Intimacy motivations and pre-exposure prophylaxis (PrEP) adoption intentions among HIV-negative men who have sex with men (MSM) in romantic relationships.
Intimacy motivations and pre-exposure prophylaxis (PrEP) adoption intentions among HIV-negative men who have sex with men (MSM) in romantic relationships.
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DOI：
10.1007/s12160-014-9646-3
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发表时间：
2015-04
影响因子：
3.8
通讯作者：
Johnson, Mallory O.
中科院分区：
文献类型：
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作者：
Gamarel, Kristi E.;Neilands, Torsten B.;Johnson, Mallory O.
在美国，男男性行为者（MSM）在主要伙伴关系中感染人类免疫缺陷病毒（HIV）的风险较高。暴露前预防（PrEP）是一种新的生物医学预防策略，具有减少艾滋病毒传播的潜力。本研究探讨了艾滋病毒阴性的男男性接触者在初级伙伴关系中PrEP采用意图的预测因素。样本包括HIV阴性MSM（n = 164），他们参加了一项正在进行的横断面研究，并进行了面对面访谈，检查PrEP采用意图。较高的艾滋病毒风险认知，无安全套性行为的亲密动机，最近与外部合作伙伴的无安全套肛交，教育和年龄分别与PrEP采用意图独立相关。在一个多变量模型中，只有年龄、教育程度和无套性行为的亲密动机与PrEP采用意图显著相关。亲密动机可能在MSM夫妇的PrEP采用中发挥核心作用。将关系动力学纳入生物医学战略是研究和干预的一个有前途的途径。
In the United States, men who have sex with men (MSM) in primary partnerships are at elevated risk for human immunodeficiency virus (HIV) infection. Pre-exposure prophylaxis (PrEP), a new biomedical prevention strategy, has potential to reduce HIV transmission. This study examined predictors of PrEP adoption intentions among HIV-negative MSM in primary partnerships. The sample included HIV-negative MSM (n = 164) who participated in an ongoing cross-sectional study with an in-person interview examining PrEP adoption intentions. Higher HIV risk perception, intimacy motivations for condomless sex, recent condomless anal sex with outside partners, education, and age were each independently associated with PrEP adoption intentions. In a multivariate model, only age, education, and intimacy motivations for condomless sex were significantly associated with PrEP adoption intentions. Intimacy motivations may play a central role in PrEP adoption for MSM couples. Incorporating relationship dynamics into biomedical strategies is a promising avenue for research and intervention.