Immigrant Status and Sexual Orientation Disclosure: Implications for HIV/STD Prevention among Men Who Have Sex with Men in Seattle, Washington

Details

• Alternative Title:
  AIDS Behav
• Personal Author:
  Lee, Jane J. ; Katz, David A. ; Glick, Sara N. ; Moreno, Courtney ; Kerani, Roxanne P.
• Description:
  Men who have sex with men (MSM) are disproportionately affected by HIV and may avoid disclosing their sexual preferences to others. With heightened attention on immigrant status in the United States, foreign-born MSM may be particularly concerned about disclosing their sexual orientation. We sought to examine how immigrant status is associated with sexual orientation disclosure among MSM and to assess the impact of disclosure on HIV/STD prevention outcomes stratified by nativity. We analyzed data from the 2014 and 2017 Seattle-area surveys of MSM from the National HIV Behavioral Surveillance (NHBS) system. Foreign-born MSM were less likely than U.S.-born MSM to have disclosed their sexuality to friends who are not gay, lesbian, or bisexual (85.0% vs. 95.5%; p < .001) or to family members (80.5% vs. 91.3%; p < .001). Further, disclosure to one's health care provider significantly increased the likelihood of having tested for HIV in the past 12 months among foreign-born and U.S.-born MSM. Findings highlight the need to better understand the risks and benefits of disclosure among foreign-born MSM. Future research may explore how responses and reactions to disclosure among foreign-born MSM shape pathways to HIV risk and prevention.
• Subjects:
  Adult Article Emigrants And Immigrants Female HIV/STD Prevention HIV Infections Homosexuality, Male Humans Immigrant Status Male MSM Self Disclosure Sexual And Gender Minorities Sexual Behavior Sexual Orientation Disclosure, Truth Disclosure Washington

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• Source:
  AIDS Behav. 24(10):2819-2828
• Pubmed ID:
  32170508
• Pubmed Central ID:
  PMC7483536
• Document Type:
  Journal Article
• Funding:
  NIH P30 AI027757/Center for AIDS Research, University of Washington/ ; 5 NU62PS005094-02/CC/CDC HHSUnited States/ ; 5 U1BPS003250-04/CC/CDC HHSUnited States/ ; U62 PS005094/PS/NCHHSTP CDC HHSUnited States/ ; L30 TR003183/TR/NCATS NIH HHSUnited States/ ; U1B PS003250/PS/NCHHSTP CDC HHSUnited States/ ; P30 AI027757/AI/NIAID NIH HHSUnited States/
• Volume:
  24
• Issue:
  10
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:2f2d8c544b3f72ced2dd79900f961e7c034d2c9dec094460f9b3715353e04528
• Download URL:
  https://stacks.cdc.gov/view/cdc/93502/cdc_93502_DS1.pdf
• File Type:
  [PDF - 95.92 KB ]