Faktor-Faktor yang Berhubungan dengan Keterbukaan Status HIV pada ODHA LSL

  • Agus Suryaman Fakultas Ilmu Keperawatan, Universitas Indonesia
  • Agung Waluyo Fakultas Ilmu Keperawatan, Universitas Indonesia
Keywords: HIV status disclosure, MSM, PLWHA


HIV transmission in key populations Men Who Have Sex With Men (MSM) globally are increasing and highest compared to other populations, especially in Indonesia, which already very worrying. HIV status disclosure has an important role in breaking the chain of HIV transmission among PLWHA MSM. The purpose of this study is to provide an overview of the factors that influence the HIV status disclosure in PLWHA MSM. The method used a literature review, through the search for articles indexed from database sources such as EBSCOhost, ScienceDirect, ProQuest, Wiley Library Online, and SpringerLink from 2010-2019, with the search keyword HIV Status Disclosure and Men Who Have Sex With Men (MSM). Obtained 14 articles from search results that match the criteria, which then performed an analysis. The results showed multifactors that influence the HIV status disclosure in PLWHA including: depression, vengeance, partner type, meeting place, partner trust, intimacy, partner testing status, expectation of disclosure results, HIV health optimism, peer support, community HIV and gay. Based on the analyzed articles, HIV stigma is still a major factor inhibiting PLWHA MSM to their HIV status disclosure. Safe status disclosure strategies can be taught and facilitated to these key populations going forward.


Abler, L., Sikkema, K. J., & Watt, M. H. (2015). Depression and HIV Serostatus Disclosure to Sexual Partners Among Newly HIV-Diagnosed Men, 29(10), 550–559. https://doi.org/10.1089/apc.2015.0122
Bilardi, J. E., Hulme-chambers, A., Chen, M. Y., Fairley, C. K., Huffam, S. E., & Id, J. E. T. (2019). The role of stigma in the acceptance and disclosure of HIV among recently diagnosed men who have sex with men in Australia : A qualitative study, 1–14. https://doi.org/10.1371/journal.pone.0224616
Bird, J. D. P., Eversman, M., Voisin, D. R., Bird, J. D. P., Eversman, M., & Voisin, D. R. (2017). “ You just can ’ t trust everybody ”: the impact of sexual risk , partner type and perceived partner trustworthiness on HIV-status disclosure decisions among HIV-positive black gay and bisexual men. Culture, Health & Sexuality, 1058(January), 1–15. https://doi.org/10.1080/13691058.2016.1267408
Brown, M. J., Serovich, J. M., Kimberly, J. A., & Hu, J. (2017). Vengeance , Condomless Sex and HIV Disclosure Among Men Who Have Sex with Men Living with HIV, 2650–2658. https://doi.org/10.1007/s10461-016-1645-x
Chen, L., Lian, D., & Wang, B. (2018). Factors associated with disclosing men who have sex with men ( MSM ) sexual behaviors and HIV-positive status : A study based on a social network analysis in Nanjing , China, 1–12. https://doi.org/10.1371/journal.pone.0196116
Dessalegn, N. G., Hailemichael, R. G., Shewa-amare, A., & Hillman, J. (2019). HIV Disclosure : HIV-positive status disclosure to sexual partners among individuals receiving HIV care in Addis Ababa , Ethiopia, 1–17.
Fitriyani, R. A., & Waluyo, A. (2019). Family acceptance , peer support , and HIV serostatus disclosure of MSM-PLWHA in Medan , Indonesia ଝ, 29, 648–652.
Hess, K. L., Crepaz, N., Rose, C., Purcell, D., & Paz-bailey, G. (2017). Trends in Sexual Behavior Among Men Who have Sex with Men ( MSM ) in High-Income Countries , 1990 – 2013 : A Systematic Review, 2811–2834. https://doi.org/10.1007/s10461-017-1799-1
Kingdon, M. J., Barton, S., Eddy, J., Halkitis, P. N., Kingdon, M. J., Barton, S., … Halkitis, P. N. (2016). Facilitators and Barriers to HIV Status Disclosure Among HIV-Positive MSM Age 50 and Older, 9705. https://doi.org/10.1080/19359705.2015.1033797
Li, H., Chen, X., & Yu, B. (2016). Disclosure appraisal mediating the association between perceived stigma and HIV disclosure to casual sex partners among HIV + MSM : a path model analysis, 28(6), 722–725.
Lin, X., Chi, P., Zhang, L., Zhang, Y., & Fang, X. (2016). Disclosure of HIV Serostatus and Sexual Orientation Among HIV-Positive Men Who Have Sex with Men in China. Community Mental Health Journal, 52(4), 457–465. https://doi.org/10.1007/s10597-015-9879-z
Marcus, U., Schink, S. B., Sherriff, N., Jones, A., Gios, L., Folch, C., … Gama, A. F. (2017). HIV serostatus knowledge and serostatus disclosure with the most recent anal intercourse partner in a European MSM sample recruited in 13 cities : results from the Sialon-II study, 1–18. https://doi.org/10.1186/s12879-017-2814-x
Moskowitz, J. T., Wrubel, J., Hult, J. R., Maurer, S., & Acree, M. (2013). Illness Appraisals and Depression in the First Year after HIV Diagnosis, 8(10), 13–16. https://doi.org/10.1371/journal.pone.0078904
Murphy, P. J., Hevey, D., Dea, S. O., Ni, N., & Mulcahy, F. (2015). Optimism , community attachment and serostatus disclosure among HIV-positive men who have sex with men, 27(4), 431–435.
Noor, S. W. B., Rampalli, K., & Rosser, B. R. S. (2014). Factors Influencing HIV Serodisclosure Among Men Who Have Sex with Men in the US : An Examination of Online Versus Offline Meeting Environments and Risk Behaviors, 1638–1650. https://doi.org/10.1007/s10461-014-0774-3
Obermeyer, C. M., Baijal, P., & Pegurri, E. (2011). Facilitating HIV Disclosure Facilitating HIV Disclosure Across Diverse Settings : A Review, 101(6), 1011–1023. https://doi.org/10.2105/AJPH.2010.300102
Overstreet, N. M., Earnshaw, V. A., Kalichman, S. C., & Quinn, D. M. (2013). Internalized stigma and HIV status disclosure among HIV-positive black men who have sex with men, 25(4), 466–472.
Pescosolido, B. A., & Martin, J. K. (2015). The Stigma Complex, (April), 1–30. https://doi.org/10.1146/annurev-soc-071312-145702
Ramanathan, S., Chakrapani, V., Ramakrishnan, L., & Goswami, P. (2013). Consistent condom use with regular , paying , and casual male partners and associated factors among men who have sex with men in Tamil Nadu , India : findings from an assessment of a large-scale HIV prevention program, 1–11.
Sheehan, L., Nieweglowski, K., & Corrigan, P. W. (2017). Structures and Types of Stigma, 43–66. https://doi.org/10.1007/978-3-319-27839-1
Tang, W., Liu, C., Cao, B., Pan, S. W., Zhang, Y., & Ong, J. (2018). Receiving HIV Serostatus Disclosure from Partners Before Sex : Results from an Online Survey of Chinese Men Who Have Sex with Men, 3826–3835. https://doi.org/10.1007/s10461-018-2062-0
UNAIDS. (2015). UNAIDS Terminology Guidelines. Retrieved October 7, 2019, from https://www.unaids.org/sites/default/files/media_asset/2015_terminology_guidelines_en.pdf
UNAIDS. (2019). UNAIDS Data 2019. Retrieved from https://www.unaids.org/sites/default/files/media_asset/2019-UNAIDS-data_en.pdf
Wei, C., How, S., Thomas, L., & Koe, S. (2012). HIV Disclosure and Sexual Transmission Behaviors among an Internet Sample of HIV-positive Men Who Have Sex with Men in Asia : Implications for Prevention with Positives, 1970–1978. https://doi.org/10.1007/s10461-011-0105-x
Yang, C., Latkin, C., Tobin, K., Seal, D., Koblin, B., Chander, G., & Siconolfi, D. (2018). An Event Level Analysis of Condomless Anal Intercourse with a HIV Discordant or HIV Status Unknown Partner Among Black Men Who Have Sex with Men from a Multi site Study. AIDS and Behavior, 22(7), 2224–2234. https://doi.org/10.1007/s10461-018-2161-y
How to Cite
Suryaman, A., & Waluyo, A. (2020). Faktor-Faktor yang Berhubungan dengan Keterbukaan Status HIV pada ODHA LSL. Jurnal Keperawatan, 12(2), 163-172. https://doi.org/https://doi.org/10.32583/keperawatan.v12i2.728