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Sexual Risk for HIV Among Gay Male Couples: A Longitudinal Study of the Impact of Relationship Dynamics

Archives of sexual behavior, 2014, Vol.43 (1), p.47-60 [Peer Reviewed Journal]

Springer Science+Business Media New York 2013 ;Springer Science+Business Media New York 2014 ;ISSN: 0004-0002 ;EISSN: 1573-2800 ;DOI: 10.1007/s10508-013-0206-x ;PMID: 24233329 ;CODEN: ASXBA8

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Title:
Sexual Risk for HIV Among Gay Male Couples: A Longitudinal Study of the Impact of Relationship Dynamics
Author: Darbes, Lynae A. ; Chakravarty, Deepalika ; Neilands, Torsten B. ; Beougher, Sean C. ; Hoff, Colleen C.
Subjects: Acquired Immune Deficiency Syndrome ; Adult ; Anal sex ; Attachment ; Behavioral Science and Psychology ; Communication ; Condoms - statistics & numerical data ; Couples ; Family Characteristics ; Female ; Gays & lesbians ; HIV ; HIV Infections - prevention & control ; HIV Infections - psychology ; HIV Infections - transmission ; HIV Seronegativity ; HIV Seropositivity - epidemiology ; HIV Seropositivity - psychology ; Homosexuality ; Homosexuality, Male - psychology ; Homosexuality, Male - statistics & numerical data ; Human immunodeficiency virus ; Humans ; Interpersonal Relations ; Intervention ; Intimacy ; Longitudinal Studies ; Male ; Males ; Men ; Negotiating ; Personal relationships ; Personal Satisfaction ; Psychology ; Public Health ; Risk ; Risk factors ; Risk-Taking ; San Francisco - epidemiology ; Sexual Behavior ; Sexual Behavior - statistics & numerical data ; Sexual Partners - classification ; Sexual Partners - psychology ; Social Sciences ; Social Support ; Special Section: Sexual Health in Gay and Bisexual Male Couples ; Young Adult
Is Part Of: Archives of sexual behavior, 2014, Vol.43 (1), p.47-60
Description: While the relationship context itself is increasingly being examined to understand sexual risk behavior among gay male couples, few studies have examined relationship dynamics and HIV risk longitudinally. We aimed to investigate relationship dynamics and psychosocial predictors of unprotected anal intercourse (UAI) with outside partners of serodiscordant or unknown HIV serostatus (UAIOUT) over time as well as UAI with primary partner in serodiscordant couples (UAIPP). We recruited a sample of 566 ethnically diverse, seroconcordant and serodiscordant couples and interviewed them six times over the course of 3 years. The surveys encompassed relationship dynamics between the partners and sexual behavior with primary and outside partners. We fit generalized linear mixed models for both the UAI outcomes with time and relationship dynamics as predictors while controlling for relationship length. Analyses of the longitudinal data revealed that, in both categories of couples, those with higher levels of positive relationship dynamics (e.g., commitment, satisfaction) were less likely to engage in UAIOUT. Higher investment in sexual agreement and communication were among the factors that significantly predicted less UAIOUT for seroconcordant couples, but not for the serodiscordant couples. For serodiscordant couples, greater levels of attachment and intimacy were associated with greater odds of UAIPP while increased HIV-specific social support was associated with lower odds of UAIPP. These results underscore the importance of creating and tailoring interventions for gay couples that help maintain and strengthen positive relationship dynamics as they have the potential to produce significant changes in HIV risk behavior and thereby in HIV transmission.
Publisher: New York: Springer US
Language: English
Identifier: ISSN: 0004-0002
EISSN: 1573-2800
DOI: 10.1007/s10508-013-0206-x
PMID: 24233329
CODEN: ASXBA8
Source: ProQuest One Psychology
AUTh Library subscriptions: ProQuest Central
MEDLINE
Alma/SFX Local Collection

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Sexual Risk for HIV Among Gay Male Couples: A Longitudinal Study of the Impact of Relationship Dynamics

Springer Science+Business Media New York 2013 ;Springer Science+Business Media New York 2014 ;ISSN: 0004-0002 ;EISSN: 1573-2800 ;DOI: 10.1007/s10508-013-0206-x ;PMID: 24233329 ;CODEN: ASXBA8

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