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To access this information, we collected life history data from 78 HIV-positive individuals in five fishing communities. We found that the strength of the sexual relationships shaped how and why individuals disclosed to partners, and that these relationships tended to be stronger when partners shared familial responsibility. Those who perceived their current sexual partnership to be weak sought to conceal their status by maintaining prediagnosis patterns of sexual behavior. The majority of the study\u2019s participants rarely changed their sexual behavior following HIV diagnosis, regardless of their relationship\u2019s strength. These findings elucidate barriers to disclosure and behavior change, and suggest that a life-course approach might enhance individual-level counseling so that counselors can provide tailored support to individuals regarding disclosure decisions and outcomes.<\/jats:p>","DOI":"10.1177\/1049732313495327","type":"journal-article","created":{"date-parts":[[2013,6,17]],"date-time":"2013-06-17T23:04:36Z","timestamp":1371510276000},"page":"1125-1137","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["How HIV Diagnosis and Disclosure Affect Sexual Behavior and Relationships in Ugandan Fishing Communities"],"prefix":"10.1177","volume":"23","author":[{"given":"Moriah","family":"McArthur","sequence":"first","affiliation":[{"name":"University of Tennessee, Knoxville, Tennessee, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isolde","family":"Birdthistle","sequence":"additional","affiliation":[{"name":"London School of Hygiene and Tropical Medicine, London, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janet","family":"Seeley","sequence":"additional","affiliation":[{"name":"MRC\/UVRI Uganda Research Unit on AIDS, Entebbe, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliet","family":"Mpendo","sequence":"additional","affiliation":[{"name":"Uganda Virus Research Institute\/International AIDS Vaccine Initiative HIV Vaccine Programme, Entebbe, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gershim","family":"Asiki","sequence":"additional","affiliation":[{"name":"MRC\/UVRI Uganda Research Unit on AIDS, Entebbe, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,6,17]]},"reference":[{"key":"bibr1-1049732313495327","doi-asserted-by":"publisher","DOI":"10.1126\/science.305.5687.1104b"},{"key":"bibr2-1049732313495327","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-2679.2004.00153.x"},{"key":"bibr3-1049732313495327","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2010.046805"},{"key":"bibr4-1049732313495327","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-005-9002-5"},{"key":"bibr5-1049732313495327","doi-asserted-by":"publisher","DOI":"10.1177\/1049732309352907"},{"key":"bibr6-1049732313495327","doi-asserted-by":"publisher","DOI":"10.1016\/j.worlddev.2007.05.010"},{"key":"bibr7-1049732313495327","doi-asserted-by":"publisher","DOI":"10.3366\/afr.2010.0203"},{"key":"bibr8-1049732313495327","doi-asserted-by":"crossref","unstructured":"Carpenter L. 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