HIV Disclosure and Transmission Risks to Sex Partners Among HIV-Positive Men.

Abstract:

:Disclosure of HIV-positive status to sex partners is critical to protecting uninfected partners. In addition, people living with HIV often risk criminal prosecution when they do not inform sex partners of their HIV status. The current study examined factors associated with nondisclosure of HIV status by men living with HIV in Atlanta, GA (92% African African, mean age = 43.8), who engage in condomless sex with uninfected sex partners. Sexually active HIV-positive men (N = 538) completed daily electronic sexual behavior assessments over the course of 28 days and completed computerized interviews, drug testing, medication adherence assessments, and HIV viral load retrieved from medical records. Results showed that 166 (30%) men had engaged in condomless vaginal or anal intercourse with an HIV-uninfected or unknown HIV status sex partner to whom they had not disclosed their HIV status. Men who engaged in nondisclosed condomless sex were less adherent to their HIV treatment, more likely to have unsuppressed HIV, demonstrated poorer disclosure self-efficacy, enacted fewer risk reduction communication skills, and held more beliefs that people with HIV are less infectious when treated with antiretroviral therapy. We conclude that undisclosed HIV status is common and related to condomless sex with uninfected partners. Men who engage in nondisclosed condomless sex may also be more infectious given their nonadherence and viral load. Interventions are needed in HIV treatment as prevention contexts that attend to disclosure laws and enhance disclosure self-efficacy, improve risk reduction communication skills, and increase understanding of HIV infectiousness.

journal_name

AIDS Patient Care STDS

authors

Kalichman SC,Kalichman MO,Cherry C,Grebler T

doi

10.1089/apc.2015.0333

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

221-8

issue

5

eissn

1087-2914

issn

1557-7449

journal_volume

30

pub_type

杂志文章
  • Reduction mammoplasty in an HIV-positive woman.

    abstract::Mortality rates have decreased in medically compliant patients with HIV. More HIV-positive patients are requesting procedures that improve their quality of life. Reduction mammoplasty has been proven to predictably relieve back, neck, and shoulder pain related to macromastia. A case report is presented demonstrating a...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2005.19.353

    authors: Johnson RM

    更新日期:2005-06-01 00:00:00

  • Effect of highly active antiretroviral therapy on the incidence of HIV-related cytomegalovirus retinitis and retinal detachment.

    abstract::Cytomegalovirus retinitis (CMVR) is the most common intraocular infection encountered in ophthalmic practices. To assess the impact of highly active antiretroviral therapy (HAART) on the incidence of CMVR and subsequent retinal detachments, a retrospective review of the HIV+ patients seen at a single university and co...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/108729100413202

    authors: Jalali S,Reed JB,Mizoguchi M,Flynn N,Gordon J,Morse LS

    更新日期:2000-07-01 00:00:00

  • Risk of opportunistic infection in the HAART era among HIV-infected Latinos born in the United States compared to Latinos born in Mexico and Central America.

    abstract::There are few studies that compare opportunistic infection (OI) rates for U.S.-born, Mexican-born, and Central American-born Latinos in the pre- or post-highly active antiretroviral therapy (HAART) era. Data on 803 Latino persons in treatment for HIV infection in Los Angeles, California, were examined to evaluate diff...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/108729103322108148

    authors: Wohl AR,Lu S,Turner J,Kovacs A,Witt M,Squires K,Towner W,Beer V

    更新日期:2003-06-01 00:00:00

  • Psychosocial implications of HIV serostatus disclosure to youth with perinatally acquired HIV.

    abstract::Recommendations suggest that older children and adolescents perinatally infected with HIV (PHIV+) be informed of their HIV diagnosis; however, delayed disclosure is commonly reported. This study examined the prevalence and timing of HIV disclosure to PHIV+ adolescents and the associations between the timing of disclos...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2010.0161

    authors: Santamaria EK,Dolezal C,Marhefka SL,Hoffman S,Ahmed Y,Elkington K,Mellins CA

    更新日期:2011-04-01 00:00:00

  • Cross-resistance patterns among HIV protease inhibitors.

    abstract::Acquired resistance to antiretroviral agents is an established sequela of HIV pharmacotherapy. Viral mutations can confer reduced susceptibility to antiretroviral medications, resulting in virologic and clinical failure in more than half of treated patients. Cross-resistance that can develop within each drug class lea...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,评审

    doi:10.1089/108729104323038874

    authors: Kozal M

    更新日期:2004-04-01 00:00:00

  • Sexual Risk Behaviors Associated with Sexually Transmitted Infections in a US Military Population Living with HIV After the Repeal of "Don't Ask, Don't Tell".

    abstract::Risk behaviors associated with sexually transmitted infections (STIs) among people living with HIV (PLWH) have not been well characterized in the US military. We identified risk behaviors associated with a new STI in this population after the repeal of "Don't Ask, Don't Tell." US Military HIV Natural History Study par...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2020.0095

    authors: Noiman A,Macalino G,Won SH,Byrne M,Deiss R,Haw NJ,Ganesan A,Okulicz JF,Schofield C,Lalani T,Maves RC,Wang X,Agan BK,Infectious Disease Clinical Research Program HIV Working Group.

    更新日期:2020-12-01 00:00:00

  • Prevalence, predictors, and outcomes of early adherence after starting or changing antiretroviral therapy.

    abstract::The objectives of this research were to assess prevalence and predictors of early antiretroviral therapy adherence using multiple indicators and to estimate effects of early adherence on subsequent HIV viral load and CD4+ lymphocyte responses. Study subjects were adults with HIV infection referred to an antiretroviral...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/10872910252930867

    authors: Mathews WC,Mar-Tang M,Ballard C,Colwell B,Abulhosn K,Noonan C,Barber RE,Wall TL

    更新日期:2002-04-01 00:00:00

  • Collectivism culture, HIV stigma and social network support in Anhui, China: a path analytic model.

    abstract::HIV stigma is rooted in culture and, therefore, it is essential to investigate it within the context of culture. The objective of this study was to examine the interrelationships among individualism-collectivism, HIV stigma, and social network support. A social network study was conducted among 118 people living with ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2014.0015

    authors: Zang C,Guida J,Sun Y,Liu H

    更新日期:2014-08-01 00:00:00

  • Asymptomatic Adolescent HIV: Identifying a Role for Universal HIV Screening in the Pediatric Emergency Department.

    abstract::Adolescents account for most undiagnosed HIV infections in the United States. Although the Centers for Disease Control and Prevention (CDC) recommends universal HIV screening for all patients ≥13 years, <10% of adolescents have been tested for HIV. To identify earlier opportunities for adolescent HIV prevention and di...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2020.0033

    authors: Gutman CK,Middlebrooks L,Camacho-Gonzalez A,Shah B,Belay Z,Morris CR

    更新日期:2020-09-01 00:00:00

  • Rapid HIV testing: issues in implementation.

    abstract::With the approval of rapid HIV testing and the expected broader use of this technology, community-based organizations incorporating its use face both opportunities and challenges. The primary advantage of rapid testing is the ability to dramatically increase the number of individuals who become aware of their HIV stat...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/108729104322740875

    authors: Galvan FH,Brooks RA,Leibowitz AA

    更新日期:2004-01-01 00:00:00

  • Correlates of Never Testing for HIV Among Sexually Active Internet-Recruited Gay, Bisexual, and Other Men Who Have Sex with Men in the United States.

    abstract::In the United States, gay, bisexual, and other men who have sex with men (GBMSM) are disproportionately affected by the HIV/AIDS epidemic. Despite great strides in HIV prevention, including biobehavioral HIV prevention strategies such as pre-exposure prophylaxis and treatment as prevention, there has been relatively l...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2017.0244

    authors: Nelson KM,Pantalone DW,Gamarel KE,Carey MP,Simoni JM

    更新日期:2018-01-01 00:00:00

  • Legislated human immunodeficiency virus testing in New York State Emergency Departments: reported experience from Emergency Department providers.

    abstract::In 2010, New York (NY) passed new legislation mandating Emergency Departments (EDs) to offer HIV tests to patients 13-64 presenting for care. We evaluated the requirement's implementation and determined differences based on HIV prevalence or site-specific designated AIDS centers (DACs). We also evaluated policies for ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2013.0124

    authors: Egan DJ,Cowan E,Fitzpatrick L,Savitsky L,Kushner J,Calderon Y,Agins BD

    更新日期:2014-02-01 00:00:00

  • Gastric syphilis in an HIV-infected patient.

    abstract::Gastric syphilis in the setting of HIV is rare in the literature with only one other case reported. Herein, we present a case of a 40-year-old HIV-infected man with gastric syphilis. Evaluation revealed a rapid plasma reagin (RPR) of 1:2056, and cerebrospinal fluid with evidence of neurosyphilis. An esophagogastroduod...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,评审

    doi:10.1089/apc.2005.19.281

    authors: Guerrero AF,Straight TM,Eastone J,Spooner K

    更新日期:2005-05-01 00:00:00

  • HIV-associated nephropathy: case study and review of the literature.

    abstract::Human immunodeficiency virus type 1 (HIV-1)-seropositive patients are at risk for the development of a variety of acute and chronic renal diseases. The most common cause of chronic renal failure in HIV-1-seropositive patients is HIV-associated nephropathy (HIVAN). HIVAN occurs almost exclusively in black patients and ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,评审

    doi:10.1089/10872910050206559

    authors: Ross MJ,Klotman PE,Winston JA

    更新日期:2000-12-01 00:00:00

  • Autoimmune hepatitis in the HIV-infected patient: a therapeutic dilemma.

    abstract::Autoimmune hepatitis (AIH) is a progressive, chronic hepatitis that has rarely been reported in HIV-infected individuals. Among patients who are candidates for hepatitis C virus (HCV) treatment, screening for AIH should be considered, because interferon has the potential to cause fulminant hepatic failure in the setti...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2008.0149

    authors: Wan DW,Marks K,Yantiss RK,Talal AH

    更新日期:2009-06-01 00:00:00

  • Hepatitis C virus activation in HIV-infected patients initiating highly active antiretroviral therapy.

    abstract::We describe repeated episodes of hepatitis C (HCV) activation associated with initiation of highly active antiretroviral therapy (HAART) in two HIV/HCV coinfected individuals with undetectable serum HCV RNA. Both patients developed high HCV viremia (>1 million IU/mL) and elevations in aminotransferases >10 times upper...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2007.0017

    authors: Kim HN,Harrington RD,Shuhart MC,Cook L,Morishima C,Jerome KR,Wang CC

    更新日期:2007-10-01 00:00:00

  • Kidney and liver transplantation in HIV-infected patients: case presentations and review.

    abstract::Until recently, HIV-infected patients have been excluded from consideration for solid organ transplantation. The relatively high mortality rates among HIV-infected transplant recipients observed in the era prior to the use of highly active antiretroviral therapy (HAART), coupled with long waiting times for cadaveric o...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,评审

    doi:10.1089/108729103322494294

    authors: Roland ME,Adey D,Carlson LL,Terrault NA

    更新日期:2003-10-01 00:00:00

  • Long-term treatment with subcutaneous T-20, a fusion inhibitor, in HIV-infected patients: patient satisfaction and impact on activities of daily living.

    abstract::T-20 is a novel antiretroviral agent that inhibits the fusion of human immunodeficiency virus (HIV) with target cell membranes. It is delivered by self-administered, twice-daily, subcutaneous injections. The impact of this mode of administration on patients' ability to conduct normal activities of daily living (ADL) a...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/108729102320231162

    authors: Cohen CJ,Dusek A,Green J,Johns EL,Nelson E,Recny MA

    更新日期:2002-07-01 00:00:00

  • Maternal HIV-1 DNA load and mother-to-child transmission.

    abstract::While many factors contribute to mother-to-child transmission (MTCT) of HIV-1, maternal plasma HIV-1 RNA viral load (RNA-VL) has been consistently found as the main risk factor, including when antiretroviral prophylaxis was used to prevent MTCT. However the predictive value of RNA-VL is poor. A recent study of HIV-1-p...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1089/apc.2006.0169

    authors: Arvold ND,Ngo-Giang-Huong N,McIntosh K,Suraseranivong V,Warachit B,Piyaworawong S,Changchit T,Lallemant M,Jourdain G,Perinatal HIV Prevention Trial (PHPT-1), Thailand.

    更新日期:2007-09-01 00:00:00

  • Spanish validation of the HIV dementia scale in women.

    abstract::HIV infection is increasing in minority groups, particularly in African American and Hispanic women. Although the incidence of HIV dementia has decreased since the advent of highly active antiretroviral treatment, prevalence of neurocognitive complications has increased as patients are now living longer. This study's ...

    journal_title:AIDS patient care and STDs

    pub_type: 临床试验,杂志文章

    doi:10.1089/apc.2006.0180

    authors: Wojna V,Skolasky RL,McArthur JC,Maldonado E,Hechavarria R,Mayo R,Selnes O,Ginebra T,de la Torre T,Garcia H,Kraiselburd E,Melendez-Guerrero LM,Zorrilla CD,Nath A

    更新日期:2007-12-01 00:00:00

  • Stigma and sexual health risk in HIV-positive African American young men who have sex with men.

    abstract::Understanding the multiple forms of stigma experienced by young HIV-positive African American men who have sex with men and how they relate to sexual risk behaviors is essential to design effective HIV prevention programs. This study of 40 African American young MSM found that 90% of those surveyed experienced sexual ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2010.0020

    authors: Radcliffe J,Doty N,Hawkins LA,Gaskins CS,Beidas R,Rudy BJ

    更新日期:2010-08-01 00:00:00

  • Acceptability of HIV Pre-Exposure Prophylaxis Among Transgender Women in India: A Qualitative Investigation.

    abstract::Despite high HIV prevalence among transgender women (TGW) in India, there is limited exploration of pre-exposure prophylaxis (PrEP) acceptability. With PrEP licensure pending, we conducted six focus group discussions (FGDs) with diverse TGW (n = 36), and eight key informant interviews with community leaders and physic...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2019.0237

    authors: Chakrapani V,Shunmugam M,Rawat S,Baruah D,Nelson R,Newman PA

    更新日期:2020-02-01 00:00:00

  • At-risk drinking and injection and sexual risk behaviors of HIV-positive injection drug users entering drug treatment in New York City.

    abstract::We analyzed data from 1253 HIV-positive injection drug users (IDUs) entering detoxification or methadone maintenance treatment in New York City between 1990 and 2004 to assess HIV risk behaviors and their association with at-risk drinking (defined as more than 14 drinks per week for males or 7 drinks per week for fema...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2009.0027

    authors: Arasteh K,Des Jarlais DC

    更新日期:2009-08-01 00:00:00

  • BCG lymphadenitis in an HIV-infected child 9.5 years after vaccination.

    abstract::Complications of Bacillus Calmette-Guerin (BCG) vaccination have been reported in immunocompetent as well as in immunocompromised individuals. Severe and/or late complications have been associated with impairment of cell-mediated immunity. A case of BCG lymphadenitis in a vertically infected HIV-positive boy 9.5 years...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.1998.12.677

    authors: Hofstadler G,Schmitt K,Tulzer G,Binder L,Brandstetter B

    更新日期:1998-09-01 00:00:00

  • An investigation of why eligible patients do not receive HAART.

    abstract::Treatment with highly active antiretroviral therapy (HAART) decreases morbidity and mortality for persons with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and reduces costs of care. Yet many patients for whom HAART is indicated do not receive it. This study investigated the reasons why c...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/10872910151133701

    authors: Maisels L,Steinberg J,Tobias C

    更新日期:2001-04-01 00:00:00

  • Antiretroviral use among active injection-drug users: the role of patient-provider engagement and structural factors.

    abstract::HIV-seropositive, active injection-drug users (IDUs), compared with other HIV populations, continue to have low rates of highly active antiretroviral therapy (HAART) use, contributing to disparities in their HIV health outcomes. We sought to identify individual-level, interpersonal, and structural factors associated w...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2009.0240

    authors: Knowlton AR,Arnsten JH,Eldred LJ,Wilkinson JD,Shade SB,Bohnert AS,Yang C,Wissow LS,Purcell DW

    更新日期:2010-07-01 00:00:00

  • Correlates of incident infections for HIV, syphilis, and hepatitis B virus in a cohort of men who have sex with men in Beijing.

    abstract::Recent data suggest that the prevalence of HIV/syphilis infections among men who have sex with men (MSM) in China increased rapidly. This cohort study was to assess the correlates of the incident infections for HIV, syphilis, and hepatitis B virus (HBV) among sexually active and HIV-negative MSM in China. A cohort of ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2010.0083

    authors: Li D,Jia Y,Ruan Y,Liu Y,Li Q,Liang H,Zhou Z,Luo F,Zhang X,Jiang S,Shi W,Xing H,Shao Y

    更新日期:2010-09-01 00:00:00

  • Potential for new antiretrovirals to address unmet needs in the management of HIV-1 infection.

    abstract::Despite the myriad advances in antiretroviral therapy since the original highly active antiretroviral therapy regimens were developed, there remain numerous important and pressing unmet needs that, if addressed, would substantially improve the quality of life and longevity of HIV-infected patients. The most achievable...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,评审

    doi:10.1089/apc.2007.0136

    authors: Moyle G,Gatell J,Perno CF,Ratanasuwan W,Schechter M,Tsoukas C

    更新日期:2008-06-01 00:00:00

  • Kaposi's sarcoma of the breast.

    abstract::Kaposi's sarcoma of the breast is extremely rare. We report a case of a patient with AIDS presenting with Kaposi's sarcoma localized to the breast and review another published case of a patient with AIDS and disseminated cutaneous Kaposi's sarcoma with breast involvement. Although rare, the diagnosis should be conside...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/108729100318019

    authors: Hamed KA,Muller KE,Nawab RA

    更新日期:2000-02-01 00:00:00

  • Evaluating health information technology: provider satisfaction with an HIV-specific, electronic clinical management and reporting system.

    abstract::Health information technology (HIT) offers the potential to improve care for persons living with HIV. Provider satisfaction with HIT is essential to realize benefits, yet its evaluation presents challenges. An HIV-specific, electronic clinical management and reporting system was implemented in Louisiana's eight HIV cl...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2008.0053

    authors: Magnus M,Herwehe J,Andrews L,Gibson L,Daigrepont N,De Leon JM,Hyslop NE Jr,Styron S,Wilcox R,Kaiser M,Butler MK

    更新日期:2009-02-01 00:00:00