Skip to main content

Advertisement

SpringerLink
Log in

Evaluation of HIV Disclosure Behavior Following a Randomized Controlled Disclosure Intervention for Men Who Have Sex with Men Living with HIV

  • Original Paper
  • Published:
Archives of Sexual Behavior Aims and scope Submit manuscript

Abstract

Preventing the transmission of HIV, especially among high-risk populations, is a U.S. public health priority. Interventions aimed at easing the burden of HIV disclosure to casual sexual partners among men who have sex with men (MSM) living with HIV are essential in this endeavor. This randomized controlled study evaluated differences in disclosure behavior between a disclosure intervention (DI) and attention control case management (ACCM) group for MSM living with HIV (N = 315) and determinants (self-efficacy, outcome expectancy) of disclosure. Mixed-effects models results showed no significant differences in disclosure behavior between the DI and ACCM groups. Further, disclosure behavior changed in a curvilinear manner over 12 months and benefited from a booster session. Both disclosure self-efficacy and outcome expectancy predicted disclosure behavior. Interventions targeting HIV disclosure among MSM living with HIV should focus on improving perceptions of disclosure self-efficacy and outcome expectancy and include a booster session to facilitate HIV disclosure.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  • Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Bird, J. D. P., Fingerhut, D. D., & McKirnan, D. J. (2011). Ethnic differences in HIV-disclosure and sexual risk. AIDS Care, 23, 444–448.

    Article  PubMed  Google Scholar 

  • Bird, J. D. P., & Voisin, D. R. (2010). A conceptual model of HIV disclosure in casual sexual encounters among men who have sex with men. Journal of Health Psychology, 16, 365–373.

    Article  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention (CDC). (2015). Comprehensive risk counseling and services (CRCS). Available at https://effectiveinterventions.cdc.gov/en/highimpactprevention/publichealthstrategies/CRCS.asp.

  • Centers for Disease Control and Prevention (CDC). (2016a). HIV among gay and bisexual men. Available at https://www.cdc.gov/nchhstp/newsroom/docs/factsheets/cdc-msm-508.pdf.

  • Centers for Disease Control and Prevention (CDC). (2016b). The nation’s approach to HIV prevention for gay and bisexual men. Available at https://www.cdc.gov/nchhstp/newsroom/docs/factsheets/approach-to-hiv-prevention-508.pdf.

  • Centers for Disease Control and Prevention (CDC). (2017a). Start talking. Stop HIV. Available at https://www.cdc.gov/actagainstaids/campaigns/starttalking/.

  • Centers for Disease Control and Prevention (CDC). (2017b). HIV-specific criminal laws. Available at https://www.cdc.gov/hiv/policies/law/states/exposure.html.

  • Chiasson, M. A., Shaw, F. S., Humberstone, M., Hirshfield, S., & Hartel, D. (2009). Increased HIV disclosure three months after an online video intervention for men who have sex with men (MSM). AIDS Care, 21, 1081–1089.

    Article  PubMed  Google Scholar 

  • Conserve, D. F., Groves, A. K., & Maman, S. (2015). Effectiveness of interventions promoting HIV serostatus disclosure to sexual partners: A systematic review. AIDS and Behavior, 19, 1763–1772.

    Article  PubMed  PubMed Central  Google Scholar 

  • Des Jarlais, D. C., Paone, D., Milliken, J., Turner, C. F., Miller, H., Gribble, J., et al. (1999). Audio-computer interviewing to measure risk behaviour for HIV among injecting drug users: A quasi-randomized trial. Lancet, 535(9165), 1657–1662.

    Article  Google Scholar 

  • Emlet, C. A. (2006). A comparison of HIV stigma and disclosure patterns between older and younger adults living with HIV/AIDS. AIDS Patient Care and STDs, 20, 350–358.

    Article  PubMed  Google Scholar 

  • Gearing, R. E., Schwalbe, C. S., Lee, R. H., & Hoagwood, K. E. (2013). The effectiveness of booster sessions in CBT treatment for child and adolescent mood and anxiety disorders. Depression and Anxiety, 30, 800–808.

    Article  PubMed  Google Scholar 

  • Hirshfield, S., Chiasson, M. A., Joseph, H., Scheinmann, R., Johnson, W. D., Remien, R. H., et al. (2012). An online randomized controlled trial evaluating HIV prevention digital media interventions for men who have sex with men. PLoS ONE, 7, e46252. Available at http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0046252.

  • Johnson, W. D., Holtgrave, D. R., McClellan, W. M., Flanders, W. D., Hill, A. N., & Goodman, M. (2005). HIV intervention research for men who have sex with men: A 7-year update. AIDS Education and Prevention, 17, 568–589.

    Article  PubMed  Google Scholar 

  • Kelly, C. A., Hewett, P. C., Mensch, B. S., Rankin, J. C., Nsobya, S. L., Kalibala, S., et al. (2014). Using biomarkers to assess the validity of sexual behavior reporting across interview modes among young women in Kampala, Uganda. Studies in Family Planning, 45, 43–58.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kreft, I., & de Leeuw, J. (1998). Introducing multilevel modeling. Thousand Oaks, CA: Sage.

    Book  Google Scholar 

  • McAlister, A. L., Perry, C. L., & Parcel, G. S. (2008). How individuals, environments, and health behaviors interact. Social cognitive theory. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health behavior and health education. Theory, research, and practice (4th ed., pp. 169–188). San Francisco, CA: Jossey-Bass.

    Google Scholar 

  • O’Connell, A. A., Reed, S. J., & Serovich, J. M. (2015). The efficacy of serostatus disclosure for HIV transmission risk reduction. AIDS and Behavior, 19, 283–290.

    Article  PubMed  PubMed Central  Google Scholar 

  • Office of National AIDS Policy [ONAP]. (2015). National HIV/AIDS Strategy for the United States: Updated to 2020. Available at https://www.aids.gov/federal-resources/national-hiv-aids-strategy/nhas-update.pdf.

  • Perlis, T. E., Des Jarlais, D. C., Friedman, S. R., Arasteh, K., & Turner, C. F. (2004). Audio-computerized self-interviewing versus face-to-face interviewing for research data collection at drug abuse treatment programs. Addiction, 99, 885–896.

    Article  PubMed  Google Scholar 

  • Rosser, B. R. S., Horvath, K. J., Hatfield, L. A., Peterson, J. L., Jacoby, S., Stately, A., et al. (2008). Predictors of HIV disclosure to secondary partners and sexual risk behavior among a high-risk sample of HIV-positive MSM: Results from six epicenters in the US. AIDS Care, 20, 925–930.

    Article  PubMed Central  Google Scholar 

  • Semple, S. J., Patterson, T. L., & Grant, I. (2000a). Partner type and sexual risk behavior among HIV positive gay and bisexual men: Social cognitive correlates. AIDS Education and Prevention, 12, 340–356.

    PubMed  Google Scholar 

  • Semple, S. J., Patterson, T. L., & Grant, I. (2000b). The sexual negotiation behavior of HIV-positive gay and bisexual men. Journal of Consulting and Clinical Psychology, 68, 934–937.

    Article  PubMed  Google Scholar 

  • Semple, S. J., Patterson, T. L., Shaw, W. S., Pedlow, C. T., & Grant, I. (1999). Disclosure of HIV seropositivity to sexual partners: An application of social cognitive theory. Behavior Therapy, 30, 223–237.

    Article  Google Scholar 

  • Serovich, J. M., Oliver, D. G., Smith, S. A., & Mason, T. L. (2005). Methods of HIV disclosure by men who have sex with men to casual sexual partners. AIDS Patient Care and STDs, 19, 823–832.

    Article  PubMed  PubMed Central  Google Scholar 

  • Serovich, J. M., Reed, S., Grafsky, E. L., & Andrist, D. (2009). An intervention to assist men who have sex with men disclose their serostatus to casual sex partners: Results from a pilot study. AIDS Education and Prevention, 21, 207–219.

    Article  PubMed  PubMed Central  Google Scholar 

  • Simoni, J. M., & Pantalone, D. W. (2004). Secrets and safety in the age of AIDS: Does HIV disclosure lead to safer sex? Topics in HIV Medicine, 12, 109–118.

    PubMed  Google Scholar 

  • Wei, C., Lim, S. H., Guadamuz, T. E., & Koe, S. (2012). HIV disclosure and sexual transmission behaviors among an internet sample of HIV-positive men who have sex with men in Asia: Implications for prevention with positives. AIDS and Behavior, 16, 1970–1978.

    Article  PubMed  PubMed Central  Google Scholar 

  • Whisman, M. A. (1990). The efficacy of booster maintenance sessions in behavior therapy: Review and methodological critique. Clinical Psychology Review, 10, 155–170.

    Article  Google Scholar 

  • Winter, A. K., Sullivan, P. S., Khosropour, C. M., & Rosenberg, E. S. (2012). Discussion of HIV status by serostatus and partnership sexual risk among internet-using MSM in the United States. Journal of Acquired Immune Deficiency Syndrome, 60, 525–529.

    Article  Google Scholar 

  • Wolitski, R. J., Gómez, C. A., & Parsons, J. T. (2005). Effects of a peer-led behavioral intervention to reduce HIV transmission and promote serostatus disclosure among HIV-seropositive gay and bisexual men. AIDS, 19, S99–S109.

    Article  PubMed  Google Scholar 

Download references

Funding

This study was supported by a Grant from the National Institute of Mental Health (R01MH082639) awarded to the first author.

Author information

Authors and Affiliations

  1. College of Behavioral and Community Sciences, University of South Florida, 13301 Bruce B. Downs Blvd., MHC 1110, Tampa, FL, 33612, USA

    Julianne M. Serovich, Tanja C. Laschober, Monique J. Brown & Judy A. Kimberly

Authors
  1. Julianne M. Serovich
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Tanja C. Laschober
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Monique J. Brown
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Judy A. Kimberly
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Julianne M. Serovich.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Statement of Human Rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Serovich, J.M., Laschober, T.C., Brown, M.J. et al. Evaluation of HIV Disclosure Behavior Following a Randomized Controlled Disclosure Intervention for Men Who Have Sex with Men Living with HIV. Arch Sex Behav 47, 2051–2059 (2018). https://doi.org/10.1007/s10508-017-1055-9

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10508-017-1055-9

Keywords

Search

Navigation