P Murphy 1, D Hevey 1, S O’Dea 2, N Ní Rathaille 2, F Mulcahy 2 1. Research Centre for Psychological Health, School of Psychology, Trinity College Dublin.

Slides:

Advertisements

Similar presentations

EACS COURSE Aix-en-Provence Sep Ireland Dublin Capital City.

Advertisements

Working with young people with HIV

Increased routine screening for syphilis and falling syphilis incidence in HIV positive and HIV negative men who have sex with men: implications for syphilis.

The role of HIV stigma and discrimination on the health and HIV- protective behaviors of people living with HIV in Rio de Janeiro, Brazil.

To Tell or Not To Tell: HIV Disclosure to Family, Friends and Sex Partners Julie Serovich, PhD Dean and Professor College of Behavioral and Community.

IMPORTANCE OF PSYCHOSOCIAL CARE IN HIV

1 Is Managed Care Superior to Traditional Fee-For-Service among HIV-Infected Beneficiaries of Medicaid? David Zingmond, MD, PhD UCLA Division of General.

Racial Disparities in Antiretroviral Therapy Use and Viral Suppression among Sexually Active HIV-infected Men who have Sex with Men— United States, Medical.

 To what extent is IMCI implemented in NWP and what are the obstacles to its implementation?  What is the impact of IMCI in NWP?  What is the impact.

JNB/05 HIV/AIDS treatment - challenges in a remote rural area of Tanzania. Johan N. Bruun Department of Infectious Diseases Ullevål University Hospital.

Dealing with bi-directionality in mental health research: The experience of the mental health project of the MRC/UVRI E. Kinyanda 1,2 1 MRC/UVRI Uganda.

1 Psychosocial Issues Faced by PLHIV HAIVN Harvard Medical School AIDS Initiative in Vietnam.

Advancing Nursing Leadership Factors Predicting HIV-related Knowledge Among Urban Health Workers In Malawi Sri Yona, 1 So Hyun Park, 1 Jane L. Chimango,,2.

 MSM, specifically HIV-positive MSM, have a high risk of anal cancer caused by human papillomavirus (HPV).  It has been suggested that MSM attending.

A Universal Testing Programme for Blood Borne Viruses in an Urban Emergency Department – a call for widespread ED testing in Ireland S O’Connell 1, D Lillis.

The Influence of Dyadic Partnerships on Condom Use among Male to Female Transgender (Waria) in Yogyakarta Indonesia Ignatius Praptoraharjo, Judith A. Levy,

Ethiopia Demographic and Health Survey 2011 HIV/AIDS Knowledge, Attitudes, and Behaviour.

Ethnic Differences in HIV Disclosure and HIV Transmission Risk Jason D. P. Bird, MSW 1, David Fingerhut, MS, MA 2, David McKirnan, PhD 2, Christine M.

Associations Between Recent Gender- Based Violence and Pregnancy, Sexually Transmitted Infections, Condom Use Practices, and Negotiation of Sexual Practices.

Home Based HIV Counseling and testing to optimize HIV identification, Kampala, Uganda Cecilia Nawavvu Co-authors Rhoda Wanyenze,

Expanded PrEP implementation across Australia Expanded implementation of PrEP across Australia 1.

Expanded PrEP implementation in NSW (EPIC-NSW) 1 AIDS 2016 | 22 July 2016.

Correlates of Never Using Condoms for Oral Sex Sara K. Head, MPH 1 Richard A. Crosby, PhD 1 Gregory Moore, MD 1 Adewale Troutman, MD 2 1 University of.

1 High levels of risk behavior among people living with HIV initiating and waiting to start antiretroviral therapy in Cape Town South Africa TP Eisele,

Noeline Nakasujja Chair, Department of Psychiatry College of Health Sciences Makerere University.

Disclosure of HIV status to children living with HIV in Malawi: needs assessment and formative evaluation of an intervention to help with the disclosure.

State Office of AIDS Update

Attachment style and condom use across and within dating relationships

Seroprevalence, prevalence, type and factors associated with HPV infection at multiple sites in young HIV-positive MSM On behalf of the HPV MAPS Research.

1University of Kentucky, Lexington, Kentucky

KwaZulu-Natal, South Africa

Alex Parr & Carrie Llewellyn Brighton and Sussex Medical School, UK

Project on Risk Adjustment and SES in Performance Measurement

Entry into care Failure to initiate timely HIV care after diagnosis is common ~75% of newly diagnosed link to care within 6-12 months Delayed entry into.

Psychosocial and behavioral predictors of partner notification for STD and HIV exposure among MSM Matthew J. Mimiaga, ScD, MPH, Sari L. Reisner, MA,

**Funded in part by NIMH RO3MH and NCRR K12RR017707

Central American Certificate Course: HIV Monitoring and Evaluation for HIV/AIDS Policy and Program Management BZ Unit 2 – Post test CR ES GT NI PA January.

Melanie L. Fritza Ronald J. Lubelchek, MD a, b, c*

HIV treatment cascade analysis for people who inject drugs in Ukraine: identifying the correlates of HIV care outcomes Kostyantyn Dumchev1, Olga Varetska2,

The Relational Context of Non-disclosure in HIV Positive Women

HIV-positive diagnoses during pregnancy increases risk of IPV postpartum among women with no history of IPV Ali k. Groves1, Luz McNaughton-Reyes2, Dhayendre.

Conclusions & Implications

The potential for selection and misclassification bias when sampling men who have sex with men (MSM) in gay bars Karyn Heavner, PhD 1, 2, James Tesoriero,

International AIDS Conference

Amy Lansky, Elizabeth DiNenno Behavioral Surveillance Team

International Union against Sexually Transmitted Infections

Madisa Mine National Health Laboratory Gaborone, BOTSWANA

Sexually Transmitted Infections (STIs) in Ireland: Q1-Q2, 2017

Comparison of the study findings: Male & female

HIV prevalence and sexual behavioral roles among Men who have sex with men (MSM) in Nigeria T. Badru , O. Adedokun, E. Oladele , O. Adebayo , H. Khamofu.

Sexually Transmitted Infections (STIs) in Ireland: 2017

John de Wit1,2, Dean Murphy2,3, Luxi Lal4,5,6, Jennifer Audsley5,7, Christopher K. Fairley8,9, Mark Stoove4,10, Norm Roth11, Richard Moore12, Ban K.

HIV in Ireland 2017 Provisional Data May 2018.

Uptake of HIV self-testing and linkage to treatment among MSM in Nigeria: A Pilot Study using Key Opinion Leaders to reach MSM Waimar Tun, Lung Vu, Osasuyi.

An Update from CROI and the Changing Landscape of HIV in NZ

Integrated Biological and Behavioural Surveillance (IBBS) Survey among MSM in South Sudan 24 July 2018.

SEXUAL RISK BEHAVIOR OF PLWHA IN THE WA MUNICIPALITY

Health Protection Surveillance Centre

Adolescents in Love: Mutuality of commitment in adolescent couples

Health Protection Surveillance Centre

Gonorrhoea antimicrobial resistance in Ireland, 2010 – 2017 On behalf of the National Forum on Antimicrobial Resistance in Neisseria gonorrhoeae Health.

Sexually Transmitted Infections (STIs) in Ireland, 2016

Trends in HIV incidence and sexual behaviour among a cohort of men who have sex with men (MSM) in Montreal: Robert S. Remis, Michel Alary, Joanne.

Health Protection Surveillance Centre

VACS Scientific Meeting Houston, TX February 2004

INTRODUCTION & STUDY AIMS

The Effectiveness of Respondent-Driven Sampling to Recruit Minority and Hard-to-Reach MSM for STD/HIV Behavioral Surveillance.

Kyle T. Bernstein, Katherine Ahrens, Susan S. Philip, Jeffrey D

Khai Hoan Tram, Jane O’Halloran, Rachel Presti, Jeffrey Atkinson

Stigma and online sex-seeking among men who have sex with men and transgender women in Tijuana, Mexico: a cross-sectional study Cristina Espinosa da Silva,

Presentation transcript:

P Murphy 1, D Hevey 1, S O’Dea 2, N Ní Rathaille 2, F Mulcahy 2 1. Research Centre for Psychological Health, School of Psychology, Trinity College Dublin 2. Department of GU Medicine and Infectious Diseases, St James’s Hospital Optimism, Community Attachment, and Serostatus Disclosure among HIV-Positive MSM in Ireland

Study Aims Investigate the how serostatus disclosure by MSM to casual partners is influenced by… …HIV-related Optimism …Community Attachment

HIV-related Optimism HIV-related optimism: “favourable feelings about the multiple outcomes from the use of HIV treatments (e.g., beliefs regarding less severity of AIDS, reduced risks of HIV transmission, and less need to use condoms)”

HIV-related Optimism Forms of HIV-related optimism… …HIV Transmission Optimism …HIV Health Optimism

HIV-Related Optimism and Disclosure? HIV Transmission Optimism and Disclosure? H1: Greater HIV Transmission Optimism will be associated with greater levels of serostatus disclosure. HIV Health Optimism and Disclosure? H2: Greater HIV Health Optimism will be associated with greater levels of serostatus disclosure.

Community Attachment Community Attachment: a sense of belonging or rootedness in a community. Often symbolic rather than geographic.

Community Attachment and Disclosure? HIV Community Attachment and Disclosure? H3: Greater HIV Community Attachment will be associated with greater levels of serostatus disclosure.

Community Attachment and Disclosure? Gay Community Attachment and Disclosure? H4: Greater Gay Community Attachment will be associated with lower levels of serostatus disclosure.

Methodology Quantitative survey data, analysed using multinomial logistic regression. Eligibility Criteria: 18 years of age or older Diagnosis of HIV/AIDS Self-identification as MSM At least 1 casual partner in the 6 months prior to participation

Recruitment 97 participants recruited from the GUIDE clinic at St James’s Hospital between February 2013 and June 2013 Participants classified as consistent disclosers, inconsistent disclosers, and non-disclosers.

Results H1: Greater HIV transmission optimism will be associated with greater levels of serostatus disclosure ?

Results H2: Greater HIV Health Optimism will be associated with greater levels of serostatus disclosure.

Results H3: Greater HIV Community Attachment will be associated with greater levels of serostatus disclosure.

Results H4: Greater Gay Community Attachment will be associated with lower levels of serostatus disclosure.

Implications Health optimism is a good thing, but it’s impact on disclosure may lead to less than optimal outcomes for HIV+ MSM. Those highly affiliated with the HIV community may be disclosing when it is not actually beneficial. HIV-related stigma within the gay community does inhibit disclosure of HIV status and needs to be addressed.

Limitations Relationship between HIV Transmission Optimism and serostatus disclosure could not be tested. Identity salience and stigma, or community norms? Cannot establish causality. Self-selection and response biases.

Acknowledgements The Society for the Study of Sexually Transmitted Diseases. All of the staff and patients at the GUIDE clinic. Professor Fiona Mulcahy, Siobhán O’Dea, Neans Ní Rathaille.

Questions ?