Disclosure of HIV Serostatus to Sex Partners: A New Approach to Measurement
February 14, 2006
To propose a refined measure of HIV disclosure, the authors of the current study conducted a cross-sectional study to assess measurement of full HIV serostatus disclosure (before sex), delayed disclosure (after sex), and no disclosure to both current and recent past (in the last year) sex partners.
Sixty-three persons with HIV/AIDS who reported on 145 sex partnerships were interviewed using an audio computer-assisted survey. Full disclosure occurred in 54 percent of all sex partners reported in the past year, delayed disclosure in 22 percent, and no disclosure occurred in 24 percent. "Delayed/no disclosure among all partners in the past year was substantially higher than standard measures of no disclosure among current partners only, 46 percent (95 percent confidence interval [CI], 38-54 percent) versus 12 percent (95 percent CI, 5-19 percent). No disclosure was more common in past partnerships than current partnerships (40 percent vs. 12 percent, P < 0.01)," the authors found. Having an HIV-positive partner and being in a primary, heterosexual relationship were partnership characteristics predictive of disclosure.
"Standard measures may underestimate nondisclosure," the researchers concluded. "Counseling and interventions that promote disclosure should include strategies for disclosure in ongoing relationships, assistance in notifying past partners, and a focus on partnership characteristics and dynamics."
Sexually Transmitted Diseases
02.06.06; Vol. 33; No. 2: P. 102-105; Linda M. Niccolai, Ph.D.; Elizabeth King, M.P.H.; Danielle D'Entremont, M.A.; Ellen Nicole Pritchett, M.P.H.
This article was provided by CDC National Prevention Information Network. It is a part of the publication CDC HIV/Hepatitis/STD/TB Prevention News Update.