Skip to main content
Top
Published in: International Journal of Public Health 7/2019

01-09-2019 | Human Immunodeficiency Virus | Review

Behavioral interventions promoting HIV serostatus disclosure to sex partners among HIV-positive men who have sex with men: a systematic review

Authors: Wangnan Cao, Hai Ming Wong, Chun Chang, Emeka Pascal Agudile, Anna Mia Ekström

Published in: International Journal of Public Health | Issue 7/2019

Login to get access

Abstract

Objectives

This review aimed to identify intervention components which were effective to promote disclosure of HIV status among men have sex with men (MSM) living with HIV, particularly from a theoretical perspective.

Methods

A systematic review was performed through searching electronic databases, HIV-related conferences websites, and registered ongoing randomized controlled trials. Studies were included if they reported intervention evaluation results related to HIV disclosure and published before December 31, 2017. Two independent reviewers collected studies and extracted data.

Results

Eight studies met the inclusion criteria and were summarized. Interventions appeared effective in promoting HIV disclosure to their sex partners among MSM living with HIV if they were theory based (e.g., consequence theory and social cognitive theory). Key elements of effective interventions consisted of increasing disclosure self-efficacy, highlighting disclosure benefits, assisting risk assessment, developing disclosure strategy, and using messages under social influence.

Conclusions

Findings of this review imply that future interventions are more likely to succeed if they apply consequence theory, social cognitive theory, and trans-theoretical model of behavior change and include multiple key intervention components.
Literature
go back to reference Bandura A (1986) Social foundations of thought and action: a social cognitive theory. Prentice-Hall Inc, Englewood Cliffs Bandura A (1986) Social foundations of thought and action: a social cognitive theory. Prentice-Hall Inc, Englewood Cliffs
go back to reference Derlega V, Metts S, Petronio S et al (1993) Sage series on close relationships: self-disclosure. Sage Publications Inc, Thousand Oaks Derlega V, Metts S, Petronio S et al (1993) Sage series on close relationships: self-disclosure. Sage Publications Inc, Thousand Oaks
go back to reference Higgins JP, Green S (2011) Cochrane handbook for systematic reviews of interventions, vol 4. Wiley, Hoboken Higgins JP, Green S (2011) Cochrane handbook for systematic reviews of interventions, vol 4. Wiley, Hoboken
go back to reference Holtgrave DR, Qualls NL, Curran JW et al (1995) An overview of the effectiveness and efficiency of HIV prevention programs. Public Health Rep 110:134PubMedPubMedCentral Holtgrave DR, Qualls NL, Curran JW et al (1995) An overview of the effectiveness and efficiency of HIV prevention programs. Public Health Rep 110:134PubMedPubMedCentral
go back to reference Prochaska JO, DiClemente CC (1983) Stages and processes of self-change of smoking: toward an integrative model of change. J Consult Clin Psychol 51:390CrossRefPubMed Prochaska JO, DiClemente CC (1983) Stages and processes of self-change of smoking: toward an integrative model of change. J Consult Clin Psychol 51:390CrossRefPubMed
go back to reference Semple SJ, Patterson TL, Shaw WS et al (1999) Disclosure of HIV seropositivity to sexual partners: an application of social cognitive theory. Behav Ther 30:223–237CrossRef Semple SJ, Patterson TL, Shaw WS et al (1999) Disclosure of HIV seropositivity to sexual partners: an application of social cognitive theory. Behav Ther 30:223–237CrossRef
Metadata
Title
Behavioral interventions promoting HIV serostatus disclosure to sex partners among HIV-positive men who have sex with men: a systematic review
Authors
Wangnan Cao
Hai Ming Wong
Chun Chang
Emeka Pascal Agudile
Anna Mia Ekström
Publication date
01-09-2019
Publisher
Springer International Publishing
Published in
International Journal of Public Health / Issue 7/2019
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-019-01275-4

Other articles of this Issue 7/2019

International Journal of Public Health 7/2019 Go to the issue