Immigrant Status and Sexual Orientation Disclosure: Implications for HIV/STD Prevention Among Men Who Have Sex with Men in Seattle, Washington.
Men who have sex with men (MSM) are disproportionately affected by HIV and may avoid disclosing their sexual preferences to others. With heightened attention on immigrant status in the United States, foreign-born MSM may be particularly concerned about disclosing their sexual orientation. We sought to examine how immigrant status is associated with sexual orientation disclosure among MSM and to assess the impact of disclosure on HIV/STD prevention outcomes stratified by nativity. We analyzed data from the 2014 and 2017 Seattle-area surveys of MSM from the National HIV Behavioral Surveillance (NHBS) system. Foreign-born MSM were less likely than U.S.-born MSM to have disclosed their sexuality to friends who are not gay, lesbian, or bisexual (85.0% vs. 95.5%; p < .001) or to family members (80.5% vs. 91.3%; p < .001). Further, disclosure to one's health care provider significantly increased the likelihood of having tested for HIV in the past 12 months among foreign-born and U.S.-born MSM. Findings highlight the need to better understand the risks and benefits of disclosure among foreign-born MSM. Future research may explore how responses and reactions to disclosure among foreign-born MSM shape pathways to HIV risk and prevention.
['Lee|Jane J|JJ|', 'Katz|David A|DA|', 'Glick|Sara N|SN|', 'Moreno|Courtney|C|', 'Kerani|Roxanne P|RP|']
D000328:Adult D054242:Emigrants and Immigrants D005260:Female D015658:HIV Infections D018451:Homosexuality, Male D006801:Humans D008297:Male D012650:Self Disclosure D012725:Sexual Behavior D000072339:Sexual and Gender Minorities D014342:Truth Disclosure D014861:Washington
Immigrant status Sexual orientation disclosure HIV/STD prevention MSM