Where in Social and Sexual Networks Should HIV Interventions Target?

Identifying Similarities in Social Contexts Characteristics and Mutual Disclosure Behaviors of HIV Status and MSM Identity Across Social and Sexual Networks

by Alexis K. Huynh

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Disclosure of HIV status and men who have sex with men (MSM) identity both have public health significance (as a strategy to prevent further transmission by those infected with HIV) and personal health benefits for HIV-positive individuals (such as greater treatment adherence, greater social support, higher self-esteem, and lower levels of depression). Understanding where similarities in social context characteristics and disclosure behaviors lie in respondents' various sexual and social networks has important implications for developing new and innovative HIV interventions.

Table of Contents

  • Chapter One

    Introduction and Motivation

  • Chapter Two

    A Review of the Literature: Disclosure of HIV Status and MSM Identity

  • Chapter Three

    Data Description and Methods

  • Chapter Four

    Respondents' Social Contexts and Individual Characteristics

  • Chapter Five

    Respondents' Disclosure Behaviors of HIV Status and MSM Identity

  • Chapter Six

    Dyadic Analyses: Mutual Disclosure of HIV Status and MSM Identity within Referral Pairs

  • Chapter Seven

    Conclusions and Discussion

Research conducted by

This document was submitted as a dissertation in August 2011 in partial fulfillment of the requirements of the doctoral degree in public policy analysis at the Pardee RAND Graduate School. The faculty committee that supervised and approved the dissertation consisted of Harold Green, Jr. (Chair), Gery Ryan, and Jennifer Sayles.

This report is part of the RAND Corporation Dissertation series. Pardee RAND dissertations are produced by graduate fellows of the Pardee RAND Graduate School, the world's leading producer of Ph.D.'s in policy analysis. The dissertations are supervised, reviewed, and approved by a Pardee RAND faculty committee overseeing each dissertation.

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