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Disclosure of HIV Status and HIV Sexual Transmission Behaviors among HIV-Positive Black Men Who Have Sex with Men in the BROTHERS (HPTN 061) Study.
- Source :
-
Journal of urban health : bulletin of the New York Academy of Medicine [J Urban Health] 2020 Oct; Vol. 97 (5), pp. 692-703. - Publication Year :
- 2020
-
Abstract
- We assessed whether disclosure of HIV status is significantly associated with reported HIV sexual risk behaviors among HIV positive Black/African American men who have sex with men (MSM) (Black MSM) in six cities in the USA. Participants from the BROTHERS (HIV Prevention Trials Network [HPTN 061]) study focused on assessing the feasibility and acceptability of a multifaceted HIV prevention intervention to reduce HIV infections among Black MSM enrolled between July 2009 and October 2010. All participants completed a behavioral assessment using an audio computer-assisted self-interview that included questions about HIV status disclosure, HIV sexual risk behaviors, and other behaviors. Biological samples were also collected. This analysis focused on baseline data of HIV-positive Black MSM in the HPTN 061 study. Of the 143 HIV-positive Black MSM (majority ≥ 35 years of age) included in this analysis, 58% reported disclosing their HIV status to their last male anal sex partner. Forty-three percent and 42% reported condomless insertive and receptive anal intercourse respectively with their last male partner; whereas, 17% and 18% of the sample engaged in condomless insertive and receptive anal intercourse with a serodiscordant/unknown status partner, respectively. In multivariable logistic regression models, there was no statistically significant association between HIV status disclosure and condomless insertive anal intercourse (aOR = 0.35, 95% CI 0.11, 1.08; p = 0.30), condomless receptive anal intercourse (aOR = 2.48, 95% CI 0.94, 6.52; p = 0.20), or condomless receptive anal intercourse with a serodiscordant/unknown status partner (aOR = 0.55, 95% CI 0.20, 1.49; p = 0.45). However, HIV status disclosure was significantly associated with lower odds of reporting condomless insertive anal intercourse with a serodiscordant/unknown status partner (aOR = 0.19, 95% CI 0.06, 0.68; p ≤ 0.01). Among this multi-city sample of HIV-positive Black MSM, disclosure of HIV status was common and associated with lower HIV sexual risk behaviors. These findings should motivate and guide research to develop prevention messages to increase HIV status disclosures.
- Subjects :
- Adolescent
Adult
Black or African American statistics & numerical data
Cities epidemiology
Cities statistics & numerical data
HIV Infections epidemiology
Homosexuality, Male statistics & numerical data
Humans
Logistic Models
Male
Middle Aged
Sexual Behavior statistics & numerical data
United States epidemiology
Young Adult
Black or African American psychology
Disclosure statistics & numerical data
HIV Infections psychology
HIV Infections transmission
Homosexuality, Male psychology
Risk-Taking
Sexual Behavior psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1468-2869
- Volume :
- 97
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Journal of urban health : bulletin of the New York Academy of Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 32020466
- Full Text :
- https://doi.org/10.1007/s11524-020-00419-9