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Patterns of HIV Disclosure and its Impact on the HIV Care Continuum Among Black Men who Have Sex With Men in South Carolina
| Content Provider | SAGE Publishing |
|---|---|
| Author | Yang, Xueying James, Titilayo A. Brown, Monique J. Brown, Tony Zarsadias, Sydney Zhang, Ran Shi, Fanghui Li, Xaoming |
| Copyright Year | 2023 |
| Abstract | Addressing the psychosocial concerns of Black men who have sex with men (MSM), such as HIV disclosure, is critical for effective HIV treatment efforts. Black MSM living with HIV experience multiple psychosocial challenges, such as “triple stigma” due to their sexual orientation, racial minority status, and HIV status, which hinder their HIV disclosure and subsequent HIV care-seeking behavior. Our study sought to examine the HIV disclosure patterns and their impact on the HIV care continuum among Black MSM using a qualitative approach. Semi-structured interviews were carried out among 28 Black MSM aged ≥18 years old living in South Carolina. A thematic analysis process was employed for data analysis. The emerging themes of facilitators of HIV disclosure included the sense of personal responsibility to disclose one’s HIV status within the context of a relationship and having other family members living with HIV, while the barriers included fear of family rejection or religious reasons. A few participants preferred to disclose to friends due to the less shame in sharing their status to friends than other confidants (e.g., family members). HIV disclosure was found to be a facilitator for linkage to care and retention in care through social support obtained from disclosure confidants. Helping patients to identify a single person (e.g., family member) to share their HIV status may offer equivalent benefits to wider disclosure. Interventions occurring at multiple levels (e.g., targeting religious groups) and within multiple contexts are needed to promote HIV disclosure and improve clinical outcomes in the Black MSM community. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/15579883231177981?download=true |
| ISSN | 15579883 |
| Issue Number | 3 |
| Volume Number | 17 |
| Journal | American Journal of Men's Health (JMH) |
| e-ISSN | 15579891 |
| DOI | 10.1177/15579883231177981 |
| Language | English |
| Publisher | Sage Publications CA |
| Publisher Date | 2023-05-30 |
| Publisher Place | Los Angeles |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2023 |
| Subject Keyword | HIV/AIDS disclosure Black men who have sex with men HIV care continuum |
| Content Type | Text |
| Resource Type | Article |
| Subject | Health (social science) Public Health, Environmental and Occupational Health |
