Examining the role of serostatus disclosure on unprotected sex among people living with HIV.
Journal Article (Journal Article)
Given the increasing prevalence of HIV, it is important to identify factors associated with safer sex behaviors between people living with HIV and their partners. Utilizing a diverse sample of 242 HIV-infected adults [n=69 men who have sex with men (MSM); n=68 men who have sex with women (MSW); n=105 women who have sex with men (WSM)], we examined the association between serostatus disclosure and unprotected anal or vaginal intercourse (UAVI) and the moderating effect of sexual behavior group on this association. Overall, 88.7% disclosed to their current partner. Approximately 18.8% of MSM, 17.7% of MSW, and 29.5% of WSM reported UAVI. Controlling for age, time since diagnosis, and partner serostatus, we found main effects on UAVI for disclosure and sexual behavior group; specifically, disclosure was inversely related to unprotected sex [AOR=0.09, 95% CI (0.02, 0.43), p<0.001], and MSM were less likely to engage in UAVI relative to WSM [AOR=0.11, 95% CI (0.17, 0.82), p<0.05]. However, the relationship between disclosure and UAVI was not moderated by sexual behavior group. Future strategies that aim to increase disclosure to partners may consider focusing on its value as a means by which to reduce sexual risk behavior.
Full Text
Duke Authors
Cited Authors
- Przybyla, S; Golin, C; Widman, L; Grodensky, C; Earp, JA; Suchindran, C
Published Date
- December 2014
Published In
Volume / Issue
- 28 / 12
Start / End Page
- 677 - 684
PubMed ID
- 25397358
Pubmed Central ID
- PMC4250938
Electronic International Standard Serial Number (EISSN)
- 1557-7449
International Standard Serial Number (ISSN)
- 1087-2914
Digital Object Identifier (DOI)
- 10.1089/apc.2014.0203
Language
- eng