Abstract
Prior research has provided conflicting evidence about the association between partner awareness of an HIV-seropositive person’s serostatus and HIV transmission behavior via unprotected intercourse. The current study examined partner awareness of participant HIV-seropositive status and sexual behavior in a multiethnic sample of HIV-seropositive men who have sex with men. Most HIV-seropositive men reported that their primary partners are aware, and most reported that at least some non-primary partners are aware the participant was HIV-seropositive before first having sex. Partner awareness of participant HIV-serostatus was related to unprotected sexual behavior during the past 3 months in a non-linear fashion, as men with partners who were inconsistently aware had higher rates of unprotected receptive anal intercourse than men with partners who were consistently aware or consistently unaware. Men with partners who were inconsistently aware also had higher rates of insertive oral intercourse than men with partners who were consistently aware. However, there were no differences in HIV transmission risk behavior between men with partners who were consistently aware and men with partners who were consistently unaware a participant was HIV-seropositive.
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References
Crepaz, N., and Marks, G. (2003). Serostatus disclosure, sexual communication, and safer sex in HIV-positive men. AIDS Care, 15, 379–387.
Crowne, D., and Marlowe, D. (1964). The approval motive. New York: Wiley.
De Rosa, C. J., and 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.
DiFranceisco, W., McAuliffe, T. L., and Sikkema, K. J. (1998). Influences of survey instrument format and social desirability on the reliability of self-reported high-risk sexual behavior. AIDS and Behavior, 2, 329–337.
Gielen, A. C., O’Campo, P., Faden, R. R., and Eke, A. (1997). Women’s disclosure of HIV status: Experiences of mistreatment and violence in an urban setting. Women and Health, 25, 19–31.
Hays, R. B., McKusick, L., Pollack, L., Hilliard, R., Hoff, C., and Coates, T. J. (1993). Disclosing HIV seropositivity to significant others. AIDS, 7, 425–431.
Kalichman, S. C., and Nachimson, D. (1999). Self-efficacy and disclosure of HIV-positive serostatus to sex partners. Health Psychology, 18, 281–287.
Kirk, R. E. (1968). Experimental design: Procedures for the basic sciences. Belmont, CA: Brooks-Cole.
Mansergh, G., Marks, G., and 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.
Marks, G., Bundek, N. I., Richardson, J. L., Ruiz, M. S., Maldonado, N., and Mason, H. R. C. (1992). Self-disclosure of HIV infection: Preliminary results from a sample of Hispanic men. Health Psychology, 11, 300–306.
Marks, G., and Crepaz, N. (2001). HIV-positive men’s sexual practices in the context of self-disclosure of HIV status. Journal of Acquired Immune Deficiency Syndromes, 27, 79–85.
Niccolai, L. M., Dorst, D., Myers, L., and Kissinger, P. J. (1999). Disclosure of HIV status to sexual partners: Predictors and temporal patterns. Sexually Transmitted Diseases, 26, 281–185.
Ostrow, D. G., Joseph, J. G., Kessler, R., Soucy, J., Tal, M., Eller, M., Chmiel, J., and Phair, J. P. (1989). Disclosure of HIV antibody status: Behavioral and mental health correlates. AIDS Education and Prevention, 1, 1–11.
Perry, S. W., Card, C. A. L., Mofatt, M., Jr., Ashman, T., Fishman, B., and Jacobsberg, L. B. (1994). Self-disclosure of HIV infection to sexual partners after repeated counseling. AIDS Education and Prevention, 6, 403–411.
Purcell, D. W., Parsons, J. T., Halkitis, P. N., Mizuno, Y., and Woods, W. J. (2001). Substance use and sexual transmission risk behavior of HIV-positive men who have sex with men. Journal of Substance Abuse, 13, 185–200.
Reynolds, W. M. (1992). Development of reliable and valid short forms of the Marlowe-Crowne Social Desirability Scale. Journal of Clinical Psychology, 38, 119–125.
Ross, M. W., and Rosser, B. R. S. (1996). Measurement and correlates of internalized homophobia: A factor analytic study. Journal of Clinical Psychology, 52, 15–21.
Schnell, D. J., Higgins, D. L., Wilson, R. M., Goldbaum, G., Cohn, D. L., and Wolitski, R. J. (1992). Men’s disclosure of HIV test results to male primary sex partners. American Journal of Public Health, 82, 1675–1676.
Semple, S. J., Patterson, T. L., and Grant, I. (2000). Partner type and sexual risk behavior among HIV positive gay and bisexual men: Social cognitive correlates. AIDS Education and Prevention, 12, 340–356.
Serovich, J. M. (2001). A test of two disclosure theories. AIDS Education and Prevention, 13, 355–364.
Simoni, J. M., Mason, H. R. C., and Marks, G. (1997). Disclosing HIV status and sexual orientation to employers. AIDS Care, 9, 589–599.
Stein, M. D., Freedberg, K. A., Sullivan, L. M., Savetsky, J., Levenson, S. M., Hingson, R., and Samet, J. H. (1998). Sexual ethics: Disclosure of HIV-positive status to partners. Archives of Internal Medicine, 158, 253–257.
Stein, M. D., and Samet, J. H. (1999). Disclosure of HIV status. AIDS Patient Care and STDs, 13, 265–267.
Stirratt, M. J. (2005). HIV serostatus disclosure strategies and sexual practices: Intimate connections. In P. Halkitis, C. Gómez, and R. J. Wolitski (Eds.) Positive Living: The Sexual Lives of Seropositive Gay and Bisexual Men. Washington, DC: American Psychological Association, pp. 101–120.
Suarez, T., and Miller, J. (2001). Negotiating risks in context: A perspective on unprotected anal intercourse and barebacking among men who have sex with men. Archives of Sexual Behavior, 30, 287–300.
Van de Ven, P., Kippax, S., Crawford, J., Rawstorne, P., Prestage, G., Grulich, A., and Murphy, D. (2002). In a minority of gay men, sexual risk practice indicates strategic positioning for perceived risk reduction rather than unbridled sex, AIDS Care, 14, 471–480.
Winer, B. J. (1971). Statistical Principles in Experimental Design. New York: McGraw-Hill.
Wolitski, R. J., Halkitis, P. N., Parsons, J. T., and Gomez, C. A. (2001). Awareness and use of untested barrier methods by HIV-seropositive gay and bisexual men. AIDS Education and Prevention, 13, 291–301.
Wolitski, R. J., Rietmeijer, C. A. M., Goldbaum, G. M., and Wilson, R. M. (1998). HIV serostatus disclosure among gay and bisexual men in four American cities: General patterns and relation to sexual practices. AIDS Care, 10, 599–610.
Wulfert, E., Safren, S. A., Brown, I., and Choi, W. K. (1999). Cognitive, behavioral, and personality correlates of HIV-positive persons’ unsafe sexual behavior. Journal of Applied Social Psychology, 29, 223–244.
Zea, C. M., Reisen, C. A., Poppen, P. J., and Diaz, R. M. (2003). Asking and telling: Communication about HIV status among Latino HIV-positive gay men. AIDS and Behavior, 7, 143–152.
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Hart, T.A., Wolitski, R.J., Purcell, D.W. et al. Partner Awareness of the Serostatus of HIV-Seropositive Men Who Have Sex With Men: Impact on Unprotected Sexual Behavior. AIDS Behav 9, 155–166 (2005). https://doi.org/10.1007/s10461-005-3897-8
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DOI: https://doi.org/10.1007/s10461-005-3897-8