AIDS and Behavior

, Volume 15, Issue 6, pp 1128–1139

Predictors of HIV Disclosure Among Untested, HIV-Negative and HIV-Positive Australian Men Who had Anal Intercourse with Their Most Recent Casual Male Sex Partner

  • M. Holt
  • P. Rawstorne
  • H. Worth
  • M. Bittman
  • J. Wilkinson
  • S. Kippax
Original Paper

Abstract

We analysed HIV disclosure between Australian men who have sex with men (MSM) who reported anal intercourse with their last casual male partner. Of 804 MSM included in the analysis, 413 reported HIV disclosure and 391 reported no disclosure. After identifying bivariate associations with HIV disclosure, we developed three models of HIV disclosure (one for untested, one for HIV-negative and one for HIV-positive MSM). A range of factors was found to be associated with HIV disclosure. Having previously had sex with the last casual male partner and expecting HIV-negative and HIV-positive men to disclose before sex were predictors of HIV disclosure shared by more than one serostatus group. As unprotected anal intercourse was more common among MSM who disclosed (across all serostatus groups), we suggest caution should be exercised before encouraging HIV disclosure as a prevention strategy. Nondisclosure remains more strongly associated with safe sex among Australian MSM.

Keywords

HIV disclosure Men who have sex with men Anal intercourse Casual sex partners Australia 

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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • M. Holt
    • 1
  • P. Rawstorne
    • 2
  • H. Worth
    • 2
  • M. Bittman
    • 3
  • J. Wilkinson
    • 4
  • S. Kippax
    • 5
  1. 1.National Centre in HIV Social ResearchThe University of New South WalesSydneyAustralia
  2. 2.School of Public Health and Community MedicineThe University of New South WalesSydneyAustralia
  3. 3.School of Behavioural, Cognitive and Social SciencesUniversity of New EnglandArmidaleAustralia
  4. 4.Department of Sociology and Social PolicyThe University of SydneySydneyAustralia
  5. 5.Social Policy Research CentreThe University of New South WalesSydneyAustralia

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