Assessment of HIV disclosure and sexual behavior among Black men who have sex with men following a randomized controlled intervention

被引:3
|
作者
Serovich, Julianne M. [1 ]
Laschober, Tanja C. [1 ]
Brown, Monique J. [1 ]
Kimberly, Judy A. [1 ]
机构
[1] Univ S Florida, Coll Behav & Community Sci, 13301 Bruce B Downs Blvd,MHC 1110, Tampa, FL 33612 USA
关键词
Human immunodeficiency virus disclosure; risky sexual behavior; living with human immunodeficiency virus; African American; men who have sex with men; SEROSTATUS DISCLOSURE; TRANSMISSION RISK; COMMUNICATION;
D O I
10.1177/0956462417751812
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Disclosure is important in human immunodeficiency virus (HIV) transmission risk reduction. This randomized controlled intervention assessed changes in and predictors of disclosure and risky sexual behavior among Black men who have sex with men (BMSM) living with HIV in the U.S. BMSM were randomly assigned to either the disclosure intervention or attention control case management group. Predictors of three disclosure types (behavior, beliefs, intentions) and condomless anal intercourse (CAI) included disclosure consequences (rewards and costs), disclosure readiness, and safer sex readiness. Mixed-effect results showed no differences between the groups in any of the outcomes; although disclosure behavior increased over time. Relationships were found between readiness to change and CAI; disclosure consequences and different disclosure types; and disclosure behavior and receptive CAI. When working with BMSM living with HIV, practitioners and prevention specialists should consider the importance of disclosure pertaining to receptive CAI and factors that support overall disclosure and safer sex.
引用
收藏
页码:673 / 679
页数:7
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