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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 |
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| Authors: | Niranjan Saggurti Anita Raj Bidhubhusan Mahapatra Debbie M Cheng Sharon Coleman Carly Bridden Madhusudana Battala Jay G Silverman Manoj H Pardeshi Jeffrey H Samet |
| Institution: | 1. HIV and AIDS Program, Population Council, 142, Golf Links, New Delhi, 110003, India 2. Division of Global Public Health, Department of Medicine, University of California, San Diego, CA, USA 3. Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA 4. Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA 5. Data Coordinating Center, Boston University School of Public Health, Boston, MA, USA 6. Network of Maharashtra by People Living with HIV & AIDS (NMP+), Pune, India 7. Department of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA |
| 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. |
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