scholarly journals Relationship Characteristics and Dyadic Approaches to HIV Health-Enhancing Behaviours Among a Sample of Same-Sex Male Couples From Three U.S. Cities

2018 ◽  
Vol 9 ◽  
Author(s):  
Jessica Marsack ◽  
Erin Kahle ◽  
Nicolas A. Suarez ◽  
Matthew J. Mimiaga ◽  
Robert Garofalo ◽  
...  

Recent modelling estimates up to two-thirds of new HIV infections among men who have sex with men occur within partnerships, indicating the importance of dyadic HIV prevention efforts. Although new interventions are available to promote dyadic health-enhancing behaviours, minimal research has examined what factors influence partners’ mutual engagement in these behaviours, a critical component of intervention success. Actor-partner interdependence modelling was used to examine associations between relationship characteristics and several dyadic outcomes theorised as antecedents to health-enhancing behaviours: planning and decision making, communication, and joint effort. Among 270 male-male partnerships, relationship satisfaction was significantly associated with all three outcomes for actors (p = .02, .02, .06 respectively). Latino men reported poorer planning and decision making (actor p = .032) and communication (partner p = .044). Alcohol use was significantly and negatively associated with all outcomes except actors’ planning and decision making (actors: p = .11, .038, .004 respectively; partners: p = .03, .056, .02 respectively). Having a sexual agreement was significantly associated with actors’ planning and decision making (p = .007) and communication (p = .008). Focusing on interactions between partners produces a more comprehensive understanding of male couples’ ability to engage in health-enhancing behaviours. This knowledge further identifies new and important foci for the tailoring of dyadic HIV prevention and care interventions.

2018 ◽  
Vol 57 (5) ◽  
pp. 1931-1947 ◽  
Author(s):  
Kathryn Drumhiller ◽  
José E. Nanín ◽  
Zaneta Gaul ◽  
Madeline Y. Sutton

2009 ◽  
Vol 21 (supplement b) ◽  
pp. 124-136 ◽  
Author(s):  
Ana P. Martínez-Donate ◽  
Jennifer A. Zellner ◽  
Araceli Fernández-Cerdeño ◽  
Fernando Sañudo ◽  
Melbourne F. Hovell ◽  
...  

Trials ◽  
2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Omar Martinez ◽  
M. Isabel Fernandez ◽  
Elwin Wu ◽  
Alex Carballo-Diéguez ◽  
Guillermo Prado ◽  
...  

2021 ◽  
Vol 33 (4) ◽  
pp. 276-289
Author(s):  
Nicole Crepaz ◽  
Mary M. Mullins ◽  
Darrel Higa ◽  
Jayleen K. L. Gunn ◽  
Yamir Salabarría-Peña

In the United States, Hispanic/Latino men who have sex with men (HLMSM) are disproportionally affected by HIV. We conducted a rapid review of national surveillance data to examine disparities in HIV prevention and care outcomes among HLMSM. Thirteen reports provided relevant data from 2011 to 2018. Compared to White MSM, a higher percentage of HIV-negative HLMSM reported not taking PrEP and engaging in condomless sex; a lower percentage of HIV-negative HLMSM at risk for HIV reported PrEP awareness and use; and a lower percentage of HIV-positive HLMSM were aware of their status, linked to HIV care, and virally suppressed. Viral suppression rates in HLMSM were better among Ryan White clients than the national rates, suggesting that access to comprehensive care/services reduces disparities. Findings also call for identifying individual, social, and structural factors contributing to condomless sex without PrEP use and HIV status unawareness and identifying best approaches for scaling up comprehensive care/services.


2019 ◽  
Vol 33 (2) ◽  
pp. 196-208
Author(s):  
Patrick O'Byrne ◽  
Lauren Orser ◽  
Jean Daniel Jacob

Postexposure prophylaxis (PEP) for HIV prevention involves giving antiretroviral medications to HIV-negative people to prevent seroconversion after HIV exposure. Available literature suggests this intervention is >80% effective. Accordingly, we implemented a nurse-led PEP program in two sexually transmitted and HIV testing clinics. As part of evaluating this project, we undertook semistructured interviews with participants who accessed PEP to understand their experiences. Twelve men participated: all were HIV-negative males who sought PEP for condomless anal sex with men. Unique to this article is the presentation of the participants' descriptions of the “side effects” they experienced. Notably, the main side effect they described related to emotional distress. Simply put, having to take a medication for 28 days forced reflection and introspection on their sexual decision-making. We feel HIV prevention workers should consider this emotional reaction when designing interventions, and ensure they provide adequate preparation and support to patients.


2019 ◽  
Vol 31 (5) ◽  
pp. 407-420 ◽  
Author(s):  
Sarah MacCarthy ◽  
Joanna L. Barreras ◽  
Alexandra Mendoza-Graf ◽  
Frank Galvan ◽  
Sebastian Linnemayr

Mobile technology–based interventions show promise for conveying HIV prevention information to Latino men who have sex with men (LMSM) and Latina transgender women (LTGW); however, implementing such interventions can pose serious challenges. To understand how to adapt existing interventions for these populations, we conducted nine focus groups (N = 91 participants, 52 LMSM, 39 LTGW) in Los Angeles, California. We used a rapid assessment process to create narrative reports that we examined using thematic analysis to explore differences across sites and between LMSM and LTGW. Lessons learned: requiring smartphone use could diminish participation of poor participants; sending personalized messages on the same days and times can help participants anticipate receiving study information; working with community partners is essential for building trust; recognizing different language literacies and diverse countries of origin can improve the cultural competency of intervention materials. Addressing these challenges may enhance efforts to address the HIV prevention needs of these communities.


2012 ◽  
Vol 17 (6) ◽  
pp. 641-658 ◽  
Author(s):  
Araceli Fernández Cerdeño ◽  
Ana P. Martínez-Donate ◽  
Jennifer A. Zellner ◽  
Fernando Sañudo ◽  
Héctor Carrillo ◽  
...  

2021 ◽  
pp. 089011712110410
Author(s):  
Michelle S. Williams ◽  
Tonia Poteat ◽  
Melverta Bender ◽  
Precious Ugwu ◽  
Paul A. Burns

Purpose: The incidence of new HIV infections is disproportionately high among Black men who have sex with men (BMSM) in Mississippi. Community-based organizations received funding through the ACCELERATE! initiative to implement interventions aimed at increasing BMSM’s access to HIV prevention, treatment and care interventions. Approach: We conducted a mixed methods evaluation of the ACCELERATE! initiative to assess its impact. We also explored factors that act as barriers to and facilitators of BMSM’s engagement in HIV prevention interventions. Setting: Interviews were conducted between July 2018 and February 2020. Participants: Thirty-six BMSM and 13 non-grantee key informants who worked in the field of HIV in Mississippi participated. Method: The qualitative data from the interview transcripts was analyzed using an iterative, inductive coding process. Results: We identified 10 key recommendations that were most common across all participants and that were aligned with UNAIDS Global AIDS Strategy strategic priorities. Several recommendations address the reduction of HIV- and LGBT-stigma. Two of the most common recommendations were to increase representation of the target population in health promotion program leadership and to include HIV with other Black health issues in community-based health education programs rather than singling it out. Another recommendation called for programs aimed at addressing underlying factors associated with HIV-risk behaviors, such as mental illness. Conclusion: Our results indicate that HIV education interventions in the Deep South need to be revitalized to enhance their reach and effectiveness.


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