Prevalence and correlates of non-disclosure of HIV serostatus to sex partners among HIV-infected female sex workers and HIV-infected male clients of female sex workers in India

AIDS Behav. 2013 Jan;17(1):399-406. doi: 10.1007/s10461-012-0263-5.

Abstract

This study examines non-disclosure of HIV serostatus to sex partners among HIV-infected adults involved with transactional sex in Mumbai, India. Surveys were conducted with HIV-infected female sex workers (n = 211) and infected male clients (n = 205) regarding HIV knowledge, awareness of sex partners' HIV serostatus, alcohol use, transactional sex involvement post-HIV diagnosis and non-disclosure of HIV serostatus. Gender-stratified multiple logistic regression models were used for analysis. Non-disclosure of one's serostatus to all sex partners was reported by almost three-fifths of females and two-fifths of males. Predictors of non-disclosure included lack of correct knowledge about HIV and no knowledge of sex partners' HIV serostatus. Among females, recent alcohol consumption also predicted non-disclosure. Among males, 10 + paid sexual partners in the year following HIV diagnosis predicted non-disclosure. Secondary HIV prevention efforts in India require greater focus on HIV disclosure communication and integrated alcohol and sexual risk reduction.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Alcohol Drinking / epidemiology
  • Condoms / statistics & numerical data
  • Cross-Sectional Studies
  • Female
  • HIV Infections / epidemiology*
  • HIV Infections / prevention & control
  • Health Knowledge, Attitudes, Practice
  • Humans
  • India / epidemiology
  • Logistic Models
  • Male
  • Middle Aged
  • Prevalence
  • Risk-Taking*
  • Self Disclosure*
  • Sex Work / statistics & numerical data*
  • Sex Workers
  • Sexual Behavior / statistics & numerical data*
  • Sexual Partners*
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Young Adult