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The role of masculinity in HIV disclosure among adolescent South African boys living with HIV.

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Název: The role of masculinity in HIV disclosure among adolescent South African boys living with HIV.
Autoři: Inman EM; Program in Public Health, State University of New York at Stony Brook, Stony Brook, NY, USA., Zharima C; Perinatal HIV Research Unit (PHRU), Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa., Hammock A; Program in Public Health and School of Social Welfare, State University of New York at Stony Brook, Stony Brook, NY, USA., Violari A; Perinatal HIV Research Unit (PHRU), Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa., Kidman R; Program in Public Health and Department of Family, Population, and Preventive Medicine, State University of New York at Stony Brook, Stony Brook, NY, USA.
Zdroj: AIDS care [AIDS Care] 2025 Oct; Vol. 37 (10), pp. 1785-1794. Date of Electronic Publication: 2025 Aug 21.
Způsob vydávání: Journal Article
Jazyk: English
Informace o časopise: Publisher: Informa Healthcare Country of Publication: England NLM ID: 8915313 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1360-0451 (Electronic) Linking ISSN: 09540121 NLM ISO Abbreviation: AIDS Care Subsets: MEDLINE
Imprint Name(s): Publication: London : Informa Healthcare
Original Publication: Abingdon, Oxfordshire, U.K. : Carfax Pub. Co., c1989-
Výrazy ze slovníku MeSH: HIV Infections*/psychology , Masculinity* , Sexual Partners*/psychology , Truth Disclosure* , Self Disclosure*, Humans ; Male ; Adolescent ; South Africa/epidemiology ; Self Efficacy ; Surveys and Questionnaires ; Sexual Behavior/psychology
Abstrakt: HIV transmission among adolescents remains a pressing public health challenge in South Africa. Onward HIV disclosure to sexual partners can reduce transmission, but disclosure is low among adolescents. Adherence to hegemonic masculine norms may create a barrier to disclosure among boys. Repeated measures designs are necessary to more accurately capture disclosure, which is an ongoing behavior shaped by multiple processes. 251 South African adolescent boys living with perinatally-acquired HIV and in an intimate relationship were enrolled between 2020-2023. They completed a survey capturing their adherence to masculine norms and their HIV disclosure self-efficacy. They then completed brief mobile surveys weekly for the following year, reporting their recent HIV disclosure behavior. Using mixed effects models, we found that adherence to hegemonic masculine norms at baseline was associated with significantly lower odds of onward HIV disclosure to a sexual partner over the study year. Adherence to hegemonic masculine norms was also associated with lower HIV disclosure self-efficacy at two timepoints. This study confirms a quantitative association between hegemonic masculinity and disclosure and extends the literature to an understudied population. To prevent new HIV infections among South African adolescents, it will be important to develop and adapt interventions that address hegemonic masculinity.
Contributed Indexing: Keywords: Good health and well-being; gender equality; reduced inequalities
Entry Date(s): Date Created: 20250821 Date Completed: 20251003 Latest Revision: 20251003
Update Code: 20251003
DOI: 10.1080/09540121.2025.2547941
PMID: 40838871
Databáze: MEDLINE
Popis
Abstrakt:HIV transmission among adolescents remains a pressing public health challenge in South Africa. Onward HIV disclosure to sexual partners can reduce transmission, but disclosure is low among adolescents. Adherence to hegemonic masculine norms may create a barrier to disclosure among boys. Repeated measures designs are necessary to more accurately capture disclosure, which is an ongoing behavior shaped by multiple processes. 251 South African adolescent boys living with perinatally-acquired HIV and in an intimate relationship were enrolled between 2020-2023. They completed a survey capturing their adherence to masculine norms and their HIV disclosure self-efficacy. They then completed brief mobile surveys weekly for the following year, reporting their recent HIV disclosure behavior. Using mixed effects models, we found that adherence to hegemonic masculine norms at baseline was associated with significantly lower odds of onward HIV disclosure to a sexual partner over the study year. Adherence to hegemonic masculine norms was also associated with lower HIV disclosure self-efficacy at two timepoints. This study confirms a quantitative association between hegemonic masculinity and disclosure and extends the literature to an understudied population. To prevent new HIV infections among South African adolescents, it will be important to develop and adapt interventions that address hegemonic masculinity.
ISSN:1360-0451
DOI:10.1080/09540121.2025.2547941