HIV status disclosure, depressive symptoms, and sexual risk behavior among HIV-positive young men who have sex with men

Stephanie H. Cook, Pamela Valera, Patrick A. Wilson

Research output: Contribution to journalArticle

Abstract

The rate of HIV infection among young men who have sex with men (YMSM) is increasing in the United States, and targeted research is needed to inform interventions aimed at reducing HIV transmission in this population. This study aims to understand the association between HIV status disclosure and sexual risk behavior among HIV-positive YMSM. A particular focus is given to depressive symptoms and their potential role in explaining the association between HIV disclosure and sexual risk behavior. In a sample of 991 YMSM receiving care at 20 clinics across the United States, Univariate and multivariate analyses were conducted to explore these associations. Approximately one-half (52.4 %) of participants reported disclosing to their current sexual/romantic partner. Disclosure to family members was negatively associated with sexual risk behavior. Also, depressive symptoms were positively associated with sexual risk behavior. We discuss the implications of our findings for future research and intervention.

Original languageEnglish (US)
Pages (from-to)507-517
Number of pages11
JournalJournal of Behavioral Medicine
Volume38
Issue number3
DOIs
StatePublished - Jun 1 2015

Keywords

  • Depression
  • Disclosure
  • HIV/AIDS
  • Sexual risk behavior
  • Young men who have sex with men

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health

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