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Methamphetamine-dependent Gay Men’s Disclosure of Their HIV Status to Sexual Partners |
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Abstract:
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Disclosure of one’s HIV status to a potential sexual partner has important HIV prevention implications. This paper qualitatively evaluates the social and sexual contexts that influence disclosure of HIV status among methamphetamine-dependent gay men enrolled in an outpatient drug treatment research program. As part of an open-ended, semi-structured interview, 34 HIV-positive and HIV-negative men discussed how, when, to whom, and under what circumstances they reveal information about their HIV status. The four factors that influence participants’ decision to disclose include: (1) an HIV-negative sexual partner’s disclosure; (2) sexual venue (private versus public); (3) primary versus non-primary partner; and (4) the perceived risk of the sexual act. Sexual encounters among the men in this sample often occurred in public environments with non-primary partners, and involved use of illicit substances. In these social and sexual contexts, both HIV-positive and HIV-negative participants believed that it is HIV-negative rather than HIV-positive men who should initiate safer sex dialogue and safer sex practices. Findings are helpful in crafting HIV-prevention interventions targeting substance-using gay men whose sexual practices place them at high-risk for HIV-infection. |
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hiv (247), sexual (150), partner (120), disclosur (78), status (68), posit (61), sex (60), negat (59), particip (59), men (59), use (50), hiv-posit (48), risk (46), hiv-neg (45), al (40), et (38), gay (38), behavior (36), disclos (32), methamphetamin (31), primari (29), |
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Association:
Name: American Sociological Association URL: http://www.asanet.org
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Citation:
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MLA Citation:
| Larkins, Sherry. "Methamphetamine-dependent Gay Men’s Disclosure of Their HIV Status to Sexual Partners" Paper presented at the annual meeting of the American Sociological Association, Hilton San Francisco & Renaissance Parc 55 Hotel, San Francisco, CA,, Aug 14, 2004 <Not Available>. 2009-05-26 <http://www.allacademic.com/meta/p108519_index.html> |
APA Citation:
| Larkins, S. A. , 2004-08-14 "Methamphetamine-dependent Gay Men’s Disclosure of Their HIV Status to Sexual Partners" Paper presented at the annual meeting of the American Sociological Association, Hilton San Francisco & Renaissance Parc 55 Hotel, San Francisco, CA, Online <.PDF>. 2009-05-26 from http://www.allacademic.com/meta/p108519_index.html |
Publication Type: Conference Paper/Unpublished Manuscript Review Method: Peer Reviewed Abstract: Disclosure of one’s HIV status to a potential sexual partner has important HIV prevention implications. This paper qualitatively evaluates the social and sexual contexts that influence disclosure of HIV status among methamphetamine-dependent gay men enrolled in an outpatient drug treatment research program. As part of an open-ended, semi-structured interview, 34 HIV-positive and HIV-negative men discussed how, when, to whom, and under what circumstances they reveal information about their HIV status. The four factors that influence participants’ decision to disclose include: (1) an HIV-negative sexual partner’s disclosure; (2) sexual venue (private versus public); (3) primary versus non-primary partner; and (4) the perceived risk of the sexual act. Sexual encounters among the men in this sample often occurred in public environments with non-primary partners, and involved use of illicit substances. In these social and sexual contexts, both HIV-positive and HIV-negative participants believed that it is HIV-negative rather than HIV-positive men who should initiate safer sex dialogue and safer sex practices. Findings are helpful in crafting HIV-prevention interventions targeting substance-using gay men whose sexual practices place them at high-risk for HIV-infection. |
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| Document Type: |
.PDF |
| Page count: |
20 |
| Word count: |
6001 |
| Text sample: |
| Disclosure of HIV status to sexual partners Methamphetamine-dependent Gay Men’s Disclosure of Their HIV Status to Sexual Partners Sherry Larkins Ph.D.1 2 Cathy J. Reback Ph.D.1 2 3 Steven Shoptaw Ph.D.1 2 4 Rosemary Veniegas Ph.D. 4 1 UCLA Integrated Substance Abuse Programs 2 Friends Research Institute 3 Van Ness Recovery House/Prevention Division 4 UCLA Center for HIV Identification Prevention and Treatment Services Corresponding Author: Sherry Larkins Ph.D. UCLA Integrated Substance Abuse Programs 11075 Santa Monica Boulevard Suite 200 |
| on Retroviruses and Opportunistic Infections. Boston MA. Vargheese B. Maher J. E. Peterman T. A. Branson B. M. & Steeketee R. W. (2001). Reducing the risk of sexual HIV transmission. Sexually Transmitted Diseases 29 38-43. Wein M. (1989). Duty to warn. Journal of the American Medical Association 261 1355- 1360. Wenger N. Kusseling F. Beck K. & Shapiro M. (1994). Sexual behavior of individuals infected with human immunodeficiency virus. Archives of Internal Medicine 154 1849- 1854. Wolitski R.J. Rietmeijer |
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