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Publication Profiles

Disclosure of HIV Status and HIV Sexual Transmission Behaviors among HIV-Positive Black Men Who Have Sex with Men in the BROTHERS (HPTN 061) Study

Citation

Okafor CN, Li MJ, Hucks-Ortiz C, Mayer KH, Shoptaw S. Disclosure of HIV Status and HIV Sexual Transmission Behaviors among HIV-Positive Black Men Who Have Sex with Men in the BROTHERS (HPTN 061) Study. J Urban Health. 2020;97(5):692-703. doi:10.1007/s11524-020-00419-9

Implementation stage:

Implementation

Implementation outcomes reported:

Feasibility, Acceptability

Continuum target addressed:

Engagement in treatment (including retention and re-engagement), Viral suppression

Geography:

Washington-DC, Bronx County-NY, Kings County-NY, New York County-NY, Queens County-NY

Study Participant Classification:

Recipients of care

Plain Language Objectives

The researchers examined whether Black men with HIV who told their most recent male partner about their status reported different sexual behaviors from those who did not disclose.

Plain Language Abstract

Sharing HIV status with sexual partners may influence decisions about HIV prevention, but the relationship is complex. Researchers analyzed baseline data from 143 Black men with HIV who have sex with men in six United States cities. Fifty-eight percent reported telling their most recent male anal sex partner about their HIV status. Forty-three percent reported condomless insertive sex and 42% condomless receptive sex with that partner. Seventeen percent and 18%, respectively, reported these behaviors with a partner who did not have HIV or whose status was unknown. After adjustment, disclosure was not significantly associated with most measured behaviors. It was associated with lower odds of condomless insertive sex with a partner of negative or unknown status (adjusted odds ratio 0.19; 95% confidence interval, 0.06–0.68). Because the analysis was observational and cross-sectional, it cannot show that disclosure caused behavior changes. The authors concluded that disclosure was common and may inform future prevention messages, while further research is needed.

Key Takeaways

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