Male same-sex couple dynamics and received social support for HIV medication adherence

This qualitative study examines received social support by analyzing relationship dynamics concerning antiretroviral therapy adherence among HIV+ seroconcordant and serodiscordant male couples. Using narrative data from 40 participants (20 couples interviewed separately), we describe patterns of relationship dynamics and support preferences. One group viewed adherence as a Personal Responsibility. A second group viewed adherence as a Couple Responsibility and integrated support for medication adherence into the relationship. A third group was in the process of ending their relationships and adherence support was one-sided or withdrawn altogether. Examining support exchange contexts at cultural, situational, relational, and personal levels illuminated adherence processes. Qualitative methods provided a framework for investigating these complex relationships and their associations with HIV treatment adherence

Antiretroviral therapy · Developmental psychology · Dynamics (music · Family medicine · Human immunodeficiency virus (HIV · Medication adherence · Men who have sex with men · Narrative · Psychiatry · Qualitative research · Serodiscordant · Situational ethics · Social support · Support group · Viral load · Adolescent Sexual and Reproductive Health · Attachment and Relationship Dynamics · Clinical Psychology · HIV/AIDS Research and Interventions · Medicine · Psychology · Social Psychology

• HIV-discordant and concordant HIV-positive male couples’ recommendations for how an eHealth HIV prevention toolkit for concordant HIV-negative male couples could be improved to meet their specific needs

  Jason W Mitchell, J-Y Lee et al.•AIDS Care•2018

  Incluir item

• Couple identity and well-being in Chinese HIV serodiscordant couples

  Open Access•Jiasheng Huang, Jiansheng Huang et al.•AIDS Care•2018

  Incluir item

• Experience with antiretroviral electronic adherence monitoring among young African American men who have sex with men living with HIV

  Mark S Dworkin, Palak Panchal et al.•AIDS Care•2020

  Incluir item

• Correlates of antiretroviral adherence and viral load among transgender women living with HIV

  Jae M Sevelius, Jae Sevelius et al.•AIDS Care•2014

  Incluir item

• Social capital and HIV-serodiscordance

  Open Access•James Iveniuk, Liviana Calzavara et al.•SSM - Population Health•2022

  Incluir item

• A national recruitment strategy for HIV-serodiscordant partners living in Canada for the Positive Plus One study

  Open Access•Min Xi, Sandra Bullock et al.•BMC Public Health•2022

  Incluir item

• A triaged real-time alert intervention to improve antiretroviral therapy adherence among young African American men who have sex with men living with HIV

  Open Access•Mark S Dworkin, Palak Panchal et al.•BMC Public Health•2019

  Incluir item

• ReACH2Gether

  Open Access•Kristi E Gamarel, Ayla Durst et al.•AIDS and Behavior•2023

  Incluir item

• A Conceptual Model of Dyadic Coordination in HIV Care Engagement Among Couples of Black Men Who Have Sex with Men

  Open Access•Judy Y Tan, Chadwick K Campbell et al.•AIDS and Behavior•2018

  Incluir item

• Relationship Dynamics and Partner Beliefs About Viral Suppression

  Open Access•Amy A Conroy, Kristi E Gamarel et al.•AIDS and Behavior•2016

  Incluir item

• Primary Relationships, HIV Treatment Adherence, and Virologic Control

  Open Access•Mallory O Johnson, Samantha E Dilworth et al.•AIDS and Behavior•2011

  Incluir item

• The Role of the Primary Romantic Relationship in HIV Care Engagement Outcomes Among Young HIV-Positive Black Men Who Have Sex with Men

  Open Access•Judy Y Tan, Lance M Pollack et al.•AIDS and Behavior•2016

  Incluir item

• How Treatment Partners Help

  Open Access•Kelli N O’laughlin, Monique A Wyatt et al.•AIDS and Behavior•2011

  Incluir item

• I told her this is your life’

  Amy Conroy, Amy A Conroy et al.•Culture Health & Sexuality•2017

  Incluir item

• A review of two decades of LGBTQ‐inclusive research in JSPR and PR

  Open Access•A M Pollitt, Karen L Blair et al.•Personal Relationships•2023

  Incluir item

• Relationship Power Among Same-Sex Male Couples in New York and San Francisco

  Shari L Dworkin, Jennifer M Zakaras et al.•The Journal of Sex Research•2017

  Incluir item

• Communal or Autonomous? Coping Experiences of Chinese Serodiscordant Male Couples to HIV Care

  Open Access•Rong Fu, Chen Chen et al.•Archives of Sexual Behavior•2023

  Incluir item

• Marital infidelity, food insecurity, and couple instability

  Open Access•Amy A Conroy, Stacey A Mckenna et al.•Social Science & Medicine•2018

  Incluir item

• Gendered accounts of managing diabetes in same-sex relationships

  Open Access•Adam Jowett•Health An Interdisciplinary…•2018

  Incluir item

• When does spousal social control provoke negative reactions in the context of chronic illness? The pivotal role of patients' expectations

  Open Access•Karen S Rook, Kristin J August et al.•Journal of Social and Personal…•2011

  Incluir item

• Male same-sex couple dynamics and received social support for HIV medication adherence

  Open Access•Judith Wrubel, Scott Stumbo et al.•Journal of Social and Personal…•2010

  Incluir item

• Can promoting romantic relationship quality help gay and bisexual men better face HIV stigma

  Open Access•Gibran Rodríguez De Los Reyes, Karla Urriola González•Journal of Social and Personal…•2017

  Incluir item

• Social Support and Physical Health

  Bert N Uchino•Social support and physical health•2004

  Incluir item

• Social Support and the Management of Uncertainty for People Living With HIV or Aids

  Dale E Brashers, Judith L Neidig et al.•Health Communication•2004

  Incluir item

• Culture and the Physical Environment

  Open Access•Yuri Miyamoto, Richard E Nisbett et al.•Psychological Science•2006

  Incluir item

• Social Support and Patient Adherence to Medical Treatment

  M Robin Dimatteo, M Siewers et al.•Health Psychology•2004

  Incluir item

• Social control in personal relationships

  Megan A Lewis, Karen S Rook•Health Psychology•1999

  Incluir item

• Responses to a 1 month self-report on adherence to antiretroviral therapy are consistent with electronic data and virological treatment outcome

  John Walsh, John C Walsh et al.•AIDS•2002

  Incluir item

• Daily Supportive Equity in Close Relationships

  Open Access•Marci E J Gleason, Masayo Iida et al.•Personality and Social Psychology…•2003

  Incluir item

• Maternal Care and Infant Behavior in Japan and America

  William Caudill, Helen Weinstein•Psychiatry•1969

  Incluir item

• Stress

  Susan Folkman•Encyclopedia of Behavioral Medicine•2013

  Incluir item

• Couple-focused support to improve HIV medication adherence

  Robert H Remien, Michael J Stirratt et al.•AIDS•2005

  Incluir item

• Stress, appraisal, and coping

  Open Access•H J Eysenck•Behaviour Research and Therapy•1985

  Incluir item

• The art of case study research

  Open Access•Reijo Savolainen•Library & Information Science…•1996

  Incluir item

• Social Relationships and Health

  Open Access•James S House, Karl R Landis et al.•Science•1988

  Incluir item

• The art of case study research

  Robert E Stake•The art of case study research•1995

  Incluir item

• Exploring direction of causation between social support and clinical outcome for HIV-positive adults in the context of highly active antiretroviral therapy

  Robert W Burgoyne•AIDS Care•2005

  Incluir item

• Predictors of antiretroviral adherence

  Dean A Murphy, William D Marelich et al.•AIDS Care•2004

  Incluir item

• Overview and implementation of an intervention to prevent adherence failure among HIV-infected adults initiating antiretroviral therapy

  G Davies, Gawaine Powell Davies et al.•AIDS Care•2006

  Incluir item

• Level of commitment, mutuality of commitment, and couple well‐being

  Open Access•Stephen M Drigotas, Caryl E Rusbult et al.•Personal Relationships•1999

  Incluir item

• The Cultural Construction of Social Support in Brazil

  Open Access•W W Dressler, Mauro Campos Balieiro et al.•Culture Medicine and Psychiatry•1997

  Incluir item

• Naturalistic inquiry and the saturation concept

  Open Access•Glenn A Bowen•Qualitative Research•2008

  Incluir item

• Close relationships and adjustments to a life crisis

  Niall Bolger, Mark Foster et al.•Journal of Personality and Social…•1996

  Incluir item

• Attending holistically versus analytically

  Takahiko Masuda, Richard E Nisbett•Journal of Personality and Social…•2001

  Incluir item

• Trust in close relationships

  John K Rempel, John G Holmes et al.•Journal of Personality and Social…•1985

  Incluir item

• Trust and communicated attributions in close relationships

  John K Rempel, Michael Ro et al.•Journal of Personality and Social…•2001

  Incluir item

• Commitment, pro-relationship behavior, and trust in close relationships

  Jennifer Wieselquist, Caryl E Rusbult et al.•Journal of Personality and Social…•1999

  Incluir item

• Men, masculinity, and the contexts of help seeking

  Michael E Addis, James R Mahalik•American Psychologist•2003

  Incluir item

• Codebook Development for Team-Based Qualitative Analysis

  Open Access•Kathleen M Macqueen, Eleanor Mclellan et al.•CAM Journal•1998

  Incluir item

• Social support and quality of life over time among adults living with HIV in the Haart era

  Open Access•Robert Burgoyne, Robert W Burgoyne et al.•Social Science & Medicine•2004

  Incluir item

• Gender, marital status and the social control of health behavior

  Open Access•Debra Umberson•Social Science & Medicine•1992

  Incluir item

• Social Support as Relationship Maintenance in Gay Male Couples Coping with Hiv or Aids

  Open Access•Stephen M Haa, Stephen M Haas•Journal of Social and Personal…•2002

  Incluir item

• Dialectical Contradictions in Relationship Development

  Open Access•Leslie A Baxter•Journal of Social and Personal…•1990

  Incluir item

• The conceptualization and assessment of health-related social control

  Open Access•Megan A Lewis, Rita M Butterfield et al.•Journal of Social and Personal…•2004

  Incluir item

• Male same-sex couple dynamics and received social support for HIV medication adherence

  Open Access•Judith Wrubel, Scott Stumbo et al.•Journal of Social and Personal…•2010

  Incluir item

• Health-Related Social Influence

  Open Access•Rita M Butterfield, Megan A Lewis•Journal of Social and Personal…•2002

  Incluir item

• Good to have but not to use

  Open Access•Joann P Reinhardt, Kathrin Boerner et al.•Journal of Social and Personal…•2006

  Incluir item

• Commitment Processes in Close Relationships

  Open Access•Caryl E Rusbult, Bram P Buunk•Journal of Social and Personal…•1993

  Incluir item

• Family Status and Health Behaviors

  Debra Umberson•Journal of Health and Social…•1987

  Incluir item

• Perceived Support, Received Support, and Adjustment to Stressful Life Events

  Elaine Wethington, R C Kessler•Journal of Health and Social…•1986

  Incluir item