Perceived facilitators of decision-making and usage of biomedical HIV prevention strategies
Findings from an online, qualitative study with same-gender male couples in the United States
Bibliographic Data
| ID | 19438683 |
|---|---|
| Authors | Jason W Mitchell (0000-0002-0840-9404, Office of Public Health Studies, University of Hawai’i at Mānoa, Honolulu, HI, USA, corresponding author), Kristi E Gamarel (0000-0001-9405-7515, Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA), Kasey K Kam (Office of Public Health Studies, University of Hawai’i at Mānoa, Honolulu, HI, USA), Jacob T Pennington (Office of Public Health Studies, University of Hawai’i at Mānoa, Honolulu, HI, USA), Jacob Pennington (University of Hawaiʻi at Mānoa) |
| Year | 2021 |
| Volume | 33 |
| Issue | 9 |
| Pages | 1209-1217 |
| Publication date | 2021-09-02 |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2020.1808158 |
| PMID | 32844670 |
| OpenAlex | W3080824330 |
| Language | EN |
| Citations received | 2 |
| References cited | 38 |
The early stages of gay and bisexual men's relationships are a critical period for communicating about HIV prevention strategies. This study sought to: (1) explore facilitators to decision-making to use prevention strategies and (2) describe the prevention strategies being used by same-gender male couples in new relationships. Individual interviews were conducted with 76 partnered men, representing 37 couples and 2 individuals. Couples had been together for one year or less, and varied by U.S. geographical region of residence and HIV serostatus: 8 seroconcordant positive, 17 seroconcordant negative, and 13 serodiscordant couples. Two overarching qualitative themes emerged: (1) communication and (2) information and resources. Notably, few couples had both partners mention the same facilitator. The most commonly used HIV prevention strategies were treatment as prevention for partners in seroconcordant positive and serodiscordant couple relationships, and HIV/STI testing for partners of seroconcordant negative couples. Compared to the other two couple groups, fewer seroconcrdant negative couples were aware of each other's use of strategies. Study findings suggest these facilitators are important to include in future interventions. Efforts are also needed to improve within-dyad awareness about which strategies partners are using and how they may best support one another toward their sexual health goals
Dyad · Facilitator · Family medicine · Men who have sex with men · Psychological intervention · Qualitative research · Serodiscordant · Serostatus · Sociology · Spouse · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Social Psychology
Sexual negotiation in the Aids era
Assessing sexual risk behaviour of young gay men in primary relationships
Dyadic Coping and Its Significance for Marital Functioning.
Communication, conflict, and psychological distance in nondistressed, clinic, and divorcing couples.
Behavioral and Cognitive Barriers to Safer Sex Between Men in Steady Relationships
What Drives the US and Peruvian HIV Epidemics in Men Who Have Sex with Men (MSM)?
Intimate Relationships
Linking Syndemic Stress and Behavioral Indicators of Main Partner HIV Transmission Risk in Gay Male Couples
The Critical Role of Intimacy in the Sexual Risk Behaviors of Gay and Bisexual Men
Feasibility and Promise of a Couple-Based HIV/STI Preventive Intervention for Methamphetamine-Using, Black Men Who have Sex with Men
Relationship Dynamics as Predictors of Broken Agreements About Outside Sexual Partners
Between and Within Couple-Level Factors Associated with Gay Male Couples’ Investment in a Sexual Agreement
Primary Relationships, HIV Treatment Adherence, and Virologic Control
A Pilot Randomized Trial of Intervention Components Addressing Drug Use in Couples HIV Testing and Counseling (CHTC) with Male Couples
Integrating HIV Prevention and Relationship Education for Young Same-Sex Male Couples
The Utility of Template Analysis in Qualitative Psychology Research
Characteristics and Allowed Behaviors of Gay Male Couples’ Sexual Agreements
Timing and Sequence of Events
Negotiating Risks in Context
Sexual Risk for HIV Among Gay Male Couples
A qualitative analysis of male couples' coping with HIV
Social Support and the Study of Personal Relationships
Masculine Socialization and Sexual Risk Behaviors among Black Men Who Have Sex with Men
| Citations per year | 0.5 |
|---|---|
| Citation span | 2022 - 2026 (5) |
| Highly cited | No |