AIDS and Behavior

, Volume 17, Issue 1, pp 390–398 | Cite as

Nondisclosure of HIV Infection to Sex Partners and Alcohol’s Role: A Russian Experience

  • Karsten Lunze
  • Debbie M. Cheng
  • Emily Quinn
  • Evgeny Krupitsky
  • Anita Raj
  • Alexander Y. Walley
  • Carly Bridden
  • Christine Chaisson
  • Dmitry Lioznov
  • Elena Blokhina
  • Jeffrey H. Samet
Original Paper

Abstract

Nondisclosure of one’s HIV infection to sexual partners obviates safer sex negotiations and thus jeopardizes HIV transmission prevention. The role of alcohol use in the disclosure decision process is largely unexplored. This study assessed the association between alcohol use and recent nondisclosure of HIV serostatus to sex partners by HIV-infected risky drinkers in St. Petersburg, Russia. Approximately half (317/605; 52.4 %) reported not having disclosed their HIV serostatus to all partners since awareness of infection. Using three separate GEE logistic regression models, we found no significant association between alcohol dependence, risky alcohol use (past 30 days), or alcohol use at time of sex (past 30 days) with recent (past 3 months) nondisclosure (AOR [95 % CI] 0.81 [0.55, 1.20], 1.31 [0.79, 2.17], 0.75 [0.54, 1.05], respectively). Alcohol use at time of sex was associated with decreased odds of recent nondisclosure among seroconcordant partners and among casual partners. Factors associated with nondisclosure were relationship with a casual partner, a serodiscordant partner, multiple sex partners, awareness of HIV diagnosis less than 1 year, and a lifetime history of sexually transmitted disease. Nondisclosure of HIV status to sex partners is common among HIV-infected Russians, however alcohol does not appear to be a predictor of recent disclosure.

Keywords

Nondisclosure Disclosure HIV Russia Alcohol 

Resumen

La no comunicación del diagnóstico de infección por el VIH a parejas sexuales impide la negociación de sexo seguro y la prevención de su transmisión. No se conoce el impacto que el consumo de alcohol tiene en este proceso. Este estudio examinó la asociación entre el consumo de alcohol y la falta de comunicación reciente del diagnóstico de VIH a parejas sexuales en bebedores de riesgo infectados por el VIH en San Petersburgo, Rusia.Entre 605 participantes, aproximadamente la mitad (317/605,52,4 %, IC 95 %: 48,5; 56,4) no comunicó el diagnóstico de VIH a todos parejas desde la infección. Utilizando tres diferentes modelos de regresión logística GEE, no se encontró asociación entre la dependencia del alcohol, el consumo de alcohol de riesgo (últimos 30 días), o el consumo de alcohol durante el sexo (último s 30 días) con la comunicación del diagnóstico reciente de VIH (últimos 3 meses) (ORA [IC 95 %] 0,81 [0,55, 1,20] 1,31 [0,79, 2,17] 0,75 [0,54, 1,05]). El consumo de alcohol próximo al acto sexual se asoció con una menor proporción de comunicación del diagnóstico de VIH con parejas seroconcordantes y ocasionales. Los factores asociados con la falta de comunicación del diagnóstico incluyen tener pareja ocasional, serodiscordantes, múltiples parejas sexuales, un diagnóstico de VIH en el último año e historia de enfermedades de transmisión sexual. La falta de comunicación del diagnóstico de VIH a parejas sexuales es común entre infectados por el VIH en Rusia, pero el consumo de alcohol no parece ser un predictor.

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Karsten Lunze
    • 1
  • Debbie M. Cheng
    • 2
  • Emily Quinn
    • 6
  • Evgeny Krupitsky
    • 3
    • 4
  • Anita Raj
    • 1
    • 5
  • Alexander Y. Walley
    • 1
  • Carly Bridden
    • 1
  • Christine Chaisson
    • 6
  • Dmitry Lioznov
    • 4
  • Elena Blokhina
    • 4
  • Jeffrey H. Samet
    • 1
  1. 1.Boston Medical Center, Department of Medicine, Boston UniversityBostonUSA
  2. 2.Department of BiostatisticsBoston University School of Public HealthBostonUSA
  3. 3.Bekhterev Research Psychoneurological InstituteSt. PetersburgRussia
  4. 4.St. Petersburg Pavlov State Medical UniversitySt. PetersburgRussia
  5. 5.Division of Global Public Health, Department of MedicineUCSDLa JollaUSA
  6. 6.Data Coordinating CenterBoston University School of Public HealthBostonUSA

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