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
- 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.
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.
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By:
- 1Department of Psychology, University of Connecticut , Storrs, Connecticut.
- AIDS Patient Care STDS. 2016 May;30(5):221-8. doi: 10.1089/apc.2015.0333.
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