Association between sociodemographic characteristics and HIV disclosure among people living with HIV in South Carolina
A structural equation modeling approach
Bibliographic Data
| ID | 19442994 |
|---|---|
| Authors | Monique J Brown (0000-0001-9552-244X, University of South Carolina, corresponding author), J Stewart Trask (Department of Biological Sciences, College of Arts and Sciences, University of South Carolina, Columbia, SC, USA), Amandeep Kaur (0000-0001-8162-3725, University of South Carolina), Xiaoming Li (0000-0002-5555-9034, University of South Carolina) |
| Year | 2023 |
| Volume | 35 |
| Issue | 12 |
| Pages | 1904-1910 |
| Publication date | 2023-12-02 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2022.2163612 |
| PMID | 36630703 |
| OpenAlex | W4315630713 |
| Language | EN |
| References cited | 21 |
HIV disclosure continues to be a key consideration among people living with HIV (PLWH). However, there is a lack of studies assessing factors associated with HIV disclosure among PLWH in the Southern U.S. Therefore, the aim of this study was to assess the association between sociodemographic risk factors and HIV disclosure using a structural equation modeling approach among PLWH in South Carolina. Exploratory factor analysis was used to operationalize HIV disclosure. Structural equation models were used to determine the associations between sociodemographic factors and HIV disclosure among PLWH. Two latent variables were obtained for HIV disclosure: partners (stable partners, spouses, casual partners), and family/friends (parents, grandparents, siblings, children, adult children, friends, and coworkers). After adjusting for confounders, Black populations were less likely to disclose their HIV status to both partners (β = −0.250, p = 0.006) and family/friends (β = −0.246, p < 0.001) compared to non-Black populations. As yearly income increased, the likelihood of HIV disclosure to family/friends decreased (β = −0.300, p = <0.001). As time since diagnosis increased, the likelihood of HIV disclosure to family/friends increased (β = 0.266, p = 0.001). Future research can assess the feasibility of implementing disclosure interventions that are geared towards Black, high income and newly diagnosed PLWH and the associations of psychosocial factors and HIV disclosure
Casual · Confounding · Developmental psychology · Family medicine · Generalized estimating equation · Grandparent · Psychiatry · Psychological intervention · Psychosocial · Structural equation modeling · Adolescent Sexual and Reproductive Health · Clinical Psychology · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology
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Gender differences in disclosure concerns and HIV-related quality of life
Gender differences in HIV disclosure, stigma, and perceptions of health
Growing up positive
HIV disclosure among adults living with HIV
Factors Associated With HIV Disclosure and HIV-Related Stigma Among Adolescents Living With HIV in Southwestern Uganda
Differential relationships of stress and HIV disclosure by gender
Gender differences regarding barriers and motivators of HIV status disclosure among HIV-positive service users
| Citation velocity | historical |
|---|---|
| Highly cited | No |