Boston Medical Center, Department of Medicine, Boston University, 801 Massachusetts Ave., Boston, MA 02118, USA.
AIDS Behav. 2013 Jan;17(1):390-8. doi: 10.1007/s10461-012-0216-z.
Nondisclosure of one's HIV infection to sexual partners obviates safer sex negotiations and thus jeopardizes HIV transmission prevention. The role of alcohol use in the disclosure decision process is largely unexplored. This study assessed the association between alcohol use and recent nondisclosure of HIV serostatus to sex partners by HIV-infected risky drinkers in St. Petersburg, Russia. Approximately half (317/605; 52.4 %) reported not having disclosed their HIV serostatus to all partners since awareness of infection. Using three separate GEE logistic regression models, we found no significant association between alcohol dependence, risky alcohol use (past 30 days), or alcohol use at time of sex (past 30 days) with recent (past 3 months) nondisclosure (AOR [95 % CI] 0.81 [0.55, 1.20], 1.31 [0.79, 2.17], 0.75 [0.54, 1.05], respectively). Alcohol use at time of sex was associated with decreased odds of recent nondisclosure among seroconcordant partners and among casual partners. Factors associated with nondisclosure were relationship with a casual partner, a serodiscordant partner, multiple sex partners, awareness of HIV diagnosis less than 1 year, and a lifetime history of sexually transmitted disease. Nondisclosure of HIV status to sex partners is common among HIV-infected Russians, however alcohol does not appear to be a predictor of recent disclosure.
未向性伴侣透露 HIV 感染情况会妨碍安全性行为的协商，从而危及 HIV 传播的预防。酒精使用在披露决策过程中的作用在很大程度上尚未得到探索。本研究评估了酒精使用与俄罗斯圣彼得堡感染 HIV 的高风险饮酒者最近未向性伴侣透露 HIV 血清状况之间的关联。大约有一半（317/605；52.4%）报告自感染意识以来未向所有伴侣透露其 HIV 血清状况。使用三个单独的 GEE 逻辑回归模型，我们没有发现酒精依赖、危险饮酒（过去 30 天）或性行为时的饮酒（过去 30 天）与最近（过去 3 个月）未披露之间存在显著关联（AOR [95%CI] 0.81 [0.55, 1.20]，1.31 [0.79, 2.17]，0.75 [0.54, 1.05]）。性行为时的饮酒与与血清一致的伴侣和偶然伴侣最近未披露的几率降低有关。与未披露相关的因素包括与偶然伴侣、血清不一致的伴侣、多个性伴侣、对 HIV 诊断的认识不到 1 年以及有性传播疾病的病史。向性伴侣隐瞒 HIV 状况在感染 HIV 的俄罗斯人中很常见，但酒精似乎不是最近披露的预测因素。
