Attitudes to disclosure of HIV-serostatus to new sexual partners and sexual behaviours among HIV-diagnosed gay, bisexual and other men who have sex with men in the UK.
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| Title: | Attitudes to disclosure of HIV-serostatus to new sexual partners and sexual behaviours among HIV-diagnosed gay, bisexual and other men who have sex with men in the UK. |
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| Authors: | Daskalopoulou, Marina, Rodger, Alison J., Phillips, Andrew N., Gilson, Richard, Sherr, Lorraine, Wayal, Sonali, Anderson, Jane, Aderogba, Kazeem, McDonnell, Jeffrey, Wilkins, Edmund, Youssef, Elaney, Speakman, Andrew, Burman, William J., Lampe, Fiona C. |
| Source: | AIDS Care. Oct2020, Vol. 32 Issue 10, p1323-1332. 10p. 3 Charts, 1 Graph. |
| Subjects: | Gay men, Psychology of HIV-positive persons, Self-disclosure, Human sexuality, Unsafe sex, Highly active antiretroviral therapy, HIV seroconversion, Men who have sex with men |
| Geographic Terms: | United Kingdom |
| Abstract: | We assessed attitudes to disclosure to new sexual partners and association with sexual behaviours among HIV-diagnosed gay, bisexual, and other men who have sex with men (GBMSM) in the UK Antiretrovirals, Sexual Transmission Risk and Attitudes (ASTRA) study in 2011-12. Among 1373 GBMSM diagnosed with HIV for ≥3 months and reporting sex in the past three months (84% on antiretroviral therapy (ART), 75% viral load (VL) ≤50c/mL), 56.3% reported higher sexual disclosure ("agree" or "tend to agree" with "I'd expect to tell a new partner I'm HIV-positive before we have sex"). GBMSM on ART with self-reported undetectable VL had lower disclosure than those on ART without self-reported undetectable VL and those not on ART. Higher sexual disclosure was associated with higher prevalence of CLS in the past three months; this was due to its association with CLS with other HIV-positive partners. Higher sexual disclosure was more common among GBMSM who had CLS with other HIV-positive partners only (72.1%) compared to those who had higher-risk CLS with HIV-serodifferent partners (55.6%), other CLS with HIV-serodifferent partners (45.9%), or condom-protected sex only (47.6%). Findings suggest mutual HIV-disclosure and HIV-serosorting were occurring in this population. Knowledge of VL status may have impacted on disclosure to sexual partners. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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