Amsterdam 2015
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| Abstract #2029 - Time to talk? Disclosure and HIV | ||||
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Session: 29.2: Time to talk? Disclosure and HIV (Parallel) on Thursday @ 11.30-13.00 in C202 Chaired by Bouko Bakker, Philippe Adam Authors: Presenting Author: Dr. Xiaoming Li - Wayne State University School of Medicine, United States |
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| Additional Authors: | ||||
| Aim: Background: Disclosing HIV seropositive status to sexual partner (partner HIV disclosure) is a vital step for HIV prevention and treatment in terms of promoting HIV testing, improving medicine adherence and reducing risk sexual behaviors. Numerous empirical studies identified factors that influence people’s decision-making of partner HIV disclosure, assuming HIV-positive people make a decision based on their assessment of benefits and risks related to disclosure. However, a growing literature highlights the role of social relationship and social context in disclosure practice. The current study aims to examine how partner HIV disclosure associate with factors in intrapersonal level (depression, emotional management), interpersonal level (relationship with partner, family communication) and social level (social support, HIV-related stigma). | ||||
| Method / Issue: Method: The current study used baseline data of a longitudinal randomized controlled trial initiated in 2013 among 796 HIV-positive parents (with at least one child aged 5-16 years) recruited from 42 HIV clinics across 12 cities/counties in Guangxi, China. The participants completed the survey including measures on demographics, mental health, and HIV disclosure. Descriptive statistics, One-way ANOVA and General Linear Modeling (GLM) were employed in data analysis. | ||||
| Results / Comments: Results: About 85% of the participants had informed the HIV infection to their spouse/stable sexual partner. Compared to non-disclosure group, participants who disclosed to their spouse/sexual partners reported lower scores of depression and emotional management difficulties, more positive relationship with their partners and family communication, as well as higher level of social support and lower level HIV-related stigma. The GLM controlled gender, age, and time since HIV diagnosis. The multivariate test indicated significant associations between partner HIV disclosure and the factors in multiple socio-ecological levels (F=13.541, p<.001). Univariate tests suggested that HIV disclosure was positively associated with relationship quality with partner (F=75.639, p<.001), family communication (F=11.290, p=.001), and social support (F=8.203, p=.004). | ||||
| Discussion: Discussion: The current study underscores the importance of using socio-ecological approach to explore factors affect partner HIV disclosure practices. Consistent with existing literature, we identified social support as a facilitator for HIV disclosure. In addition, we found that family context (family relationship and communication) could be a critical factor shaping decision-making of HIV disclosure, particularly in a socio-cultural context where family life is higher valued. Further studies are needed to explore the mechanism of how factors in different socio-ecological levels interact with each other. | ||||
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