Lynae A Darbes
Datos Biográficos
| ID | 766608 |
|---|---|
| NOMBRE | Lynae A Darbes |
| NOMBRES | Lynae A |
| APELLIDO | Darbes |
| FIRMA | DARBES L A |
| AFILIACIONES | University of Michigan |
| ORCID | 0000-0003-4738-6812 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 58 |
| TOTAL DE CITAS | 84 |
| TOTAL COMO AUTOR | 58 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2004 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 6 |
Knowledge and preferences for safer conception methods among sero-different fisherfolk couples in Kisumu, Kenya
“ He accepted me the way I am … most people can’t ”
Objective: Safer conception strategies to reduce HIV transmission to sero-different partners are underused. Studies suggest this may be due to HIV-related stigma. We conducted a qualitative study to examine how forms of HIV stigma may impact reproductive decisions and seeking safer conception services.Methods: In-depth interviews (IDIs) with 16 sero-different couples residing in Kisumu County, Kenya, explored HIV-related stigma surrounding pregna…
Pathways between intimate partner violence and HIV care and treatment during pregnancy and postpartum
Intimate partner violence (IPV) is associated with suboptimal HIV treatment behaviors and health outcomes among perinatal women. Less is known about the postpartum phase or how distinct types of perinatal IPV exposure may inhibit HIV-related care. We conducted a qualitative study nested within an ongoing trial among perinatal women in rural Kenya to explore the influence of IPV on adherence to HIV treatment during pregnancy and postpartum. In 202…
“We chose PrEP because I wanted to be sure that this child my wife was going to conceive was indeed mine.” Factors influencing the choice of safer conception methods and experiences with its use
The differences in method preferences and experiences voiced by participants in this study and in other studies from the region point to the importance of having a variety of safer conception options in the service delivery package and addressing concerns about paternity, intimacy, and method-related attributes to enable HIV sero-discordant couples to safely achieve their reproductive goals
Pilot Trial Results of Mlambe
Sexual Agreement Discussions Among Adolescent Sexual Minority Men in the USA
Mlambe economic and relationship-strengthening intervention for alcohol use decreases violence and improves relationship quality in couples living with HIV in Malawi
Preventing HIV and achieving pregnancy among HIV sero-different couples
Safer conception services are needed to minimize HIV transmission among HIV sero-different couples desiring pregnancy. Few studies have evaluated the choices couples make when offered multiple safer conception methods or real-world method acceptability and effectiveness. We piloted a comprehensive safer conception program ( Clintrials . gov identifier: NCT03049176) for HIV sero-different couples planning pregnancy in Zimbabwe to measure feasibili…
Supportive couple relationships buffer against the harms of HIV stigma on HIV treatment adherence
Increased anticipated stigma is most associated with lower ART non-adherence at lower levels of social support and sexual satisfaction. Conversely, supportive and fulfilling relationships may buffer the negative association between stigma and ART adherence. Couples' interventions that focus on improving communication and support systems within couples could reduce the negative impacts of anticipated stigma on couples living with HIV
Depression and HIV Care-seeking Behaviors in a Population-based Sample in North West Province, South Africa
Depression is associated with key HIV-related prevention and treatment behaviors in sub-Saharan Africa. We aimed to identify the association of depressive symptoms with HIV testing, linkage to care, and ART adherence among a representative sample of 18-49 year-olds in a high prevalence, rural area of South Africa. Utilizing logistic regression models (N = 1044), depressive symptoms were inversely associated with reported ever HIV testing (AOR 0.9…
A Relationship-Focused HIV Prevention Intervention for Young Sexual Minority Men in the United States
Communal or Autonomous? Coping Experiences of Chinese Serodiscordant Male Couples to HIV Care
Couple Efficacy and Communal Coping for HIV Prevention Among Kenyan Pregnant Couples
Development of an Economic and Relationship-Strengthening Intervention for Alcohol Drinkers Living with HIV in Malawi
Correlates of Substance Misuse, Transactional Sex, and Depressive Symptomatology Among Partnered Gay, Bisexual and Other Men Who Have Sex with Men in South Africa and Namibia
Perceptions of Relationship Quality Before and During Covid-19 Pandemic Among Young Sexual Minority Men in Romantic Relationships
Effects of the Waya Intervention on Marital Satisfaction and HIV Risk Behaviors in Western Kenya
Communication Patterns Among Male Couples with Open and Monogamous Agreements
Assessing Self-Efficacy and Communication Regarding Sexual Agreements among Men Who Have Sex with Men in the USA
HIV disproportionately impacts men who have sex with men (MSM) in the USA. Building upon research on relationship constructs unique to MSM couples' HIV-prevention needs, we developed two new scales measuring sexual agreement self-efficacy (SASE) and importance of sexual agreement communication (ISAC). Following qualitative item development, we used two large independent samples of MSM couples (N1 = 441, N2 = 388) to conduct scale validation. Expl…
HIV Testing, Knowledge and Willingness to Use PrEP Among Partnered Men Who Have Sex With Men in South Africa and Namibia
Social Influence and Uptake of Couples HIV Testing and Counselling in KwaZulu-Natal, South Africa
Social influences may create a barrier to couples HIV testing and counselling (CHTC) uptake in sub-Saharan Africa. This secondary analysis of data collected in the ‘Uthando Lwethu’ randomised controlled trial used discrete-time survival models to evaluate the association between within-couple average ‘peer support’ score and uptake of CHTC by the end of nine months’ follow-up. Peer support was conceptualised by self-rated strength of agreement wi…
Development and Validation of the Couple Sexual Satisfaction Scale for HIV and Sexual Health Research
Designing a couple-based relationship strengthening and health enhancing intervention for pregnant women living with HIV and their male partners in Zambia
Perspectives from Young Partnered Gay, Bisexual, and Other Men Who Have Sex with Men on the Adaptation of Couples HIV Testing and Counseling (CHTC)
Effects of a Home-Based Intervention on HIV Prevention Health Behaviors in Pregnant/Postpartum Kenyan Women
The conceptualization and assessment of health-related social control
Three studies examined the conceptualization and assessment of health-related social control in marriage. Using a sample of 100 couples, Study 1 tested the idea that social control is best thought of as the exercise of power and control in close relationships. Results did not support this conceptualization or assessment of health-related social control in marriage. Based on these results, Study 2 collected qualitative data from husbands and wives…
Development and Validation of the Sexual Agreement Investment Scale
Sexual agreements are ubiquitous among gay men. Lower levels of investment in these agreements may be associated with breaking them or engaging in risky sexual behavior. A scale was developed to measure agreement investment levels among gay men. Qualitative data from 78 gay men in committed relationships were analyzed to inform item development, followed by quantitative analyses of two larger samples (n = 380, n = 1,001) to assess construct, conv…
Sexual Risk for HIV Among Gay Male Couples
Power and the association with relationship quality in South African couples
Research and health interventions aiming to improving HIV-related behaviors should consider sources of shared power within couples and potential leverage points for empowerment at the couple level. Efforts solely focused on empowering women should also take the dyadic environment and men's perspectives into account to ensure positive relationship outcomes
Expanding the relationship context for couple-based HIV prevention
Marital infidelity, food insecurity, and couple instability
Development and Validation of the Couple Sexual Satisfaction Scale for HIV and Sexual Health Research
Motivations to Test for HIV Among Partners in Concordant HIV-Negative and HIV-Discordant Gay Male Couples
Past Present
Discordant couples are unique because neither partner shares the same serostatus. Yet research overlooks how they became discordant, mistakenly assuming that they have always been that way and, by extension, that being discordant impacts the relationship in a similar manner. This study examines HIV infection history and its impact on relationship dynamics using qualitative data from 35 discordant gay male couples. Most couples met discordant (69%…
Perceptions of Relationship Quality Before and During Covid-19 Pandemic Among Young Sexual Minority Men in Romantic Relationships
Communal or Autonomous? Coping Experiences of Chinese Serodiscordant Male Couples to HIV Care
Designing a couple-based relationship strengthening and health enhancing intervention for pregnant women living with HIV and their male partners in Zambia
Intimate Partner Violence among Male Couples in South Africa and Namibia
Studying the Motivations Behind Sexual Agreements
Sexual agreements are ubiquitous among male couples, yet little is known about motivations behind agreements and their association with sexual risk for human immunodeficiency virus (HIV). Qualitative interviews with 39 couples informed the development of the items in the Motivations Behind Agreement (MBA) scale. The scale was validated via exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) using quantitative data from two (7…
The conceptualization and assessment of health-related social control
Three studies examined the conceptualization and assessment of health-related social control in marriage. Using a sample of 100 couples, Study 1 tested the idea that social control is best thought of as the exercise of power and control in close relationships. Results did not support this conceptualization or assessment of health-related social control in marriage. Based on these results, Study 2 collected qualitative data from husbands and wives…
Development and Validation of the Sexual Agreement Investment Scale
Sexual agreements are ubiquitous among gay men. Lower levels of investment in these agreements may be associated with breaking them or engaging in risky sexual behavior. A scale was developed to measure agreement investment levels among gay men. Qualitative data from 78 gay men in committed relationships were analyzed to inform item development, followed by quantitative analyses of two larger samples (n = 380, n = 1,001) to assess construct, conv…
Couples-Focused Behavioral Interventions for Prevention of HIV
Relationship characteristics and motivations behind agreements among gay male couples
Gay men in relationships are often overlooked in HIV prevention efforts, yet many engage in sexual behaviors that increase their HIV risk and some seroconvert as a result. While different aspects of gay male relationships have been studied, such as sexual agreements, relationship characteristics, and couple serostatus, little research combines these elements to examine HIV risk for this population. The present study recruited 566 gay male couples…
Relationship Dynamics as Predictors of Broken Agreements About Outside Sexual Partners
Primary Relationships, HIV Treatment Adherence, and Virologic Control
Partner-Provided Social Support Influences Choice of Risk Reduction Strategies in Gay Male Couples
We investigated the influence of partner-provided HIV-specific and general social support on the sexual risk behavior of gay male couples with concordant, discordant, or serostatus-unknown outside partners. Participants were 566 gay male couples from the San Francisco Bay Area. HIV-specific social support was a consistent predictor for reduced unprotected anal intercourse (UAI) with both concordant outside partners (all couple types) and outside …
Relationship Characteristics Associated with Sexual Risk Behavior Among MSM in Committed Relationships
Understanding situations that increase HIV risk among men who have sex with men (MSM) requires consideration of the context in which risky behaviors occur. Relationships are one such context. This study examines the presence and predictors of unprotected anal intercourse (UAI) in the past 3 months among 566 MSM couples. A majority of couples allowed sex with outside partners. Overall, 65% of the sample engaged in UAI with primary partner, includi…
Risks worth taking
As HIV research and prevention efforts increasingly target gay men in relationships, situational factors such as couple serostatus and agreements about sex become central to examinations of risk. Discordant gay couples are of particular interest because the risk of HIV infection is seemingly near-at-hand. Yet, little is known about their sexual behaviors, agreements about sex, and safer sex efforts. The present study utilized longitudinal semi-st…
Rates of Testing for HIV in the Presence of Serodiscordant UAI Among HIV-Negative Gay Men in Committed Relationships
Past Present
Discordant couples are unique because neither partner shares the same serostatus. Yet research overlooks how they became discordant, mistakenly assuming that they have always been that way and, by extension, that being discordant impacts the relationship in a similar manner. This study examines HIV infection history and its impact on relationship dynamics using qualitative data from 35 discordant gay male couples. Most couples met discordant (69%…
HIV Testing Behaviors and Perceptions of Risk of HIV Infection Among MSM with Main Partners
Sexual Risk for HIV Among Gay Male Couples
Motivations to Test for HIV Among Partners in Concordant HIV-Negative and HIV-Discordant Gay Male Couples
Dyadic dynamics of HIV risk among transgender women and their primary male sexual partners
Transgender women - individuals assigned a male sex at birth who identify as women, female, or on the male-to-female trans feminine spectrum - are at high-risk of HIV worldwide. Prior research has suggested that transgender women more frequently engage in condomless sex with primary cisgender (i.e., non-transgender) male partners compared with casual or paying partners, and that condomless sex in this context might be motivated by relationship dy…
Perspectives of healthcare providers and HIV-affected individuals and couples during the development of a Safer Conception Counseling Toolkit in Kenya
Reproduction is important to many HIV-affected individuals and couples and healthcare providers (HCPs) are responsible for providing resources to help them safely conceive while minimizing the risk of sexual and perinatal HIV transmission. In order to fulfill their reproductive goals, HIV-affected individuals and their partners need access to information regarding safer methods of conception. The objective of this qualitative study was to develop…
Sexual communication self-efficacy, hegemonic masculine norms and condom use among heterosexual couples in South Africa
Hegemonic masculine norms (HMN), which promote sexual risk-taking among males and the subordination of women, are believed to play a key role in the HIV epidemic among heterosexual couples in South Africa (SA). Sexual communication self-efficacy (SCSE) (i.e., a couple's confidence in their ability to communicate about HIV prevention) may be a key leverage point for increasing HIV prevention behaviors among this population. We interviewed 163 sexu…
Relationship Dynamics and Partner Beliefs About Viral Suppression
Couples-Focused Prevention Program to Reduce HIV Risk Among Transgender Women and Their Primary Male Partners
Power and the association with relationship quality in South African couples
Research and health interventions aiming to improving HIV-related behaviors should consider sources of shared power within couples and potential leverage points for empowerment at the couple level. Efforts solely focused on empowering women should also take the dyadic environment and men's perspectives into account to ensure positive relationship outcomes
Expanding the relationship context for couple-based HIV prevention
Breakup-related appraisals and the psychological well-being of young adult gay and bisexual men
Participation in romantic relationships during adolescence and young adulthood provides opportunities to explore one's sexuality, yet may also cause distress once these relationships dissolve. Although researchers have asserted that participation in same-sex relationships may be beneficial for young gay and bisexual men's (YGBM) psychosocial well-being, less is known about YGBM appraisals of breakups after participating in same-sex relationships.…
Inter-partner and Temporal Variations in the Perception of Sexual Risk for HIV
If She is Drunk, I Don’t Want Her to Take it”
I told her this is your life’
Despite the important role of social relationships for health and wellbeing, little is known about how primary partners affect adherence to HIV care and treatment. We qualitatively explored how relationship dynamics and partner support influence adherence among couples from KwaZulu-Natal, South Africa. Twenty-four heterosexual couples with at least one HIV-positive partner completed semi-structured interviews on topics including relationship dyna…
Adolescent Sexual and Reproductive Health (49 obras) · HIV/AIDS Research and Interventions (47 obras) · Psychology (47 obras) · Medicine (44 obras) · Psychiatry (30 obras) · Social Psychology (30 obras) · Public health (29 obras) · Clinical Psychology (25 obras) · Family medicine (25 obras) · Human immunodeficiency virus (HIV (24 obras)