AIDS and Behavior
Volume 10, Issue 2, 2006, Pages 149-157

Sex trade, sexual risk, and nondisclosure of HIV serostatus: Findings from HIV-infected persons with a history of alcohol problems (Article)

Raj A.* , Cheng D.M. , Levison R. , Meli S. , Samet J.H.
  • a Department of Social Behavioral Sciences, Boston University, School of Public Health, Boston, MA, United States, Boston University, School of Public Health, 715 Albany St, T2W, Boston, MA 02118, United States
  • b Department of Biostatistics, Boston University, School of Public Health, Boston, MA, United States
  • c Department of Medicine, Boston University School of Medicine, Boston Medical Center, Boston, MA, United States
  • d Department of Medicine, Boston University School of Medicine, Boston Medical Center, Boston, MA, United States
  • e Department of Social Behavioral Sciences, Boston University, School of Public Health, Boston, MA, United States, Department of Medicine, Boston University School of Medicine, Boston Medical Center, Boston, MA, United States

Abstract

The purpose of this study was to assess the relationships between disclosure of HIV serostatus to sex partners and recent sexual risk behavior, substance abuse, and violence among sexually active HIV-infected patients with a history of alcohol problems. Participants (n = 124) were 79% males; age 25-61 years; 49% Black; and 35% with less than a high school education. Separate logistic regression models were used to assess relationships between each independent variable of interest and nondisclosure. Results demonstrate that buying sex and having more than one sex partner in the past 6 months were significantly associated with nondisclosure of HIV serostatus to a sex partner. Findings from this study underscore the ongoing need for behavioral interventions with HIV-infected individuals concerning disclosure. Programs that emphasize serostatus disclosure and/or consistent condom use in the context of sex trade and with multiple sexual partners will be particularly important. © 2006 Springer Science+Business Media, Inc.

Author Keywords

Serostatus disclosure Sex risk Drug risk behaviors HIV violence Sex trade

Index Keywords

self disclosure Negro sexual behavior mass screening logistic regression analysis demography high school behavior therapy Follow-Up Studies interpersonal communication Prospective Studies human risk assessment sexuality middle aged Cohort Studies violence condom controlled study Human immunodeficiency virus infected patient health status alcohol substance abuse alcoholism HIV Seropositivity Human immunodeficiency virus Sexually Transmitted Diseases United States health program Humans male female socioeconomics prostitution prevalence Article high risk behavior Risk-Taking adult serology statistical model anamnesis health care need
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-33645877698&doi=10.1007%2fs10461-005-9050-x&partnerID=40&md5=08a67518048ce9dd30ce443ae5adac2c
DOI: 10.1007/s10461-005-9050-x
ISSN: 10907165
Cited by: 14
Original Language: English