Open AccessFactors Associated with HIV Disclosure Status Among iENGAGE Cohort of New to HIV Care Patients
Author(s) -
Riddhi Modi,
Gerald McGwin,
James H. Willig,
Andrew O. Westfall,
Russell Griffin,
Rivet Amico,
Kimberly Martin,
James L. Raper,
Jeanne C. Keruly,
Carol E. Golin,
Anne Zinski,
Sonia Napravnik,
Heidi M. Crane,
Michael J. Mugavero
Publication year - 2020
Publication title -
aids patient care and stds
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.504
H-Index - 85
eISSN - 1557-7449
pISSN - 1087-2914
DOI - 10.1089/apc.2019.0271
Subject(s) - medicine , logistic regression , psychological intervention , cohort , human immunodeficiency virus (hiv) , family medicine , coping (psychology) , multinomial logistic regression , cohort study , clinical psychology , psychiatry , machine learning , computer science
HIV disclosure is an important behavior with implications for HIV treatment and prevention but understudied among new to HIV care patients who face unique challenges adjusting to a new diagnosis. This study evaluated the factors associated with HIV disclosure status and patterns of HIV disclosure among new to HIV care patients. A cross-sectional study was conducted evaluating the iENGAGE (integrating ENGagement and Adherence Goals upon Entry) cohort. Participants were enrolled in this randomized behavioral trial between December 2013 and June 2016. The primary and secondary outcomes included HIV disclosure status (Yes/No) and patterns of disclosure (Broad, Selective and Nondisclosure), respectively. Logistic and Multinomial Logistic Regression were used to evaluate the association of participant factors with HIV disclosure and patterns of HIV disclosure, respectively. Of 371 participants, the average age was 37 ± 12 years, 79.3% were males, and 62.3% were African Americans. A majority of participants (78.4%) disclosed their HIV status at baseline, 63.1% were broad disclosers and 15.2% were selective disclosers. In multivariable regression, black race, emotional support, and unmet needs predicted any HIV and broad disclosure, whereas males, emotional support, active coping, and acceptance were associated with selective disclosure. Interventions to promote early disclosure should focus on coping strategies and unmet needs, particularly among black and male people living with HIV initiating care.