Depressive Symptoms, Substance Use and Partner Violence Victimization Associated with HIV Disclosure Among Men Who have Sex with Men

• Published in: AIDS and behavior 2016-01, Vol.20 (1), p.184-192
• Main Authors: Brown, Monique J., Serovich, Julianne M., Kimberly, Judy A.
• Format: Article
• Language: English
• Subjects: Acquired immune deficiency syndrome; Adult; Aggression; AIDS; Couples; Crime Victims; Depression; Depression - diagnosis; Depression - psychology; Disclosure; Domestic violence; Epidemiology; Florida - epidemiology; Gays & lesbians; Health Psychology; HIV; HIV Infections - diagnosis; HIV Infections - psychology; Homosexuality; Homosexuality, Male - psychology; Human immunodeficiency virus; Humans; Income; Infectious Diseases; Logistic Models; Male; Males; Medicine; Medicine & Public Health; Men; Mental depression; Middle Aged; Ohio - epidemiology; Original Paper; Public Health; Risk; Risk analysis; Risk Factors; Self disclosure; Sex; Sexual Partners - psychology; Sexually transmitted diseases; Spouse Abuse - prevention & control; Spouse Abuse - statistics & numerical data; STD; Substance abuse; Substance use; Substance-Related Disorders - epidemiology; Substance-Related Disorders - psychology; Symptoms; Truth Disclosure; Victimization; Victims; Violence; Violence - psychology; Violence - statistics & numerical data; Young Adult
• ISSN: 1090-7165; 1573-3254
• DOI: 10.1007/s10461-015-1122-y

HIV continues to disproportionately affect men who have sex with men (MSM). Depression and substance use have been shown to be risk factors of partner violence among male same-sex couples. However, research exploring the risk factors for partner violence victimization after HIV disclosure among MSM is limited. The aim of this study was to determine the association between depressive symptoms, substance use, and disclosure-associated verbal and/or physical violence from a partner among MSM. Data were obtained from 340 HIV-positive MSM. Multivariable logistic regression was used to determine the associations between Center for Epidemiologic Studies-Depression and substance use scores, and disclosure-associated partner violence. After adjusting for age and income, every one-unit increase in substance use scores resulted in a 9 % (OR 1.09; 95 % CI 1.01–1.16) increase in the odds of disclosure-associated partner violence. HIV disclosure interventions for MSM populations should address substance use and potential violence from partners after disclosure.