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Correlates of sex without serostatus disclosure among a national probability sample of HIV patients

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Abstract

We examined potential correlates of sex without HIV disclosure within a sample of 875 participants from the HIV Cost and Services Utilization Study. Interviews with each participant assessed sexual activities with up to six recent partners, and this study included both respondent and partnership characteristics. Compared with marriage and/or primary same-sex relationsips, occasional partnerships and one-time encounters were associated with sex with disclosure, and shorter relationships were more likely to involve sex without disclosure. Knowledge of partner scrostatus was also associated with sex without disclosure. Women were less likely to have sex without disclosure than men having sex with men. We found an association between the perceived duty to disclosure to all partners and sex without disclosure, while we found no association in multivariate analyses between outcome expectancies and sex without disclosure.

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References

  • Anonymous (2004). Statutory survey - State statutes dealing with HIV and AIDS: A comprehensive state-by-state summary. Law & Sexuality, 13, 1–604.

    Google Scholar 

  • Bandura, A. (1986). Social foundations of thought and action. Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Batson, C. (1991). The altruism question: Toward a social psychological answer. Hillsdale, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Bennett, R., Draper, H., & Frith, L. (2000). Ignorance is bliss? HIV and moral duties and legal duties to forewarn. Journal of Medical Ethics, 26, 9–15.

    Article  PubMed  CAS  Google Scholar 

  • Binder, D. A. (1983). On the variances of asymptotically normal estimators from complex surveys. International Statistics Review, 51, 279–292.

    Article  Google Scholar 

  • Brick, J. M., & Kalton, G. (1996). Handling missing data in survey research. Statistical Methods in Medical Research, 5, 215–238.

    Article  PubMed  CAS  Google Scholar 

  • Bruner, D. (2004). High-risk sexual behavior and failure to disclose HIV infection to sex partners: How do we respond? AIDS and Public Policy Journal, 19, 11–36.

    Google Scholar 

  • Canary, D., Cody, M., & Manusov, V. (2003). Interpersonal communication: A goals-based approach, 3 rd edition. Boston, MA: Bedford/St. Martin's Press.

    Google Scholar 

  • Ciccarone, D. H., Kanouse, D. E., Collins, R. L., Miu, A., Chen, J. L., Morton, S. C., et al. (2003). Sex without disclosure of positive HIV serostatus in a US probability sample of persons receiving medical care for HIV infection. American Journal of Public Health , 93, 949–954.

    Article  PubMed  Google Scholar 

  • D'Angelo, L. J., Abdalian, S. E., Sarr, M., Hoffman, N., & Belzer, M., for the Adolescent Medicine HIV/AIDS Research Network (2001). Disclosure of serostatus by HIV infected youth: the experience of the REACH study. Reaching for Excellence in Adolescent Care and Health. Journal of Adolescent Health, 29(3 Suppl), 72–79.

    Article  PubMed  Google Scholar 

  • DeRosa, C., & Marks, G. (1998). Preventive counseling of HIV-positive men and self-disclosure of serostatus to sex partners: New opportunities for prevention. Health Psychology, 17, 224–231.

    Article  CAS  Google Scholar 

  • Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention (2001). HIV prevention strategic plan through 2005Atlanta: United States Department of Health and Human Services.

    Google Scholar 

  • Duan, N., McCaffrey, D. F., Frankel, M., St. Clair, P. A., Beckman, R., Keesey, J. W., et al. (1999). HCSUS baseline methods technical report. Santa Monica: RAND.

    Google Scholar 

  • Frankel, M. R., Shapiro, M. F., Duan, N., Morton, S. C., Berry, S. H., Brown, J. A., et al. (1999). National probability samples in studies of low-prevalence diseases. Part II: designing and implementing the HIV cost and services utilization study sample. Health Services Research, 34, 969–992.

    PubMed  CAS  Google Scholar 

  • George, W., & Stoner, S. (2000). Understanding alcohol and sexual behavior. Annual Review of Sex Research, 11, 125–157.

    Google Scholar 

  • Gielen, A. C., Fogarty, L., O’Campo, P., Anderson, J., Keller, J., & Faden, R. R. (1997). Women's disclosure of HIV status: experiences of mistreatment and violence in an urban setting. Women & Health, 25, 19–31.

    Article  CAS  Google Scholar 

  • Gielen, A. C., O’Campo, P., Faden, R. R., & Eke A. (2000). Women living with HIV: disclosure, violence, and social support. Journal of Urban Health, 77, 480–491.

    Article  PubMed  CAS  Google Scholar 

  • Gorbach, P. M., Galea, J. T., Amani, B., Shin, A., Celum, C., Kerndt, P., et al. (2004). Don't ask, don't tell: Patterns of HIV disclosure among HIV-positive men who have sex with men with recent STI practicing high risk behaviour in Los Angeles and Seattle. Sexually Transmitted Infections, 80, 512–517.

    Article  PubMed  CAS  Google Scholar 

  • Hays, R. B., McKusick, L., Pollack, L., Hilliard, R., Hoff, C., & Coates, T. J. (1993). Disclosing HIV seropositivity to significant others. AIDS, 7, 425–431.

    Article  PubMed  CAS  Google Scholar 

  • Kalichman, S. C. (1995). Understanding AIDS: A guide for mental health professionals. Washington, D.C.: American Psychological Association.

    Google Scholar 

  • Kalichman, S. C., & Nachimson, D. (1999). Self-efficacy and disclosure of HIV-positive serostatus to sex partners. Health Psychology, 18, 281–287.

    Article  PubMed  CAS  Google Scholar 

  • Kenny, D. A. (1994). Interpersonal perception: A social relations analysis. New York: Guilford Press.

    Google Scholar 

  • Klitzman, R., & Bayer, R. (2003). Mortal secrets: Truth and lies in the age of AIDS. Baltimore: The Johns Hopkins University Press.

    Google Scholar 

  • Latane, B., & Darley, J. (1970). The unresponsive bystander: Why doesn't he help? New York: Appleton-Century-Crofts.

    Google Scholar 

  • Lazzarini, Z., Bray, S., & Burris, S. (2002). Evaluating the impact of criminal laws on HIV risk behavior. Journal of Law, Medicine, and Ethics, 30, 224–238.

    Article  Google Scholar 

  • Liang, K. Y., & Zeger, S. L. (1986). Longitudinal data analysis using generalized linear models. Biometrika, 73, 13–22.

    Article  Google Scholar 

  • Mansergh, G., Marks, G., & Simoni, J. M. (1995). Self-disclosure of HIV infection among men who vary in time since seropositive diagnosis and symptomatic status. AIDS, 9, 639–644.

    Article  PubMed  CAS  Google Scholar 

  • Marks, G., Richardson, J. L., & Maldonado, N. (1991). Self-disclosure of HIV infection to sexual partners. American Journal of Public Health, 81, 1321–1322.

    PubMed  CAS  Google Scholar 

  • Marks, G., Bundek, N. I., Richardson, J. L., Ruiz, M. S., Maldonado, N., & Mason, H. R. C. (1992). Self-disclosure of HIV infection: preliminary results from a sample of Hispanic men. Health Psychology, 11, 300–306.

    Article  PubMed  CAS  Google Scholar 

  • Marks, G., Ruiz, M. S., Richardson, J. L., Reed, D., Mason, H. R. C., Sotelo, M., et al. (1994). Anal intercourse and disclosure of HIV infection among seropositive gay and bisexual men. Journal of Acquired Immune Deficiency Syndromes, 7, 866–869.

    PubMed  CAS  Google Scholar 

  • Marks, G., Burris, S., & Peterman, T. A. (1999). Reducing sexual transmission of HIV from those who know they are infected: the need for personal and collective responsibility. AIDS, 13, 297–306.

    Article  PubMed  CAS  Google Scholar 

  • Miell, D. E., & Duck, S. W. (1986). Strategies in developing friendships. In V. J. Derlega and B. A. Winstead (Eds.), Friendship and social interaction (pp. 129–143). New York: Springer.

    Google Scholar 

  • Niccolai, L. M., Dorst, D., Myers, L., & Kissinger, P. J. (1999). Disclosure of HIV status to sexual partners: predictors and temporal patterns. Sexually Transmitted Diseases, 5, 281–285.

    Article  Google Scholar 

  • Norman, L. R., Kennedy, M., & Parish, K. (1998). Close relationships and safer sex among HIV-infected men with hemophilia. AIDS Care, 10, 339–354.

    Article  PubMed  CAS  Google Scholar 

  • O'Brien, M. E., Richardson-Alston, G., Ayoub, M., Magnus, M., Peterman, T. A., et al. (2003). Prevalence and correlates of HIV serostatus disclosure. Sexually Transmitted Diseases, 30, 731–735.

    Article  PubMed  Google Scholar 

  • Perry, S. W., Card, C. A. L., Moffatt, M., Ashman, T., Fishman, B., & Jacobsberg, L. B. (1994). Self-disclosure of HIV infection to sexual partners after repeated counseling. AIDS Education and Prevention, 6, 403–411.

    PubMed  CAS  Google Scholar 

  • Prestage, G., Van de Ven, P., Grulich, A., Kippax, S., McInnes D., & Hendry, O. (2001). Gay men's casual sex encounters: discussing HIV and using condoms. AIDS Care, 13, 277–284.

    Article  PubMed  CAS  Google Scholar 

  • Reis, H. T., & Patrick, B. C. (1997). Attachment and intimacy: Component processes. In E. T. Higgins and A. Kruglnaski (Eds.), Social psychology: Handbook of basic principles (pp. 523–563). New York: Guilford Press.

    Google Scholar 

  • Reis, H. T., & Shaver, P. (1988). Intimacy as an interpersonal process. In S. Duck (Ed.), Handbook of personal relationships: Theory, research and interventions (pp. 367–389). Chichester, UK: Wiley.

    Google Scholar 

  • Semple, S., Patterson, T. L., & Grant, I. (2000). The sexual negotiation behavior of HIV-positive gay and bisexual men. Journal of Consulting and Clinical Psychology, 68, 934–937.

    Article  PubMed  CAS  Google Scholar 

  • Serovich, J. M., & Mosack, K. E. (2003). Reasons for HIV disclosure or non-disclosure to casual sexual partners. AIDS Education and Prevention, 15, 70–80.

    Article  PubMed  Google Scholar 

  • Shaffer, D., Pegalis, L., & Bazzini, D. (1996). When boy meets girl (revisited): Gender, gender-role orientation, and prospect of future interaction as determinants of self-disclosure among same- and opposite-sex acquaintances. Personality and Social Psychology Bulletin, 22, 495–506.

    Article  Google Scholar 

  • Shapiro, M. F., Berk, M. L., Berry, S. H., Emmons, C. A., Athey, L. A., Hsia, D. C., et al. (1999). National probability samples in studies of low-prevalence diseases. Part I: perspectives and lessons from the HIV cost and services utilization study. Health Services Research, 34, 951–968.

    PubMed  CAS  Google Scholar 

  • Simoni, J. M., & Pantalone, D. W. (2004). Secrets and safety in the age of AIDS: Does HIV disclosure lead to safer sex? Topics in HIV Medicine, 12, 109–118.

    PubMed  Google Scholar 

  • Simoni, J. M. (2005). HIV disclosure and safer sex. In S. C. Kalichman (Ed.), Positive prevention: Reducing HIV transmission among people living with HIV/AIDS (pp. 65–98). Springer: New York.

    Google Scholar 

  • Sobo, E. (1995). Human immunodeficiency virus seropositivity self-disclosure to sexual partners: a qualitative study. Holistic Nursing Practice, 10, 18–28.

    PubMed  CAS  Google Scholar 

  • Stein, M. D., Freedberg, K. A., Sullivan, L. M., Savetsky, J., Levinson, S. M., Hingson, R., et al. (1998). Sexual ethics - disclosure of HIV-positive status to partners. Archives of Internal Medicine, 158, 253–257.

    Article  PubMed  CAS  Google Scholar 

  • Turner, C. F., Ku, L., Rogers, S. M., Lindberg, L. D., Pleck, J. H., & Sonenstein, F. L. (1998). Adolescent sexual behavior, drug use, and violence: increased reporting with computer survey technology. Science, 280, 867–873.

    Article  PubMed  CAS  Google Scholar 

  • Wolitski, R. J., Bailey, C. J., O’Leary, A., Gomez, C. A., & Parsons, J. T. for the Seropositive Urban Men's Study. (2003). Self-perceived responsibility of HIV-seropositive men who have sex with men for preventing HIV transmission. AIDS and Behavior, 7, 363–372.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of General Internal Medicine/Health Services Research, University of California, 911 Broxton Plaza, Los Angeles, CA, 90024, USA

    O. Kenrik Duru

  2. RAND, Santa Monica, CA, USA

    Rebecca L. Collins, Sally C. Morton, Robin Beckman, Angela Miu & David E. Kanouse

  3. Department of Family and Community Medicine, University of California, San Francisco, CA, USA

    Daniel H. Ciccarone

  4. University of Pittsburgh, Graduate School of Public Health, Pittsburgh, PA, USA

    Ron Stall

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  1. O. Kenrik Duru
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Correspondence to O. Kenrik Duru.

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Duru, O.K., Collins, R.L., Ciccarone, D.H. et al. Correlates of sex without serostatus disclosure among a national probability sample of HIV patients. AIDS Behav 10, 495–507 (2006). https://doi.org/10.1007/s10461-006-9089-3

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