The 131st Annual Meeting (November 15-19, 2003) of APHA

Abstract #71612

Trina M. Geiss, BS, Mary Auger, BA, Rachel Hayon, BA, Jacqueline Herrera, BA, Kristy A. Siegel, BS, and Emily A. Owens, BA. Department of Public Health, Florida International University, 300 N.E. 151st Street, North Miami, FL 33181, 305-756-2037, tgeis001@fiu.edu

There are a growing number of individuals who are HIV positive and are not disclosing their positive serostatus to their sex partners among men who have sex with men (MSM). The many reasons for nondisclosure must be examined in order to help resolve this problem and prevent risky sex behaviors. Primary reasons for nondisclosure of positive serostatus among MSMs include poor emotional and social support, fear of the consequences of disclosure, and complacency. One of the most critical components of psychosocial development for MSMs is the process of coming out. Without the full realization of this process, MSMs may have decreased self-efficacy; and feelings of anger, guilt, and ambivalence towards himself and others. Coupled with HIV+ serostatus, these sentiments may lead to nondisclosure and risky sex practices. Fear of disclosure itself promotes anonymous sex and decreases the formation of meaningful relationships causing feelings of isolation, depression, loneliness, and apathy. With the slowed progression to AIDS and less disease visibility, HIV infection is no longer as ominous as it once was thereby influencing complacency. Implementation of future programs should focus on the psychological aspects of infected individuals. Effective patient follow-up is one avenue for nondisclosure intervention. Additionally, MSMs need to be equipped with proper skills for effecting behavior change and appropriate notification planning. Empowering individuals to face the issue of disclosure and become successful with it will have tangible outcomes for the MSM community.

Learning Objectives:

• identify risk factors for nondisclosure among MSMs
• appreciate the impact HIV infection has had on psychosocial aspects of the MSM community
• suggest appropriate intervention programs

Keywords: Gay Men, HIV Risk Behavior

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.