LAUSR

BACKGROUND People living with HIV (PLWH) are faced with the often difficult decision of whether, when, and how to disclose their seropositive status. This study draws on the transtheoretical model of change to examine men and women's decision readiness to disclose their HIV-positive status to family members and to assess predictors (decisional balance and decision self-efficacy) of their decision readiness. METHODS Cross-sectional data were collected from 346 PLWH - 191 males and 155 females. Participants self-reported on their disclosure decision readiness, decisional balance, and decision self-efficacy. Data were analyzed using chi-square tests, general linear models, and multinomial logistic regression models. RESULTS Two-thirds of PLWH were in the three lower stages of decision readiness, with the majority starting to think about disclosure. One-third of PLWH were in the three higher stages of decision readiness (close to deciding or have made the decision to disclose). Decisional balance and decision self-efficacy predicted decision readiness. Overall, few gender differences emerged. CONCLUSIONS These findings can help researchers, clinicians, and health care providers to better understand and support PLWH as they move through the decision-making process.