Patterns of HIV Disclosure and Condom Use Among HIV-Infected Young Racial/Ethnic Minority Men Who Have Sex with Men

Abstract

Recent findings highlight the continued rise in cases of HIV infection among racial/ethnic minority young men who have sex with men (YMSM). In adults, disclosure of HIV status has been associated with decreased sexual risk behaviors but this has not been explored among YMSM. In this study of 362 HIV-infected racial/ethnic minority YMSM, rates of disclosure were high, with almost all disclosing their status to at least one person at baseline. The majority had disclosed to a family member, with higher disclosure rates to female relatives compared with males. After adjustment for site, disclosure to sex partners and boyfriends was associated with an increase in condom use during both oral and anal sex. Future studies should consider skills training to assist youth in the disclosure process, facilitate how to determine who in their family and friend social network can be safely disclosed to and support family-based interventions.

Resumen

Los resultados recientes destacan el continuo aumento de los casos de infección por VIH entre los hombres de las minorías raciales/étnicas jóvenes que tienen sexo con hombres (YMSM). En los adultos, la revelación del estado de VIH se ha asociado con una disminución de las conductas sexuales de riesgo, pero esto no ha sido explorado entre YMSM. En este estudio de 362 infectados por el VIH YMSM minoría racial/étnico, las tasas de revelación fueron altas, con casi toda revelación de su estado al menos una persona en la línea base. La mayoría había revelado a un miembro de la familia, con tasas más altas de divulgación a familiares mujeres en comparación con los varones. Después del ajuste para el sitio, la revelación a las parejas sexuales y los novios se asoció con un aumento en el uso del condón durante el sexo oral y anal. Los estudios futuros en cuenta la formación profesional para ayudar a los jóvenes en el proceso de divulgación, facilitar la forma de determinar quién en su familia y la red social puede ser amigo de forma segura y compartida con las intervenciones de apoyo basadas en la familia.

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Acknowledgments

The authors express their thanks to the following persons: Michael D’Arata, Kevin Bynes, Bonnie Halpern-Felsher, Alvan Quamina, Daniel Ramos, and Kathryn Ruiz—AIDS Project East Bay; Jessica Adams-Skinner, Brad Cauthen, Elizabeth Enriquez-Bruce, Mario De La Cruz, Donna Futterman, Anthony Morgan, Miguel Munoz-Laboy, and Candia Richards—Bronx AIDS Services, Inc.; Karen Jones and Manya Magnus—George Washington University; Sheronda Allen, Randall Ard, Monisha Arya, Sonny Ballard, Jessica Davila, Thomas Giordano, Charles Henley, Nancy Miertschin, Beau Mitts, Diana Parkinson-Windross, and Elizabeth Soriano—Harris County Public Health and Environmental Services; Adan Cajina, Robyn Schulhof, Melinda Tinsley, and Jessica Xavier—HRSA; Chi-Wai Au, Kathy Bouch, Judy Carter, Wendy Garland, Amin Lewis, and Juhua Wu—Los Angeles County Department of Public Health; Judith Bauman, Damon L. Humes, Avril Little, Kraig A. Pannell, Charles Tyson, and Mitchell Wharton—MOCHA Center, Inc.; David Jolly, Peter Leone, Justin Smith, and Erik Valera—University of North Carolina, Chapel Hill; Antoine Bates, Will Cobbs, Gregory Norels, and Lisa Henry-Reid—Working for Togetherness, Inc.; Dwain Bridges, Raynard Campbell, Kathryn Condon, Monique Green-Jones, Amani Hall, Anthony Harris, and Terrance Terry—Wayne State University, Horizons Project.

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This study was made possible by a grant through the U.S. Department of Health and Human Services, Health Resources and Services Administration. The views expressed in this publication are solely the opinions of the authors and do not necessarily reflect the official policies of the U.S. Department of Health and Human Services or the Health Resources and Services Administration, or the Department of Veterans Affairs, nor does the mention of the department or agency names imply endorsement by the U.S. Government.

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Correspondence to Lisa B. Hightow-Weidman.

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Hightow-Weidman, L.B., Phillips, G., Outlaw, A.Y. et al. Patterns of HIV Disclosure and Condom Use Among HIV-Infected Young Racial/Ethnic Minority Men Who Have Sex with Men. AIDS Behav 17, 360–368 (2013). https://doi.org/10.1007/s10461-012-0331-x

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Keywords

  • MSM
  • HIV disclosure
  • Racial/ethnic minority
  • Condom use