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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Variations in the Role of Social Support on Disclosure Among Newly Diagnosed HIV-Infected People Who Inject Drugs in Vietnam

TitleVariations in the Role of Social Support on Disclosure Among Newly Diagnosed HIV-Infected People Who Inject Drugs in Vietnam
Publication TypeJournal Article
Year of Publication2016
AuthorsGo, VF, Latkin, C, Le Minh, N, Frangakis, C, Ha, TV, Sripaipan, T, Mo, TT, Davis, WW, Vu, PT, Quan, VM
JournalAIDS Behav
Volume20
Pagination155-64
Date PublishedJan
ISBN Number1573-3254 (Electronic)1090-7165 (Linking)
Accession Number25972071
Keywords*Self Disclosure, *Social Stigma, *Social Support, *Truth Disclosure, Adolescent, Adult, Discrimination (Psychology), Female, HIV disclosure, HIV Infections/diagnosis/*psychology, Humans, Injection drug use, Male, Middle Aged, People living with HIV, Sexual Partners, Social Environment, Social Support, Socioeconomic Factors, stigma, Substance Abuse, Intravenous/complications/*psychology, Vietnam, Young Adult
Abstract

Stigma and perceived social support can influence the decision to disclose HIV positive status, especially for people who inject drugs (PWID). In this analysis, the association between social support and HIV disclosure among 336 newly diagnosed HIV-infected PWID in Northern Vietnam was assessed. One month after diagnosis, 34.8 % of participants had not disclosed to anyone. Disclosure to anyone and to a family member specifically, was associated with baseline social support in the form of positive interactions and a history of incarceration. Disclosing to a family member was less likely among those who had unprotected sex in the previous 3 months. Disclosure to an injecting partner was more likely among those with a history of being in a drug treatment program, knowing someone on ART and believing that ART is safe. These data suggest that social support may facilitate disclosure among family members, including spouses, while disclosure to injecting partners is greater when PWID know that ART is a safe and viable option.

PMCID

PMC4774251