Sexual risk for HIV among gay male couples: a longitudinal study of the impact of relationship dynamics.
Sexual risk for HIV among gay male couples: a longitudinal study of the impact of relationship dynamics.
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DOI：
10.1007/s10508-013-0206-x
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发表时间：
2014-01
影响因子：
3.8
通讯作者：
Hoff, Colleen C.
中科院分区：
文献类型：
--
作者：
Darbes, Lynae A.;Chakravarty, Deepalika;Neilands, Torsten B.;Beougher, Sean C.;Hoff, Colleen C.
虽然越来越多的关系背景本身被检查，以了解男同性恋伴侣之间的性风险行为，很少有研究纵向研究关系动态和艾滋病毒风险。我们的目的是调查随着时间的推移，与血清不一致或未知HIV血清状态（UAIOUT）的外部合作伙伴的无保护肛交（UAI）以及与血清不一致夫妇（UAIPP）的主要合作伙伴的UAI的关系动力学和心理社会预测因素。我们招募了566对不同种族、血清一致和血清不一致的夫妇，在三年的时间里对他们进行了六次访谈。这些调查包括合作伙伴之间的关系动态和与主要和外部合作伙伴的性行为。我们拟合广义线性混合模型的UAI结果与时间和关系动态作为预测因子，同时控制关系长度。对纵向数据的分析显示，在这两类夫妇中，那些积极关系动态水平较高的夫妇（例如，承诺，满意度）不太可能参与UAIOUT。对性协议和沟通的更高投资是血清一致性夫妇UAI显著降低的因素之一，但血清不一致性夫妇则不然。对于血清不一致的夫妇，更高水平的依恋和亲密关系与UAIPP的几率更高相关，而增加艾滋病毒特异性社会支持与UAIPP的几率更低相关。这些结果强调了为同性恋伴侣创造和定制干预措施的重要性，这些干预措施有助于维持和加强积极的关系动态，因为它们有可能在艾滋病毒风险行为中产生显着变化，从而在艾滋病毒传播中产生显着变化。
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 three 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 UAI for seroconcordant couples, but not for 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.
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影响因子：
3.8
作者：
Hoff, Colleen C.;Beougher, Sean C.
通讯作者：
Beougher, Sean C.
影响因子：
1.7
作者：
Hoff CC;Beougher SC;Chakravarty D;Darbes LA;Neilands TB
通讯作者：
Neilands TB
影响因子：
2.5
作者：
Davidovich, U;De Wit, J;Stroebe, W
通讯作者：
Stroebe, W
DOI：
10.1521/aeap.2009.21.1.25
发表时间：
2009-02
期刊：
AIDS education and prevention : official publication of the International Society for AIDS Education
影响因子：
--
作者：
Hoff CC;Chakravarty D;Beougher SC;Darbes LA;Dadasovich R;Neilands TB
通讯作者：
Neilands TB
影响因子：
4.4
作者：
Brady SS;Iantaffi A;Galos DL;Rosser BR
通讯作者：
Rosser BR