Historique
Périodique
Methamphetamine-dependent gay men's disclosure of their HIV status to sexual partners
(Révélation du statut sérologique VIH d'homosexuels dépendants aux méthamphétamines à leurs partenaires sexuels)
Auteur(s) :
LARKINS S. ;
REBACK C. J. ;
S. SHOPTAW ;
R. VENIEGAS
Article en page(s) :
521-532
Refs biblio. :
45
Domaine :
Autres substances / Other substances
Langue(s) :
Anglais
Discipline :
MAL (Maladies infectieuses / Infectious diseases)
Thésaurus mots-clés
METHAMPHETAMINE
;
DROGUES DE SYNTHESE
;
HSH
;
SEXUALITE
;
VIH
;
CONDUITE A RISQUE
;
SEXE MASCULIN
Thésaurus géographique
ETATS-UNIS
Note générale :
AIDS Care, 2005, 17, (4), 521-532
Note de contenu :
tabl.
Résumé :
ENGLISH :
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. (Author' s abstract)
ENGLISH :
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. (Author' s abstract)
Affiliation :
UCLA Integrated Substance Abuse Programs
Etats-Unis. United States.
Etats-Unis. United States.
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