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Public Health Rep. 2000 Jan-Feb; 115(1): 38–45.
PMCID: PMC1308555

Disclosure of HIV status to medical providers: differences by gender, "race," and immune function.

Abstract

OBJECTIVE: The authors used data from a larger study to explore differences by gender, self-reported racial identification, and immune function in disclosure of HIV-positive serostatus to medical providers (dentists, family doctors, and emergency room [ER] and obstetrics-gynecology [ob/gyn] providers). METHOD: The authors analyzed interview responses from a convenience sample of African American and white men and women receiving HIV medical care at urban hospitals and clinics in St. Louis. Missouri. RESULTS: Of 179 respondents using at least one of three types of providers, 124 (69%) disclosed their HIV status to all applicable types of providers, 39 (22%) disclosed to only one or two types of providers, and 16 (9%) did not disclose to any of these types of providers. "Race" and CD4 count, but not gender, were independently associated with disclosure to dentists, family doctors, and ER providers in multivariate logistic regression analyses. CONCLUSIONS: Differences in disclosure rates, especially among patients who may be asymptomatic, suggest a need for public health education of both medical providers and patients with HIV.

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Selected References

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  • Semple SJ, Patterson TL, Temoshok LR, McCutchan JA, Straits-Tröster KA, Chandler JL, Grant I. Identification of psychobiological stressors among HIV-positive women. HIV Neurobehavioral Research Center (HNRC) Group. Women Health. 1993;20(4):15–36. [PubMed]
  • Stein MD, Freedberg KA, Sullivan LM, Savetsky J, Levenson SM, Hingson R, Samet JH. Sexual ethics. Disclosure of HIV-positive status to partners. Arch Intern Med. 1998 Feb 9;158(3):253–257. [PubMed]
  • Perry SW, Card CA, Moffatt M, Jr, Ashman T, Fishman B, Jacobsberg LB. Self-disclosure of HIV infection to sexual partners after repeated counseling. AIDS Educ Prev. 1994 Oct;6(5):403–411. [PubMed]
  • Mansergh G, Marks G, Simoni JM. Self-disclosure of HIV infection among men who vary in time since seropositive diagnosis and symptomatic status. AIDS. 1995 Jun;9(6):639–644. [PubMed]
  • Marks G, Richardson JL, Maldonado N. Self-disclosure of HIV infection to sexual partners. Am J Public Health. 1991 Oct;81(10):1321–1322. [PubMed]
  • Schnell DJ, Higgins DL, Wilson RM, Goldbaum G, Cohn DL, Wolitski RJ. Men's disclosure of HIV test results to male primary sex partners. Am J Public Health. 1992 Dec;82(12):1675–1676. [PubMed]
  • Smith MY, Rapkin BD. Social support and barriers to family involvement in caregiving for persons with AIDS: implications for patient education. Patient Educ Couns. 1996 Jan;27(1):85–94. [PubMed]
  • Szapocznik J. Research on disclosure of HIV status: cultural evolution finds an ally in science. Health Psychol. 1995 Jan;14(1):4–5. [PubMed]
  • Faithfull J. HIV-positive and AIDS-infected women: challenges and difficulties of mothering. Am J Orthopsychiatry. 1997 Jan;67(1):144–151. [PubMed]
  • Simoni JM, Mason HR, Marks G, Ruiz MS, Reed D, Richardson JL. Women's self-disclosure of HIV infection: rates, reasons, and reactions. J Consult Clin Psychol. 1995 Jun;63(3):474–478. [PubMed]
  • Gielen AC, O'Campo P, Faden RR, Eke A. Women's disclosure of HIV status: experiences of mistreatment and violence in an urban setting. Women Health. 1997;25(3):19–31. [PubMed]
  • Mason HR, Marks G, Simoni JM, Ruiz MS, Richardson JL. Culturally sanctioned secrets? Latino men's nondisclosure of HIV infection to family, friends, and lovers. Health Psychol. 1995 Jan;14(1):6–12. [PubMed]
  • Kegeles SM, Coates TJ, Christopher TA, Lazarus JL. Perceptions of AIDS: the continuing saga of AIDS-related stigma. AIDS. 1989;3 (Suppl 1):S253–S258. [PubMed]
  • Leonard Arthur S. Employment discrimination against persons with AIDS. Univ Dayton Law Rev. 1985 Spring;10(3):681–703. [PubMed]
  • Moneyham L, Seals B, Demi A, Sowell R, Cohen L, Guillory J. Experiences of disclosure in women infected with HIV. Health Care Women Int. 1996 May-Jun;17(3):209–221. [PubMed]
  • Simoni JM, Mason HR, Marks G. Disclosing HIV status and sexual orientation to employers. AIDS Care. 1997 Oct;9(5):589–599. [PubMed]
  • Marks G, Bundek NI, Richardson JL, Ruiz MS, Maldonado N, Mason HR. Self-disclosure of HIV infection: preliminary results from a sample of Hispanic men. Health Psychol. 1992;11(5):300–306. [PubMed]
  • Marks G, Mason HR, Simoni JM. The prevalence of patient disclosure of HIV infection to doctors. Am J Public Health. 1995 Jul;85(7):1018–1019. [PubMed]
  • Sowell RL, Lowenstein A, Moneyham L, Demi A, Mizuno Y, Seals BF. Resources, stigma, and patterns of disclosure in rural women with HIV infection. Public Health Nurs. 1997 Oct;14(5):302–312. [PubMed]
  • Sherr L, Barnes J, Elford J, Olaitan A, Miller R, Johnson M. Women with HIV disease attending a London clinic. Genitourin Med. 1997 Aug;73(4):274–279. [PMC free article] [PubMed]
  • Siegel K, Karus D, Raveis VH. Testing and treatment behaviour of HIV-infected women: white, African-American, Puerto Rican comparisons. AIDS Care. 1997 Jun;9(3):297–309. [PubMed]
  • Barnes DB, Gerbert B, McMaster JR, Greenblatt RM. Self-disclosure experience of people with HIV infection in dedicated and mainstreamed dental facilities. J Public Health Dent. 1996 Summer;56(4):223–225. [PubMed]
  • Charbonneau A, Maheux B, Béland F. Do people with HIV/AIDS disclose their HIV-positivity to dentists? AIDS Care. 1999 Feb;11(1):61–70. [PubMed]
  • Thomas SB, Quinn SC. The Tuskegee Syphilis Study, 1932 to 1972: implications for HIV education and AIDS risk education programs in the black community. Am J Public Health. 1991 Nov;81(11):1498–1505. [PubMed]
  • Quinn SC. AIDS and the African American woman: the triple burden of race, class, and gender. Health Educ Q. 1993 Fall;20(3):305–326. [PubMed]
  • Jeffe DB, Meredith KL, Mundy LM, Fraser VJ. Factors associated with HIV-infected patients' recognition and use of HIV medications. J Acquir Immune Defic Syndr Hum Retrovirol. 1998 Dec 1;19(4):350–360. [PubMed]
  • Brandt AM. Racism and research: the case of the Tuskegee Syphilis Study. Hastings Cent Rep. 1978 Dec;8(6):21–29. [PubMed]
  • Mays VM, Cochran SD. Acquired immunodeficiency syndrome and black Americans: special psychosocial issues. Public Health Rep. 1987 Mar-Apr;102(2):224–231. [PMC free article] [PubMed]
  • Bunting SM. Sources of stigma associated with women with HIV. ANS Adv Nurs Sci. 1996 Dec;19(2):64–73. [PubMed]
  • McCarthy GM, Koval JJ, MacDonald JK. Factors associated with refusal to treat HIV-infected patients: the results of a national survey of dentists in Canada. Am J Public Health. 1999 Apr;89(4):541–545. [PubMed]
  • Shiboski CH, Palacio H, Neuhaus JM, Greenblatt RM. Dental care access and use among HIV-infected women. Am J Public Health. 1999 Jun;89(6):834–839. [PubMed]
  • Gerbert B, Johnston K, Bleecker T, Bronstone A, Flatt S, Allerton M, Caspers N. HIV risk assessment: a video doctor seeks patient disclosure. MD Comput. 1997 Jul-Aug;14(4):288–294. [PubMed]

Articles from Public Health Reports are provided here courtesy of SAGE Publications