Amsterdam 2015
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| Abstract #2268 - Time to talk? Disclosure and HIV | ||||
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Session: 29.5: Time to talk? Disclosure and HIV (Parallel) on Thursday @ 11.30-13.00 in C202 Chaired by Bouko Bakker, Philippe Adam Authors: Presenting Author: Mr. J. Carlo Hojilla - University of California, San Francisco, United States |
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| Additional Authors: | ||||
| Aim: This study analyzed serodisclosure patterns among HIV-negative men and transwomen who have sex with men (MSM and TGW) in the Global Pre-exposure Prophylaxis Initiative Open Label Extension (iPrEx OLE). | ||||
| Method / Issue: Baseline sexual network data were assessed in participants in iPrEx OLE by computer-assisted self-interview (CASI). All participants were previously involved in a PrEP randomized clinical trial. Logistic regression using generalized estimating equations modeled predictors of serodisclosure to sexual partners in the last three months. | ||||
| Results / Comments: A total of 1593 HIV seronegative participants and 2643 partnerships were analyzed. Among those with available data from CASI, the median age of participants was 28 years (range 18-70) 89% (n=1419) were MSM and 11% (n=174) TGW 66% (n=1059) were Hispanic/Latino 42% (n=662) were married or partnered and 70% (n=1119) elected to receive PrEP at enrollment. Overall, 60% reported disclosing HIV status to their last sexual partners. In bivariate analysis, participants in the USA greater age persons whose most recent sexual partner involved both a sexual and emotional connection and higher education were associated with higher odds of serodisclosure. Participants in Thailand and those who identified as Hispanic/Latino had lower odds of serodisclosure. Controlling for all other variables, participants in the USA, relationships involving a sexual and emotional connection, and education were independently associated with HIV serodisclosure. No differences were observed between participants who opted to receive PrEP and those who did not. | ||||
| Discussion: This study suggests that serodisclosure in MSM and TGW may be associated with individual and sexual network characteristics, and may have no relationship with PrEP use. Serodisclosure between persons on and off PrEP did not significantly differ at baseline despite prior participation in PrEP trials. These findings provide an early assessment to address concerns that PrEP might lead individuals to forego risk reduction strategies like serodisclosure and can help inform future interventions to promote communication of HIV status. | ||||
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