Self-disclosure of HIV diagnosis to sexual partners by heterosexual and bisexual men: a challenge for HIV/AIDS care and prevention

被引:14
|
作者
Paiva, Vera [1 ]
Segurado, Aluisio C. [2 ]
Ventura Filipe, Elvira Maria [3 ]
机构
[1] Univ Sao Paulo, Inst Psicol, BR-05508900 Sao Paulo, Brazil
[2] Univ Sao Paulo, Fac Med, BR-05508900 Sao Paulo, Brazil
[3] Secretaria Saude Sao Paulo, Programa DST AIDS, Sao Paulo, Brazil
来源
CADERNOS DE SAUDE PUBLICA | 2011年 / 27卷 / 09期
关键词
Sexuality; HIV; Acquired Immunodeficiency Syndrome; POSITIVE MEN; RISK BEHAVIOR; CONDOM USE; SAO-PAULO; SEROSTATUS;
D O I
10.1590/S0102-311X2011000900004
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This study investigated the disclosure of HIV-positive serostatus to sexual partners by heterosexual and bisexual men, selected in centers for HIV/AIDS care. In 250 interviews, we investigated disclosure of serostatus to partners, correlating disclosure to characteristics of relationships. The focus group further explored barriers to maintenance/establishment of partnerships and their association with disclosure and condom use. Fear of rejection led to isolation and distress, thus hindering disclosure to current and new partners. Disclosure requires trust and was more frequent to steady partners, to partners who were HIV-positive themselves, to female partners, and by heterosexuals, occurring less frequently with commercial sex workers. Most interviewees reported consistent condom use. Unprotected sex was more frequent with seropositive partners. Suggestions to enhance comprehensive care for HIV-positive men included stigma management, group activities, and human rights-based approaches involving professional education in care for sexual health, disclosure, and care of "persons living with HIV".
引用
收藏
页码:1699 / 1710
页数:12
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