1. Disclosure of HIV-serodiscordant relationships and association with viral suppression: results from the Positive Plus One study.
- Author
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Mendelsohn, Joshua B., Calzavara, Liviana, Bullock, Sandra, Iveniuk, James, Tan, Darrell H. S., Burchell, Ann N., Bourne, Adam, Lebouché, Bertrand, Daftary, Amrita, Moravan, Veronika, Loutfy, Mona, and Conway, Brian
- Subjects
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CONFIDENCE intervals , *VIRAL load , *CROSS-sectional method , *HIV seroconversion , *SELF-disclosure , *TREATMENT effectiveness , *RESEARCH funding , *DESCRIPTIVE statistics , *CHI-squared test , *SEXUAL partners , *SOCIODEMOGRAPHIC factors - Abstract
Background. Little is known about the effects of disclosure of HIV-serodiscordant relationships on clinical outcomes. We aimed to evaluate the effect of relationship disclosure on HIV viral suppression, and hypothesized that disclosure by HIV-positive and HIV-negative partners would be associated with viral suppression in the HIV-positive partner. Methods. We conducted a Canadian national online and telephone-administered survey of HIV-positive and HIV-negative partners in serodiscordant relationships. The primary outcome was self-reported viral suppression. Multivariable analyses were undertaken using Firth logistic regression. Results. We recruited 540 participants in current serodiscordant relationships (n = 228 HIV-negative; n = 312 HIV-positive). Similar proportions of HIV-positive and HIV-negative partners disclosed their relationship to healthcare professionals (82% v. 76%, p = 0.13). Among HIV-positive partners, disclosure of the relationship to healthcare professionals increased the odds of viral suppression (aOR = 4.7; CI: 2.13, 10.51) after adjusting for age, education, and relationship turmoil due to HIV. Increasing age (aOR = 1.28; 95% CI = 1.07, 1.55) and education (aOR = 2.43; 95% CI = 1.15, 5.26) were also associated with viral suppression. Among HIV-negative partners, relationship disclosure was not associated with viral suppression and HIV-negative heterosexual men were less likely to report that their HIV-positive partners were virally suppressed (aOR = 0.24; CI: 0.09, 0.61). Conclusions. Disclosure of HIV-serodiscordant status by HIV-positive participants to healthcare professionals was associated with increased odds of viral suppression. Similar effects were not evident among HIV-negative participants. Future work should explore factors that empower relationship disclosure and incorporate them into supportive services for HIV-serodiscordant relationships. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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