Chadwick Sara B, Antebi-Gruszka Nadav, Siegel Karolynn, Schrimshaw Eric W
Department of Population Health Sciences, College of Medicine, University of Central Florida, Orlando, FL, USA.
Departments of Psychology & Gender and Women's Studies, University of Wisconsin- Madison, Madison, WI, USA.
AIDS Behav. 2023 Dec;27(12):3992-4009. doi: 10.1007/s10461-023-04114-z. Epub 2023 Jul 1.
In the present study, we sought to better understand how MSM make decisions about HIV disclosure when using hook-up apps/websites and how these decisions relate to condom use during app/website-facilitated sexual encounters. Semi-structured interviews were conducted with 60 MSM (30% living with HIV) who had used hook-up apps and websites to meet sexual partners within the past three months. Results demonstrated a variety of approaches to HIV status disclosure. Some men reported usually discussing HIV status, but others discussed HIV status selectively (e.g., only when asked, when a relationship became more serious). Some men reported that listing one's status in a profile precluded the need to discuss it further. Others noted that leaving an HIV status blank "hinted" at their own or others' HIV positive or negative status. These approaches were closely linked to decisions about condom use. Many men reported serosorting based on inferences or assumptions about partners' HIV status. Together, results highlighted potential gaps in communication that can lead to faulty assumptions about HIV status and subsequent serodiscordant condomless sex and suggest that interventions that promote HIV status disclosure address these potential faulty assumptions.
在本研究中，我们试图更好地理解男男性行为者（MSM）在使用交友应用程序/网站时如何做出关于披露艾滋病毒感染状况的决定，以及这些决定如何与在应用程序/网站促成的性接触期间使用避孕套相关。我们对60名在过去三个月内使用交友应用程序和网站结识性伴侣的男男性行为者进行了半结构化访谈（其中30%为艾滋病毒感染者）。结果显示了多种披露艾滋病毒感染状况的方式。一些男性报告说通常会讨论艾滋病毒感染状况，但另一些人则有选择地讨论（例如，只有在被问及、关系变得更亲密时）。一些男性报告说，在个人资料中列出自己的感染状况就无需进一步讨论。其他人指出，在艾滋病毒感染状况一栏留白会“暗示”自己或他人的艾滋病毒感染状况是阳性还是阴性。这些方式与使用避孕套的决定密切相关。许多男性报告说会根据对性伴侣艾滋病毒感染状况的推断或假设进行血清分类。总之，结果突出了沟通中可能存在的差距，这些差距可能导致对艾滋病毒感染状况的错误假设以及随后的血清学不一致的无保护性行为，并表明促进艾滋病毒感染状况披露的干预措施可以解决这些潜在的错误假设。
