Source:http://linkedlifedata.com/resource/pubmed/id/17573594
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2007-6-18
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pubmed:abstractText |
In the post-HAART era, critical questions arise as to what factors affect disclosure decisions and how these decisions are associated with factors such as high-risk behaviors and partner variables. We interviewed 1,828 HIV-positive men who have sex with men (MSM), of whom 46% disclosed to all partners. Among men with casual partners, 41.8% disclosed to all of these partners and 21.5% to none. Disclosure was associated with relationship type, perceived partner HIV status and sexual behaviors. Overall, 36.5% of respondents had unprotected anal sex (UAS) with partners of negative/unknown HIV status. Of those with only casual partners, 80.4% had >1 act of UAS and 58% of these did not disclose to all partners. This 58% were more likely to self-identify as gay (versus bisexual), be aware of their status for <5 years and have more partners. Being on HAART, viral load and number of symptoms were not associated with disclosure. This study - the largest conducted to date of disclosure among MSM and one of the few conducted post-HAART - indicates that almost 1/5th reported UAS with casual partners without disclosure, highlighting a public health challenge. Disclosure needs to be addressed in the context of relationship type, partner status and broader risk-reduction strategies.
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pubmed:grant |
http://linkedlifedata.com/resource/pubmed/grant/P30-MH058107,
http://linkedlifedata.com/resource/pubmed/grant/P30-MH062246,
http://linkedlifedata.com/resource/pubmed/grant/P30-MH43520,
http://linkedlifedata.com/resource/pubmed/grant/P30-MH57226,
http://linkedlifedata.com/resource/pubmed/grant/U10-MH57615,
http://linkedlifedata.com/resource/pubmed/grant/U10-MH57616,
http://linkedlifedata.com/resource/pubmed/grant/U10-MH57631,
http://linkedlifedata.com/resource/pubmed/grant/U10-MH57636
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0954-0121
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pubmed:author |
pubmed-author:CatzS LSL,
pubmed-author:CharleboisEE,
pubmed-author:CorrealeJJ,
pubmed-author:EhrhardtA AAA,
pubmed-author:ExnerTT,
pubmed-author:JohnsonM OMO,
pubmed-author:KellyJ AJA,
pubmed-author:KirshenbaumS BSB,
pubmed-author:KlitzmanRR,
pubmed-author:LightfootMM,
pubmed-author:MorinS FSF,
pubmed-author:RemienRR,
pubmed-author:Rotheram-BorusM JMJ,
pubmed-author:WeinhardtL SLS
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pubmed:issnType |
Print
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pubmed:volume |
19
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
749-56
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pubmed:dateRevised |
2007-12-3
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pubmed:meshHeading |
pubmed-meshheading:17573594-Attitude to Health,
pubmed-meshheading:17573594-HIV Infections,
pubmed-meshheading:17573594-Homosexuality, Male,
pubmed-meshheading:17573594-Humans,
pubmed-meshheading:17573594-Male,
pubmed-meshheading:17573594-Self Disclosure,
pubmed-meshheading:17573594-Sexual Partners,
pubmed-meshheading:17573594-Truth Disclosure,
pubmed-meshheading:17573594-Unsafe Sex
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pubmed:year |
2007
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pubmed:articleTitle |
It's not just what you say: relationships of HIV dislosure and risk reduction among MSM in the post-HAART era.
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pubmed:affiliation |
HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute, Columbia University, New York, New York, USA. rlk2@columbia.edu
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pubmed:publicationType |
Journal Article,
Multicenter Study,
Research Support, N.I.H., Extramural
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