Timing and Sequence of Events

HIV Status Disclosure, Condomless Anal Sex, and Sexual Agreement Formation Among Same-Sex Male Couples

Datos Bibliográficos

ID10205349
AutoresJason W Mitchell (0000-0002-0840-9404, University of Hawaiʻi at Mānoa, autor de correspondencia), Yanyan Wu (0000-0001-8350-2281, University of Hawaiʻi at Mānoa), Kristi E Gamarel (0000-0001-9405-7515, Department of Health Behavior and Health Education, University of Michigan School of Public Health)
Año2018
Volumen56
Número6
Páginas728-739
Fecha de publicación2018-10-08
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaThe Journal of Sex Research (JOURNAL)
Identificadores de la revistaISSN: 0022-4499 • E-ISSN: 1559-8519
EditorialTaylor & Francis (PUBLISHER • GB)
DOI10.1080/00224499.2018.1523361
PMID30295545
OpenAlexW2897928533
IdiomaEN
Citas recibidas4
Referencias citadas55

Despite the implications for human immunodeficiency virus (HIV) prevention and sexual health, little is known about the timing and chronological order of when same-sex male couples disclose their HIV serostatus, establish a sexual agreement, and first engage in condomless anal sex (CAS) in their relationships. Dyadic data from 357 dyads were used to describe when these respective events occurred; whether members of a couple concurred about when the events happened; and the chronological order of these events. For many, disclosure and CAS happened within the first month, whereas an agreement tended to occur much later (if at all). Couples' concordance of when disclosure and agreement formation happened differed by their serostatus, whereas there was little difference by serostatus for CAS. The chronological order of these events revealed interesting patterns and varied substantially. Although two-thirds of partners reported disclosure had occurred first, some reported events happening on the same day. These findings reveal that the first few months in a same-sex male couple's relationship is a critical time period for when information and decisions about sexual health occur. Suggestions are provided for how current and future HIV prevention efforts could assist couples with their sexual health needs

Concordance · Condom · Developmental psychology · Family medicine · Human immunodeficiency virus (HIV · Population · Reproductive health · Serostatus · Sex partners · Sexual behavior · Sociology · Adolescent Sexual and Reproductive Health · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology