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. 2003 Jun;93(6):949-54.
doi: 10.2105/ajph.93.6.949.

Sex without disclosure of positive HIV serostatus in a US probability sample of persons receiving medical care for HIV infection

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Sex without disclosure of positive HIV serostatus in a US probability sample of persons receiving medical care for HIV infection

Daniel H Ciccarone et al. Am J Public Health. 2003 Jun.

Abstract

Objectives: We estimated the proportion of HIV-positive adults who have any sexual contact without disclosure and the proportion of their sexual partnerships that involve unprotected sex without disclosure.

Methods: We drew participants from the HIV Cost and Services Utilization Study (n = 1421). Interviews assessed disclosure and sexual activities with up to 5 recent partners.

Results: Overall, 42% of the gay or bisexual men, 19% of the heterosexual men, and 17% of all the women reported any sex without disclosure, predominately within nonexclusive partnerships (P <.001). Across all groups, 13% of serodiscordant partnerships involved unprotected anal or vaginal sex without disclosure, with no significant difference between groups.

Conclusions: Risky sex without disclosure of serostatus is not uncommon among people with HIV.

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