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Behavioral interventions promoting HIV serostatus disclosure to sex partners among HIV-positive men who have sex with men: a systematic review

Author

Listed:
  • Wangnan Cao

    (The University of Hong Kong. Prince Philip Dental Hospital
    The University of Hong Kong)

  • Hai Ming Wong

    (The University of Hong Kong. Prince Philip Dental Hospital
    The University of Hong Kong)

  • Chun Chang

    (Peking University)

  • Emeka Pascal Agudile

    (Harvard University)

  • Anna Mia Ekström

    (Karolinska Institutet
    Karolinska University Hospital)

Abstract

Objectives This review aimed to identify intervention components which were effective to promote disclosure of HIV status among men have sex with men (MSM) living with HIV, particularly from a theoretical perspective. Methods A systematic review was performed through searching electronic databases, HIV-related conferences websites, and registered ongoing randomized controlled trials. Studies were included if they reported intervention evaluation results related to HIV disclosure and published before December 31, 2017. Two independent reviewers collected studies and extracted data. Results Eight studies met the inclusion criteria and were summarized. Interventions appeared effective in promoting HIV disclosure to their sex partners among MSM living with HIV if they were theory based (e.g., consequence theory and social cognitive theory). Key elements of effective interventions consisted of increasing disclosure self-efficacy, highlighting disclosure benefits, assisting risk assessment, developing disclosure strategy, and using messages under social influence. Conclusions Findings of this review imply that future interventions are more likely to succeed if they apply consequence theory, social cognitive theory, and trans-theoretical model of behavior change and include multiple key intervention components.

Suggested Citation

  • Wangnan Cao & Hai Ming Wong & Chun Chang & Emeka Pascal Agudile & Anna Mia Ekström, 2019. "Behavioral interventions promoting HIV serostatus disclosure to sex partners among HIV-positive men who have sex with men: a systematic review," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(7), pages 985-998, September.
    • Handle: RePEc:spr:ijphth:v:64:y:2019:i:7:d:10.1007_s00038-019-01275-4
    DOI: 10.1007/s00038-019-01275-4
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    1. Alonzo, Angelo A. & Reynolds, Nancy R., 1995. "Stigma, HIV and AIDS: An exploration and elaboration of a stigma trajectory," Social Science & Medicine, Elsevier, vol. 41(3), pages 303-315, August.
    2. Chaudoir, Stephenie R. & Fisher, Jeffrey D. & Simoni, Jane M., 2011. "Understanding HIV disclosure: A review and application of the Disclosure Processes Model," Social Science & Medicine, Elsevier, vol. 72(10), pages 1618-1629, May.
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