Prevalence and Correlates of Non-Disclosure of HIV Serostatus to Sex partners among HIV-Infected Female Sex Workers and HIV-infected Male Clients of Female Sex Workers in India
Identifieur interne : 001F56 ( Pmc/Curation ); précédent : 001F55; suivant : 001F57Prevalence and Correlates of Non-Disclosure of HIV Serostatus to Sex partners among HIV-Infected Female Sex Workers and HIV-infected Male Clients of Female Sex Workers in India
Auteurs : Niranjan Saggurti ; Anita Raj ; Bidhubhusan Mahapatra ; Debbie M. Cheng ; Sharon Coleman ; Carly Bridden ; Madhusudana Battala ; Jay G. Silverman ; Manoj H. Pardeshi ; Jeffrey H. SametSource :
- AIDS and behavior [ 1090-7165 ] ; 2013.
Abstract
This study examines non-disclosure of HIV serostatus to sex partners among HIV-infected adults involved with transactional sex in Mumbai, India. Surveys were conducted with HIV-infected female sex workers (n = 211) and infected male clients (n = 205) regarding HIV knowledge, awareness of sex partners’ HIV serostatus, alcohol use, transactional sex involvement post-HIV diagnosis and non-disclosure of HIV serostatus. Gender-stratified multiple logistic regression models were used for analysis. Non-disclosure of one’s serostatus to all sex partners was reported by almost three-fifths of females and two-fifths of males. Predictors of non-disclosure included lack of correct knowledge about HIV and no knowledge of sex partners’ HIV serostatus. Among females, recent alcohol consumption also predicted non-disclosure. Among males, 10 + paid sexual partners in the year following HIV diagnosis predicted non-disclosure. Secondary HIV prevention efforts in India require greater focus on HIV disclosure communication and integrated alcohol and sexual risk reduction.
Url:
DOI: 10.1007/s10461-012-0263-5
PubMed: 22810892
PubMed Central: 3634359
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<series><title level="j">AIDS and behavior</title>
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<front><div type="abstract" xml:lang="en"><p id="P1">This study examines non-disclosure of HIV serostatus to sex partners among HIV-infected adults involved with transactional sex in Mumbai, India. Surveys were conducted with HIV-infected female sex workers (n = 211) and infected male clients (n = 205) regarding HIV knowledge, awareness of sex partners’ HIV serostatus, alcohol use, transactional sex involvement post-HIV diagnosis and non-disclosure of HIV serostatus. Gender-stratified multiple logistic regression models were used for analysis. Non-disclosure of one’s serostatus to all sex partners was reported by almost three-fifths of females and two-fifths of males. Predictors of non-disclosure included lack of correct knowledge about HIV and no knowledge of sex partners’ HIV serostatus. Among females, recent alcohol consumption also predicted non-disclosure. Among males, 10 + paid sexual partners in the year following HIV diagnosis predicted non-disclosure. Secondary HIV prevention efforts in India require greater focus on HIV disclosure communication and integrated alcohol and sexual risk reduction.</p>
</div>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9712133</journal-id>
<journal-id journal-id-type="pubmed-jr-id">21042</journal-id>
<journal-id journal-id-type="nlm-ta">AIDS Behav</journal-id>
<journal-id journal-id-type="iso-abbrev">AIDS Behav</journal-id>
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<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Prevalence and Correlates of Non-Disclosure of HIV Serostatus to Sex partners among HIV-Infected Female Sex Workers and HIV-infected Male Clients of Female Sex Workers in India</article-title>
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<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Saggurti</surname>
<given-names>Niranjan</given-names>
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<aff id="A1">HIV and AIDS Program, Population Council, 142, Golf Links, New Delhi 110003, India</aff>
<email>nsaggurti@popcouncil.org</email>
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<contrib contrib-type="author"><name><surname>Raj</surname>
<given-names>Anita</given-names>
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<aff id="A2">Division of Global Public Health, Department of Medicine, University of California, San Diego, CA, USA</aff>
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<contrib contrib-type="author"><name><surname>Mahapatra</surname>
<given-names>Bidhubhusan</given-names>
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<aff id="A3">HIV and AIDS Program, Population Council, 142, Golf Links, New Delhi 110003, India</aff>
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<contrib contrib-type="author"><name><surname>Cheng</surname>
<given-names>Debbie M.</given-names>
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<aff id="A4">Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA. Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA</aff>
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<contrib contrib-type="author"><name><surname>Coleman</surname>
<given-names>Sharon</given-names>
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<aff id="A5">Data Coordinating Center, Boston University School of Public Health, Boston, MA, USA</aff>
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<contrib contrib-type="author"><name><surname>Bridden</surname>
<given-names>Carly</given-names>
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<aff id="A6">Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA</aff>
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<contrib contrib-type="author"><name><surname>Battala</surname>
<given-names>Madhusudana</given-names>
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<aff id="A7">HIV and AIDS Program, Population Council, 142, Golf Links, New Delhi 110003, India</aff>
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<contrib contrib-type="author"><name><surname>Silverman</surname>
<given-names>Jay G.</given-names>
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<aff id="A8">Division of Global Public Health, Department of Medicine, University of California, San Diego, CA, USA</aff>
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<contrib contrib-type="author"><name><surname>Pardeshi</surname>
<given-names>Manoj H.</given-names>
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<aff id="A9">Network of Maharashtra by People Living with HIV & AIDS (NMP+), Pune, India</aff>
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<contrib contrib-type="author"><name><surname>Samet</surname>
<given-names>Jeffrey H.</given-names>
</name>
<aff id="A10">Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA. Department of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA</aff>
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<pub-date pub-type="nihms-submitted"><day>8</day>
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<year>2013</year>
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<year>2013</year>
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<pub-date pub-type="pmc-release"><day>01</day>
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<year>2014</year>
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<volume>17</volume>
<issue>1</issue>
<fpage>399</fpage>
<lpage>406</lpage>
<permissions><copyright-statement>© Springer Science+Business Media, LLC 2012</copyright-statement>
<copyright-year>2012</copyright-year>
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<abstract><p id="P1">This study examines non-disclosure of HIV serostatus to sex partners among HIV-infected adults involved with transactional sex in Mumbai, India. Surveys were conducted with HIV-infected female sex workers (n = 211) and infected male clients (n = 205) regarding HIV knowledge, awareness of sex partners’ HIV serostatus, alcohol use, transactional sex involvement post-HIV diagnosis and non-disclosure of HIV serostatus. Gender-stratified multiple logistic regression models were used for analysis. Non-disclosure of one’s serostatus to all sex partners was reported by almost three-fifths of females and two-fifths of males. Predictors of non-disclosure included lack of correct knowledge about HIV and no knowledge of sex partners’ HIV serostatus. Among females, recent alcohol consumption also predicted non-disclosure. Among males, 10 + paid sexual partners in the year following HIV diagnosis predicted non-disclosure. Secondary HIV prevention efforts in India require greater focus on HIV disclosure communication and integrated alcohol and sexual risk reduction.</p>
</abstract>
<kwd-group><kwd>HIV serostatus non-disclosure</kwd>
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<kwd>Male clients</kwd>
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<kwd>India</kwd>
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<funding-group><award-group><funding-source country="United States">National Institute on Alcohol Abuse and Alcoholism : NIAAA</funding-source>
<award-id>R01 AA016059 || AA</award-id>
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<award-group><funding-source country="United States">National Institute on Alcohol Abuse and Alcoholism : NIAAA</funding-source>
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