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Methamphetamine-dependent Gay Men’s Disclosure of Their HIV Status to Sexual Partners

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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.

Most Common Document Word Stems:

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),

Author's Keywords:

HIV, disclosure, substance abuse
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Name: American Sociological Association
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http://www.asanet.org


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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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