Relationship Characteristics and HIV Transmission Risk in Same-Sex Male Couples in HIV Serodiscordant Relationships View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2013-11-16

AUTHORS

Tyrel J. Starks, Kristi E. Gamarel, Mallory O. Johnson

ABSTRACT

Unprotected anal intercourse (UAI) remains a main risk factor for HIV among men who have sex with men (MSM) and this is of particular concern for partners of HIV serodiscordant status. However, HIV transmission risk has been demonstrated to vary by the sexual position adopted among partners. Guided by interdependence theory, this study examined how relational factors were differentially associated with risk taking (HIV-positive/insertive and HIV-negative/receptive) and strategic positioning (HIV-positive/receptive and HIV-negative/insertive) UAI within serodiscordant same-sex male couples. HIV-positive men and their HIV-negative partners (ncouples = 91; nindividuals = 182) simultaneously but independently completed computerized questionnaires and HIV-positive men had blood drawn for viral load. A minority of couples (30 %) engaged in risk taking and/or strategic positioning unprotected anal sex. Results of multinomial logistic regression indicated that HIV-negative partners’ levels of relationship commitment were positively associated with the odds of engaging in strategic positioning sexual behaviors. For HIV-negative partners, reports of relationship intimacy, and sexual satisfaction were negatively associated with odds of reporting risk taking behavior. In contrast, HIV-positive partners’ reported sexual satisfaction was positively associated with odds of engaging in risk taking behavior. Findings suggested that aspects of relational quality may be differentially associated with sexual decision making for same-sex male couples in serodiscordant relationships. Study findings lend support for the incorporation of discussions of HIV risk reduction strategies, enhancing communication between partners, and support for general relationship functioning in HIV care. More... »

PAGES

139-147

References to SciGraph publications

  • 2013-05-01. Personal or Relational? Examining Sexual Health in the Context of HIV Serodiscordant Same-Sex Male Couples in AIDS AND BEHAVIOR
  • 2012-11-13. An Electronic Diary Study of the Effects of Patient Avoidance and Partner Social Constraints on Patient Momentary Affect in Metastatic Breast Cancer in ANNALS OF BEHAVIORAL MEDICINE
  • 2011-12-21. Alternatives to Monogamy Among Gay Male Couples in a Community Survey: Implications for Mental Health and Sexual Risk in ARCHIVES OF SEXUAL BEHAVIOR
  • 1999-12. Other-Sensitive Motivation for Safer Sex Among Gay Men: Expanding Paradigms for HIV Prevention in AIDS AND BEHAVIOR
  • 1997-12. The Association of Idealization and Intimacy Factors with Condom Use in Gay Male Couples in JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS
  • 2012-07-13. Factors Associated with Men in HIV-Negative Gay Couples Who Practiced UAI Within and Outside of Their Relationship in AIDS AND BEHAVIOR
  • 2007-03-13. A Caution Regarding Rules of Thumb for Variance Inflation Factors in QUALITY & QUANTITY
  • 2008-10-09. Partner Serostatus and Disclosure Stigma: Implications for Physical and Mental Health Outcomes Among HIV-positive Adults in AIDS AND BEHAVIOR
  • 2011-08-03. Primary Relationships, HIV Treatment Adherence, and Virologic Control in AIDS AND BEHAVIOR
  • 2013-03-24. Undetectable Viral Load and the Decision to Engage in Unprotected Anal Intercourse Among HIV-Positive MSM in AIDS AND BEHAVIOR
  • 2009-02-06. Use of Viral Load to Negotiate Condom Use Among Gay Men in Sydney, Australia in AIDS AND BEHAVIOR
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s10508-013-0216-8

    DOI

    http://dx.doi.org/10.1007/s10508-013-0216-8

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1033411619

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/24243004


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