HIV Disclosure, Condom Use, and Awareness of HIV Infection Among HIV-Positive, Heterosexual Drug Injectors in St. Petersburg, Russian Federation
We examined the prevalence of HIV disclosure to sexual partners by HIV-positive drug injectors (IDUs) in St. Petersburg, Russia and compared the magnitude and direction of associations of condom use with awareness of one’s HIV infection and disclosure to partners. Among 157 HIV-infected participants...
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| Veröffentlicht in: | AIDS and behavior 2011-01, Vol.15 (1), p.45-57 |
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| creator | Grau, Lauretta E. White, Edward Niccolai, Linda M. Toussova, Olga V. Verevochkin, Sergei V. Kozlov, Andrei P. Heimer, Robert |
| description | We examined the prevalence of HIV disclosure to sexual partners by HIV-positive drug injectors (IDUs) in St. Petersburg, Russia and compared the magnitude and direction of associations of condom use with awareness of one’s HIV infection and disclosure to partners. Among 157 HIV-infected participants, awareness of infection at time of last intercourse was associated with condom use with partners perceived to be HIV-negative (aOR 6.68, 95% CI 1.60–27.88). Among the 70 participants aware of their infection prior to enrolment, disclosure to potentially uninfected sexual partners was independently and negatively associated with condom use (aOR 0.13, 95% CI 0.02–0.66). Disclosure was independently associated with having injected ≥9 years (aOR 6.04, 95% CI 1.53–23.77) and partnership with another IDU (aOR 3.61, 95% CI 1.44–9.06) or HIV-seropositive (aOR 45.12, 95% CI 2.79–730.46). Scaling up HIV testing services and interventions that increase the likelihood of individuals receiving their test results is recommended. |
| doi_str_mv | 10.1007/s10461-010-9775-z |
| format | Article |
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Among 157 HIV-infected participants, awareness of infection at time of last intercourse was associated with condom use with partners perceived to be HIV-negative (aOR 6.68, 95% CI 1.60–27.88). Among the 70 participants aware of their infection prior to enrolment, disclosure to potentially uninfected sexual partners was independently and negatively associated with condom use (aOR 0.13, 95% CI 0.02–0.66). Disclosure was independently associated with having injected ≥9 years (aOR 6.04, 95% CI 1.53–23.77) and partnership with another IDU (aOR 3.61, 95% CI 1.44–9.06) or HIV-seropositive (aOR 45.12, 95% CI 2.79–730.46). Scaling up HIV testing services and interventions that increase the likelihood of individuals receiving their test results is recommended.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-010-9775-z</identifier><identifier>PMID: 20700645</identifier><identifier>CODEN: AIBEFC</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Acquired Immune Deficiency Syndrome ; Adult ; Condoms ; Condoms - statistics & numerical data ; Consciousness ; Cross-Sectional Studies ; Disclosure ; Disease prevention ; Drug Injection ; Drug use ; Drug Users - psychology ; Female ; Health behavior ; Health Knowledge, Attitudes, Practice ; Health Psychology ; Heterosexuality ; HIV ; HIV Infections - diagnosis ; HIV Infections - epidemiology ; HIV Infections - prevention & control ; HIV Infections - psychology ; HIV Seropositivity - epidemiology ; HIV Seropositivity - psychology ; HIV Seropositivity - transmission ; HIV-1 ; Human immunodeficiency virus ; Humans ; Infectious Diseases ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Paper ; Prevalence ; Public Health ; Risk Factors ; Russia - epidemiology ; Self Disclosure ; Sexual Behavior ; Sexual Partners - psychology ; Sexually transmitted diseases ; Socioeconomic Factors ; STD ; Substance Abuse, Intravenous - epidemiology ; Substance Abuse, Intravenous - psychology ; Young Adult</subject><ispartof>AIDS and behavior, 2011-01, Vol.15 (1), p.45-57</ispartof><rights>The Author(s) 2010</rights><rights>Springer Science+Business Media, LLC 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c532t-26e2c487643e6b6520769cb2be4f5aba584d636b969e58b659030240455718b93</citedby><cites>FETCH-LOGICAL-c532t-26e2c487643e6b6520769cb2be4f5aba584d636b969e58b659030240455718b93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-010-9775-z$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-010-9775-z$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27344,27924,27925,33774,33775,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20700645$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Grau, Lauretta E.</creatorcontrib><creatorcontrib>White, Edward</creatorcontrib><creatorcontrib>Niccolai, Linda M.</creatorcontrib><creatorcontrib>Toussova, Olga V.</creatorcontrib><creatorcontrib>Verevochkin, Sergei V.</creatorcontrib><creatorcontrib>Kozlov, Andrei P.</creatorcontrib><creatorcontrib>Heimer, Robert</creatorcontrib><title>HIV Disclosure, Condom Use, and Awareness of HIV Infection Among HIV-Positive, Heterosexual Drug Injectors in St. Petersburg, Russian Federation</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>We examined the prevalence of HIV disclosure to sexual partners by HIV-positive drug injectors (IDUs) in St. Petersburg, Russia and compared the magnitude and direction of associations of condom use with awareness of one’s HIV infection and disclosure to partners. Among 157 HIV-infected participants, awareness of infection at time of last intercourse was associated with condom use with partners perceived to be HIV-negative (aOR 6.68, 95% CI 1.60–27.88). Among the 70 participants aware of their infection prior to enrolment, disclosure to potentially uninfected sexual partners was independently and negatively associated with condom use (aOR 0.13, 95% CI 0.02–0.66). Disclosure was independently associated with having injected ≥9 years (aOR 6.04, 95% CI 1.53–23.77) and partnership with another IDU (aOR 3.61, 95% CI 1.44–9.06) or HIV-seropositive (aOR 45.12, 95% CI 2.79–730.46). Scaling up HIV testing services and interventions that increase the likelihood of individuals receiving their test results is recommended.</description><subject>Acquired Immune Deficiency Syndrome</subject><subject>Adult</subject><subject>Condoms</subject><subject>Condoms - statistics & numerical data</subject><subject>Consciousness</subject><subject>Cross-Sectional Studies</subject><subject>Disclosure</subject><subject>Disease prevention</subject><subject>Drug Injection</subject><subject>Drug use</subject><subject>Drug Users - psychology</subject><subject>Female</subject><subject>Health behavior</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Psychology</subject><subject>Heterosexuality</subject><subject>HIV</subject><subject>HIV Infections - diagnosis</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - psychology</subject><subject>HIV Seropositivity - epidemiology</subject><subject>HIV Seropositivity - psychology</subject><subject>HIV Seropositivity - transmission</subject><subject>HIV-1</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Prevalence</subject><subject>Public Health</subject><subject>Risk Factors</subject><subject>Russia - epidemiology</subject><subject>Self Disclosure</subject><subject>Sexual Behavior</subject><subject>Sexual Partners - psychology</subject><subject>Sexually transmitted diseases</subject><subject>Socioeconomic Factors</subject><subject>STD</subject><subject>Substance Abuse, Intravenous - epidemiology</subject><subject>Substance Abuse, Intravenous - psychology</subject><subject>Young 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| subjects | Acquired Immune Deficiency Syndrome Adult Condoms Condoms - statistics & numerical data Consciousness Cross-Sectional Studies Disclosure Disease prevention Drug Injection Drug use Drug Users - psychology Female Health behavior Health Knowledge, Attitudes, Practice Health Psychology Heterosexuality HIV HIV Infections - diagnosis HIV Infections - epidemiology HIV Infections - prevention & control HIV Infections - psychology HIV Seropositivity - epidemiology HIV Seropositivity - psychology HIV Seropositivity - transmission HIV-1 Human immunodeficiency virus Humans Infectious Diseases Male Medicine Medicine & Public Health Middle Aged Original Paper Prevalence Public Health Risk Factors Russia - epidemiology Self Disclosure Sexual Behavior Sexual Partners - psychology Sexually transmitted diseases Socioeconomic Factors STD Substance Abuse, Intravenous - epidemiology Substance Abuse, Intravenous - psychology Young Adult |
| title | HIV Disclosure, Condom Use, and Awareness of HIV Infection Among HIV-Positive, Heterosexual Drug Injectors in St. Petersburg, Russian Federation |
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