medical records. Results showed that 166 (30%) men had engaged in condomless vaginal or anal intercourse with an HIV-uninfected or unknown HIV status sex partner to whom they had not disclosed their HIV status. Men who engaged in nondisclosed condomless sex were less adherent to their HIV treatment, more likely to have unsuppressed HIV, demonstrated poorer disclosure self-efficacy, enacted fewer risk reduction communication skills, and held more beliefs that people with HIV are less infectious when treated with antiretroviral therapy. We conclude that undisclosed HIV status is common and related to condomless sex with uninfected partners. Men who engage in nondisclosed condomless sex may also be more infectious given their nonadherence and viral load. Interventions are needed in HIV treatment as prevention contexts that attend to disclosure laws and enhance disclosure self-efficacy, improve risk reduction communication skills, and increase understanding of HIV infectiousness.

show abstract

Section: Introductionsupporting

confidence: 58%

HIV Disclosure and Transmission Risks to Sex Partners Among HIV-Positive Men

Kalichman

Cherry

et al. 2016

AIDS Patient Care and STDs

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

“…Based on recent studies, rates of HIV sero-status disclosure to sexual partners range from 97 % in South Africa [24], 89 % in the United States [25], 86 % in Brazil [26] to 73 % in Canada [27], and 39 % in Haiti [28]. The characteristics contributing to low rates of disclosure to sexual partners in some regions of the world have been found to be related to shorter length of time since HIV diagnosis, HIV-related stigma, having multiple sexual partners, partners of HIV negative or unknown status, not receiving antiretroviral treatment, emotional distress, low disclosure self-efficacy, and unemployment due to HIV status [22, 28-33]. In an effort to further understand the reasons and approaches PLWH use to disclose or not disclose their HIV serostatus to sexual partners, a number of researchers have employed qualitative methods to explore the disclosure process among different groups including but not limited to adolescents, adult men and women, and men who have sex with men (MSMs) [19, 34-45].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Interventions Promoting HIV Serostatus Disclosure to Sexual Partners: A Systematic Review

2015

Self Cite

View full text Add to dashboard Cite

Disclosure of HIV serostatus to sexual partners is mandated within certain states in the United States and other countries. Despite these laws implemented and public health efforts to increase disclosure, rates of disclosure to sexual partners among people living with HIV (PLWH) remain low, suggesting the need for interventions to assist PLWH with the disclosure process. We conducted a systematic review of studies testing whether HIV serostatus disclosure interventions increase disclosure to sexual partners. We searched six electronic databases and screened 484 records. Five studies published between 2005 and 2012 met inclusion criteria and were included in this review. Results showed that three of the HIV serostatus disclosure-related intervention studies were efficacious in promoting disclosure to sexual partners. Although all three studies were conducted in the United States the intervention content and measurements of disclosure across the studies varied, so broad conclusions are not possible. The findings suggest that more rigorous HIV serostatus disclosure-related intervention trials targeting different populations in the United States and abroad are needed to facilitate disclosure to sexual partners.

show abstract

“…The decision to disclose seropositive status among men is a complex process influenced by multiple factors, such as knowledge of partner's HIV status, anticipated support, and being the head of the household (Conserve, King, Dévieux, Jean-Gilles, & Malow, 2014;Morrell, 2001Morrell, , 2006. In the South African context, it should also be noted that different complex social and historical processes have shaped notions of what it means to be a man (Campbell, 1992).…”

Section: Introductionmentioning

confidence: 99%

Sociocultural Factors Influencing HIV Disclosure Among Men in South Africa

2014

View full text Add to dashboard Cite

In South Africa, more than 2 million people living with HIV are men aged 15 years and older, and heterosexual intercourse remains the predominant mode of HIV transmission. Knowledge of the sociocultural factors that influence men's decisions about whether, when, or how to disclose seropositive status remains incompletely understood. Using the PEN-3 cultural model as a guide, this study explored the sociocultural factors influencing HIV disclosure among men in South Africa. Four focus group discussions with 27 participants were used to determine the perceptions, enabling and nurturing factors that influence how men chose to reveal or conceal knowledge of their seropositive status. The results revealed that notions of male identity in the South African context, family, and community factors contribute to disclosure and nondisclosure of seropositive status among men living with HIV/AIDS. Future interventions should work to address these factors, as they are necessary with supporting disclosure among men living with HIV.

show abstract

Determinants of HIV Serostatus Disclosure to Sexual Partner Among HIV-Positive Alcohol Users in Haiti

Cited by 22 publications

References 38 publications

HIV Disclosure and Transmission Risks to Sex Partners Among HIV-Positive Men

HIV Disclosure and Transmission Risks to Sex Partners Among HIV-Positive Men

Effectiveness of Interventions Promoting HIV Serostatus Disclosure to Sexual Partners: A Systematic Review

Sociocultural Factors Influencing HIV Disclosure Among Men in South Africa

Contact Info

Product

Resources

About