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

Bibliographic Data

ID19440023
AuthorsMarina Daskalopoulou (0000-0001-9927-0358, Institute for Global Health, University College London, London, UK), Alec Rodger (0000-0001-8817-4651, University College London), Alison J Rodger (Institute for Global Health, University College London, London, UK), Andrew N Phillips (0000-0003-2384-4807, Institute for Global Health, University College London, London, UK), Richard Gilson (0000-0002-9572-193X, Institute for Global Health, University College London, London, UK), Lorraine Sherr (0000-0002-5902-8011, Institute for Global Health, University College London, London, UK), Sonali Wayal (0000-0002-5878-7665, Institute for Global Health, University College London, London, UK), Jane Anderson (0000-0001-5294-8707, Homerton University Hospital NHS Foundation Trust, London, UK), Kazeem Aderogba (East Sussex Healthcare NHS Trust, Eastbourne, UK), Jeffrey J Mcdonnell (0000-0002-3880-3162, University College London), Jeffrey McDonnell (Institute for Global Health, University College London, London, UK), Edmund Wilkins (Pennine Acute Hospitals NHS Trust, Manchester, UK), Elaney Youssef (0000-0001-6897-2015, Brighton and Sussex Medical School, Brighton, UK), Andrew Speakman (0000-0003-1386-0627, Institute for Global Health, University College London, London, UK), William J Burman (0000-0001-6982-1825, Denver Public Health, Denver, CO, USA), Fiona Lampe (0000-0001-6851-5471, University College London, corresponding author), Fiona C Lampe (Institute for Global Health, University College London, London, UK)
Year2020
Volume32
Issue10
Pages1323-1332
Publication date2020-10-02
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2020.1728218
PMID32114800
OpenAlexW3009313108
LanguageEN
Citations received2
References cited34

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

Condom · Environmental health · Family medicine · Heterosexuality · Homosexuality · Men who have sex with men · Population · Self-disclosure · Serostatus · Sex partners · Viral load · Clinical Psychology · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues · Social Psychology

Tools

Open DOISci-HubOpen Access