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The need to know: HIV status disclosure expectations and practices among non-HIV-positive gay and bisexual men in Australia.

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Title: The need to know: HIV status disclosure expectations and practices among non-HIV-positive gay and bisexual men in Australia.
Authors: Murphy, Dean A. (AUTHOR), de Wit, John B.F. (AUTHOR), Donohoe, Simon (AUTHOR), Adam, Philippe C.G (AUTHOR)
Source: AIDS Care. Dec2015 Supplement, Vol. 27, p90-98. 9p. 5 Charts.
Subjects: Diagnosis of HIV infections, Bisexuality, Statistical correlation, Homosexuality, Interpersonal relations, Multivariate analysis, Questionnaires, Regression analysis, Statistics, World Wide Web, Patients' attitudes, Descriptive statistics
Geographic Terms: Australia
Abstract: Although there is evidence of increasing overall rates of HIV status disclosure among gay and bisexual men, little is known about men's disclosure expectations and practices. In this study, we investigate the importance non-HIV-positive men in Australia vest in knowing the HIV status of their sexual partners, and the extent to which they restrict sex to partners of the same HIV status, and their HIV disclosure expectations. Data were collected through a national, online self-report survey. Of the 1044 men included in the study, 914 were HIV negative and 130 were untested. Participants completed the assessment of socio-demographic characteristics, HIV status preferences, and disclosure expectations and practices. Participants also completed reliable multi-item measures of perceived risk of HIV transmission, expressed HIV-related stigma, and engagement with the gay community and the community of people living with HIV. A quarter (25.9%) of participants wanted to know the HIV status of all sexual partners, and one-third (37.2%) restricted sex to partners of similar HIV status. Three quarters (76.3%) expected HIV-positive partners to disclosure their HIV status before sex, compared to 41.6% who expected HIV-negative men to disclose their HIV status. Less than half (41.7%) of participants reported that they consistently disclosed their HIV status to sexual partners. Multivariate linear regression analysis identified various covariates of disclosure expectations and practices, in particular of disclosure expectations regarding HIV-positive men. Men who expected HIV-positive partners to disclose their HIV status before sex more often lived outside capital cities, were less educated, were less likely to identify as gay, perceived more risk of HIV transmission from a range of sexual practices, were less engaged with the community of people living with HIV, and expressed more stigma towards HIV-positive people. These findings suggest that an HIV-status divide is emerging or already exists among gay men in Australia. HIV-negative and untested men who are most likely to sexually exclude HIV-positive men are less connected to the HIV epidemic and less educated about HIV risk and prevention. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The need to know: HIV status disclosure expectations and practices among non-HIV-positive gay and bisexual men in Australia.
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  Data: <searchLink fieldCode="AR" term="%22Murphy%2C+Dean+A%2E%22">Murphy, Dean A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22de+Wit%2C+John+B%2EF%2E%22">de Wit, John B.F.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Donohoe%2C+Simon%22">Donohoe, Simon</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Adam%2C+Philippe+C%2EG%22">Adam, Philippe C.G</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Dec2015 Supplement, Vol. 27, p90-98. 9p. 5 Charts.
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  Data: Although there is evidence of increasing overall rates of HIV status disclosure among gay and bisexual men, little is known about men's disclosure expectations and practices. In this study, we investigate the importance non-HIV-positive men in Australia vest in knowing the HIV status of their sexual partners, and the extent to which they restrict sex to partners of the same HIV status, and their HIV disclosure expectations. Data were collected through a national, online self-report survey. Of the 1044 men included in the study, 914 were HIV negative and 130 were untested. Participants completed the assessment of socio-demographic characteristics, HIV status preferences, and disclosure expectations and practices. Participants also completed reliable multi-item measures of perceived risk of HIV transmission, expressed HIV-related stigma, and engagement with the gay community and the community of people living with HIV. A quarter (25.9%) of participants wanted to know the HIV status of all sexual partners, and one-third (37.2%) restricted sex to partners of similar HIV status. Three quarters (76.3%) expected HIV-positive partners to disclosure their HIV status before sex, compared to 41.6% who expected HIV-negative men to disclose their HIV status. Less than half (41.7%) of participants reported that they consistently disclosed their HIV status to sexual partners. Multivariate linear regression analysis identified various covariates of disclosure expectations and practices, in particular of disclosure expectations regarding HIV-positive men. Men who expected HIV-positive partners to disclose their HIV status before sex more often lived outside capital cities, were less educated, were less likely to identify as gay, perceived more risk of HIV transmission from a range of sexual practices, were less engaged with the community of people living with HIV, and expressed more stigma towards HIV-positive people. These findings suggest that an HIV-status divide is emerging or already exists among gay men in Australia. HIV-negative and untested men who are most likely to sexually exclude HIV-positive men are less connected to the HIV epidemic and less educated about HIV risk and prevention. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2015.1062077
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 90
    Subjects:
      – SubjectFull: Diagnosis of HIV infections
        Type: general
      – SubjectFull: Bisexuality
        Type: general
      – SubjectFull: Statistical correlation
        Type: general
      – SubjectFull: Homosexuality
        Type: general
      – SubjectFull: Interpersonal relations
        Type: general
      – SubjectFull: Multivariate analysis
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Regression analysis
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: World Wide Web
        Type: general
      – SubjectFull: Patients' attitudes
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Australia
        Type: general
    Titles:
      – TitleFull: The need to know: HIV status disclosure expectations and practices among non-HIV-positive gay and bisexual men in Australia.
        Type: main
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            NameFull: Murphy, Dean A.
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            NameFull: de Wit, John B.F.
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            NameFull: Donohoe, Simon
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            NameFull: Adam, Philippe C.G
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            – D: 02
              M: 12
              Text: Dec2015 Supplement
              Type: published
              Y: 2015
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              Value: 27
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