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Books, Journals, New Media
July 14, 2004

HIV, Disclosure

Author Affiliations

Books, Journals, New Media Section Editor: Harriet S. Meyer, MD, Contributing Editor, JAMA; David H. Morse, MS, University of Southern California, Norris Medical Library, Journal Review Editor.

JAMA. 2004;292(2):277-278. doi:10.1001/jama.292.2.277

A recent ad campaign with the slogan "500 people are infected with HIV, only 250 are tested" reinforces prevention as a first defense. Clearly, as we begin a third decade of living with AIDS, understanding what motivates people to be tested, practice safer sex, and disclose their HIV seropositive status to their partners is imperative.

In Mortal Secrets Klitzman and Bayer provide an in-depth look at the motivations, beliefs, and practices of those who must decide to get tested and if positive, whether or not to disclose, and when. The 77 interviewees, 60 of whom tested positive, come from the major infection groups, including intravenous drug users and their partners. Sexual orientation and ethnicity of the participants are mixed, including heterosexuals, bisexuals, lesbians, gays, whites, African Americans, Latinos, and Asian-Pacific islanders. Interviewees were recruited from a study of gay men living with HIV, advertisements in gay magazines, and an inner-city infectious disease clinic.