Halkitis Perry N, Kingdon Molly J, Barton Staci, Eddy Jessica
The Center for Health, Identity, Behavior, and Prevention Studies (CHIBPS), The Steinhardt School of Culture, Education, and Human Development, Professor of Applied Psychology, Public Health, and Medicine, New York University, Global Institute of Public Health, 41 East 11th Street, #716, New York, NY 10003 212 998 5373.
The Center for Health, Identity, Behavior, and Prevention Studies (CHIBPS), The Steinhardt School of Culture, Education, and Human Development, New York University, New York, NY.
J Gay Lesbian Ment Health. 2016;20(1):41-56. doi: 10.1080/19359705.2015.1033797. Epub 2015 Apr 20.
Most HIV-positive men who have sex with men (MSM) ages 50 and older feel a responsibility to protect their sex partners from HIV transmission risk. For some, this is enacted through HIV disclosure, for others, this is realized through reduced risk behaviors.
To examine this, we analyzed interviews of 23 HIV-positive MSM ages 50 and older.
We identified several contextual, relational, and psychosocial factors that served as either barriers or facilitators to HIV disclosure.
Our findings suggest HIV status disclosure is multifaceted and continues to impact sexual communication in the lives of MSM as they enter middle age.
大多数50岁及以上的HIV阳性男男性行为者（MSM）认为自己有责任保护其性伴侣免受HIV传播风险。对一些人来说，这通过披露HIV感染状况来实现，对另一些人来说，则通过降低风险行为来实现。
为了对此进行研究，我们分析了对23名50岁及以上的HIV阳性MSM的访谈。
我们确定了几个背景、关系和心理社会因素，这些因素既是HIV披露的障碍，也是促进因素。
我们的研究结果表明，HIV感染状况的披露是多方面的，并且在MSM进入中年后，继续影响他们生活中的性交流。
