| Title | Behavioral interventions promoting HIV serostatus disclosure to sex partners among HIV-positive men who have sex with men: a systematic review |
| Authors | Cao, Wangnan Wong, Hai Ming Chang, Chun Agudile, Emeka Pascal Ekstrom, Anna Mia |
| Affiliation | Univ Hong Kong, Prince Philip Dent Hosp, Fac Dent, Paediat Dent & Orthodont, Hong Kong, Peoples R China Univ Hong Kong, Fac Dent, Publ Hlth & Hlth Ageing Res Grp, Hong Kong, Peoples R China Peking Univ, Sch Publ Hlth, Dept Social Med & Hlth Educ, Beijing, Peoples R China Harvard Univ, Harvard TH Chan Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA 02115 USA Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden Karolinska Univ Hosp, Dept Infect Dis, Huddinge, Sweden |
| Keywords | Disclosure HIV Intervention studies Men who have sex with men Systematic review |
| Issue Date | 2019 |
| Publisher | INTERNATIONAL JOURNAL OF PUBLIC HEALTH |
| 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. |
| URI | http://hdl.handle.net/20.500.11897/545628 |
| ISSN | 1661-8556 |
| DOI | 10.1007/s00038-019-01275-4 |
| Indexed | SCI(E) SSCI(E) EI |
| Appears in Collections: | 公共卫生学院 |
