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Using Communication Privacy Management Theory to Examine HIV Disclosure to Sexual Partners/Spouses Among PLHIV in Guangxi

Mon, May 25, 10:30 to 11:45, Caribe Hilton, Maguey

Abstract

Objectives: The current study employed the theory of communication privacy management to examine the factors associated with disclosure of HIV infection to sexual partners or spouses as well as gender differences in these associations among a sample of people living with HIV (PLHIV) in China.
Methods: A total of 1093 PLHIV answered the questions related to disclosure of HIV status to sexual partners/spouses. Descriptive statistics were first reported on the prevalence of HIV status disclosure to spouses/partners and demographic variables, motivations for disclosure and nondisclosure, HIV-related stigma, and relational factors. Second, a series of t-tests were conducted to investigate the differences in the above variables between females and males. Lastly, logistic regression was employed to determine the factors of whether or not the participants disclosed their HIV status to spouses/partners for the male, the female and the combined samples.
Results: Fear of rejection was a significant predictor of HIV nondisclosure for the male, the female and the combined samples. Concern about privacy was a significant factor in not disclosing to sexual partners/spouses only in the male sample. The endorsement of duty to inform/educate was the only motivation factor that was significantly related to HIV disclosure for the three samples. The motivation to establish a close/supportive relationship with intimate partners/spouses was found to be associated with HIV disclosure for the combined and male samples.
Conclusion: The current study has theoretical and practical implications for HIV interventions that focus on the factors associated with disclosure decision-making to facilitate PLHIV to cope with the disease.

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