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STI/HIV test result disclosure between female sex workers and their primary, non-commercial male partners in two Mexico-US border cities: A prospective study

  • Author(s): Pines, HA
  • Patterson, TL
  • Rangel, G
  • Martinez, G
  • Bazzi, AR
  • Ulibarri, MD
  • Syvertsen, JL
  • Martin, NK
  • Strathdee, SA
  • et al.

Published Web Location

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4390518/
No data is associated with this publication.
Abstract

Objectives Disclosure of sexually transmitted infections (STI)/HIV diagnoses to sexual partners is not mandated by public health guidelines in Mexico. To assess the feasibility of couples-based STI/HIV testing with facilitated disclosure as a risk-reduction strategy within female sex workers' (FSW) primary partnerships, we examined STI/HIV test result disclosure patterns between FSWs and their primary, non-commercial male partners in two Mexico-US border cities. Methods From 2010 to 2013, 335 participants (181 FSWs and 154 primary male partners) were followed for 24 months. At semiannual visits, participants were tested for STIs/HIV and reported on their disclosure of test results from the previous visit. Multilevel logistic regression was used to identify individual-level and partnership-level predictors of cumulative (1) nondisclosure of ≥1 STI test result and (2) non-disclosure of ≥1 HIV test result within couples during follow-up. Results Eighty-seven percent of participants reported disclosing all STI/HIV test results to their primary partners. Non-disclosure of ≥1 STI test result was more common among participants who reported an STI diagnosis as part of the study (adjusted OR=3.05, 95% CI 1.13 to 8.25), while non-disclosure of ≥1 HIV test result was more common among participants in longerduration partnerships (AOR=1.15 per year, 95% CI 1.03 to 1.28). Drug use before/during sex within partnerships was associated with non-disclosure of both STI (AOR=5.06, 95% CI 1.64 to 15.62) and HIV (AOR=4.51, 95% CI: 1.32 to 15.39) test results. Conclusions STI/HIV test result disclosure was highly prevalent within FSWs' primary partnerships, suggesting couples-based STI/HIV testing with facilitated disclosure may be feasible for these and potentially other high-risk, socially marginalised couples.

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