AIDS and Behavior

, 11:698 | Cite as

Reducing HIV Transmission Risk by Increasing Serostatus Disclosure: A Mathematical Modeling Analysis

  • Steven D. PinkertonEmail author
  • Carol L. Galletly
Original Paper


Persons living with HIV infection are encouraged to disclose their HIV-positive serostatus to prospective sex partners to decrease the likelihood of unsafe sex and HIV transmission. However, the effectiveness of serostatus disclosure as a preventive measure is not known. We developed a mathematical framework for assessing the HIV transmission risk reduction effectiveness of serostatus disclosure, examined how increasing the disclosure rate affects the transmission risk reduction effectiveness of disclosure, and explored the interaction between condom use and disclosure effectiveness. Under base-case assumptions, serostatus disclosure reduced the risk of HIV transmission by between 17.9% and 40.6% relative to no disclosure. Increasing the disclosure rate from the base-case value of 51.9–75.7% produced a 26.2–59.2% reduction in risk. The findings of this modeling study strongly support intervention efforts to increase both serostatus disclosure and condom use by persons living with HIV.


Serostatus disclosure Effectiveness Condom use Prevention Mathematical model 



This research was supported by grants R01-MH72474, R21-MH073495, and P30-MH52776 from the National Institute of Mental Health.


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Copyright information

© Springer Science+Business Media, LLC 2006

Authors and Affiliations

  1. 1.Department of Psychiatry and Behavioral MedicineCenter for AIDS Intervention Research, Medical College of WisconsinMilwaukeeUSA

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