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Variations in the Role of Social Support on Disclosure Among Newly Diagnosed HIV-Infected People Who Inject Drugs in Vietnam

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Abstract

Stigma and perceived social support can influence the decision to disclose HIV positive status, especially for people who inject drugs (PWID). In this analysis, the association between social support and HIV disclosure among 336 newly diagnosed HIV-infected PWID in Northern Vietnam was assessed. One month after diagnosis, 34.8 % of participants had not disclosed to anyone. Disclosure to anyone and to a family member specifically, was associated with baseline social support in the form of positive interactions and a history of incarceration. Disclosing to a family member was less likely among those who had unprotected sex in the previous 3 months. Disclosure to an injecting partner was more likely among those with a history of being in a drug treatment program, knowing someone on ART and believing that ART is safe. These data suggest that social support may facilitate disclosure among family members, including spouses, while disclosure to injecting partners is greater when PWID know that ART is a safe and viable option.

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Acknowledgments

This study was funded by the National Institute on Drug Abuse (1 R01 DA022962-01).

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Authors and Affiliations

  1. Department of Health Behavior, University of North Carolina Gillings School of Global Public Health, 361 Rosenau Hall, Campus Box 7440, Chapel Hill, NC, 27599-7440, USA

    Vivian F. Go, Tran Viet Ha, Teerada Sripaipan & Tran Thi Mo

  2. Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

    Carl Latkin

  3. Thai Nguyen Center for Preventive Medicine, Thai Nguyen, Vietnam

    Nguyen Le Minh & Pham The Vu

  4. Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

    Constantine Frangakis

  5. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

    Wendy W. Davis & Vu Minh Quan

Authors
  1. Vivian F. Go
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  2. Carl Latkin
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  3. Nguyen Le Minh
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  4. Constantine Frangakis
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  5. Tran Viet Ha
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  6. Teerada Sripaipan
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  7. Tran Thi Mo
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  8. Wendy W. Davis
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  9. Pham The Vu
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  10. Vu Minh Quan
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Correspondence to Vivian F. Go.

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Go, V.F., Latkin, C., Le Minh, N. et al. Variations in the Role of Social Support on Disclosure Among Newly Diagnosed HIV-Infected People Who Inject Drugs in Vietnam. AIDS Behav 20, 155–164 (2016). https://doi.org/10.1007/s10461-015-1063-5

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  • DOI: https://doi.org/10.1007/s10461-015-1063-5

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