The role of HIV serostatus disclosure on sexual risk behaviours among people living with HIV in steady partnerships in Rio de Janeiro, Brazil

Lana Lee, Francisco I. Bastos, Neilane Bertoni, Monica Malta, Deanna Kerrigan

Research output: Contribution to journalArticle

Abstract

Understanding partnership dynamics is a crucial step in the process of HIV serostatus disclosure to partners. This study examines the relational characteristics associated with HIV serostatus disclosure and the role of disclosure on sexual behaviours within steady partnerships among people living with HIV (PLHIV) in Rio de Janeiro, Brazil. The overall study surveyed 900 participants from six large public health facilities to investigate psychosocial and structural factors associated with sexual health and well-being. This analysis focuses on 489 individuals reporting being in steady partnerships, 86% of whom reported HIV serostatus disclosure to steady partners. After adjusting for demographic variables, attitudes towards disclosure, having an HIV-positive partner, living with partner and longer relationships were significantly associated with reported disclosure in multivariable logistic regression. Living with partner was negatively associated with partner concurrency. However, having an HIV-positive partner, sex under the influence of drugs or alcohol and experiencing physical aggression by a steady partner were negatively associated with consistent condom use. Interventions supporting PLHIV to safely and voluntarily disclose to partners may be an effective prevention approach between steady partners; however, partner violence and substance use should be addressed in future work.

Original languageEnglish (US)
Pages (from-to)1093-1106
Number of pages14
JournalGlobal public health
Volume9
Issue number9
DOIs
StatePublished - Oct 13 2014

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Keywords

  • Brazil
  • HIV
  • disclosure
  • sexual risk behaviour
  • steady partner

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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