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HIV Disclosure and sexual transmission behaviors among an internet sample of HIV-positive men who have sex with men in Asia: Implications for prevention with positives

Wei, C and Lim, SH and Guadamuz, TE and Koe, S (2012) HIV Disclosure and sexual transmission behaviors among an internet sample of HIV-positive men who have sex with men in Asia: Implications for prevention with positives. AIDS and Behavior, 16 (7). 1970 - 1978. ISSN 1090-7165

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Abstract

The relationship between HIV disclosure and sexual transmission behaviors, and factors that influence disclosure are unknown among HIV-positive men who have sex with men (MSM) in Asia. We describe disclosure practices and sexual transmission behaviors, and correlates of disclosure among this group of MSM in Asia. A crosssectional multi-country online survey was conducted among 416 HIV-positive MSM. Data on disclosure status, HIV-related risk behaviors, disease status, and other characteristics were collected. Multivariable logistic regression was used to identify significant correlates of disclosure. Only 7.0% reported having disclosed their HIV status to all partners while 67.3% did not disclose to any. The majority (86.5%) of non-disclosing participants had multiple partners and unprotected insertive or receptive anal intercourse with their partners (67.5%). Non-disclosure was significantly associated with non-disclosure from partners (AOR = 37.13, 95% CI: 17.22, 80.07), having casual partners only (AOR = 1.91, 95% CI: 1.03, 3.53), drug use before sex on a weekly basis (AOR: 6.48, 95% CI: 0.99, 42.50), being diagnosed with HIV between 1 and 5 years ago (AOR = 2.23, 95% CI: 1.05, 4.74), and not knowing one's viral load (AOR = 2.80, 95% CI: 1.00, 7.83). Given the high HIV prevalence and incidence among MSM in Asia, it is imperative to include Prevention with Positives for MSM. Interventions on disclosure should not solely focus on HIV-positive men but also need to include their sexual partners and HIV-negative men. © Springer Science+Business Media, LLC 2011.

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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Wei, C
Lim, SH
Guadamuz, TEteg10@pitt.eduTEG10
Koe, S
Centers: Other Centers, Institutes, Offices, or Units > Center for LGBT Health Research
Date: 1 October 2012
Date Type: Publication
Journal or Publication Title: AIDS and Behavior
Volume: 16
Number: 7
Page Range: 1970 - 1978
DOI or Unique Handle: 10.1007/s10461-011-0105-x
Schools and Programs: Graduate School of Public Health > Behavioral and Community Health Sciences
Refereed: Yes
ISSN: 1090-7165
PubMed Central ID: PMC3340458
PubMed ID: 22198313
Date Deposited: 12 Jun 2013 21:16
Last Modified: 05 Feb 2019 07:55
URI: http://d-scholarship.pitt.edu/id/eprint/18897

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