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Journal of Homosexuality Volume 59, 2012 - Issue 4
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Articles

HIV Disclosure and Subsequent Sexual Behaviors Among Men Who Have Sex with Men Who Meet Online

Jef St. De Lore MPH Department of Health Services, University of Washington, Seattle, Washington, USACorrespondence[email protected]
,
Hanne Thiede DVMMPH HIV/AIDS Epidemiology Program, Public Health–Seattle & King County, Seattle, Washington, USA
,
Allen Cheadle PhD Department of Health Services, University of Washington, Seattle, Washington, USA
,
Gary Goldbaum MDMPH Snohomish Health District, Everett, Washington; Department of Epidemiology, University of Washington, Seattle, Washington, USA
,
James W. Carey PhDMPH Prevention Research Branch, Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
,
Rebecca E. Hutcheson MSW Community Health Services, Public Health–Seattle & King County, Seattle, Washington, USA
,
Richard A. Jenkins PhD Prevention Research Branch, Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
&
Matthew R. Golden MDMPH Center for AIDS and STD/Allergy and Infectious Diseases, University of Washington, Seattle, Washington; HIV/AIDS Epidemiology Program, Public Health–Seattle & King County, Seattle, Washington, USA
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Pages 592-609 | Published online: 13 Apr 2012
 
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Abstract

To assess HIV disclosure discussions and related sexual behaviors among men who have sex with men (MSM) who meet sex partners online, 28 qualitative interviews with Seattle-area MSM were analyzed using grounded theory methods and themes and behavior patterns were identified. MSM found a greater ease in communicating and could prescreen partners through the Internet. However, no consistent relationship was found between HIV disclosure and subsequent behaviors: some were safer based on disclosure while perceived HIV status led others to risky behaviors. Interventions need to promote accurate disclosure while acknowledging its limitations and the need for men to self-protect.

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