Negotiating sexual safety in the era of biomedical HIV prevention: relationship dynamics among male couples using pre-exposure prophylaxis.
Negotiating sexual safety in the era of biomedical HIV prevention: relationship dynamics among male couples using pre-exposure prophylaxis.
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DOI：
10.1080/13691058.2017.1368711
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发表时间：
2018-06
期刊：
影响因子：
--
通讯作者：
Bazzi AR
中科院分区：
文献类型：
--
作者：
Malone J;Syvertsen JL;Johnson BE;Mimiaga MJ;Mayer KH;Bazzi AR
在美国，同性恋、双性恋和其他男男性行为者之间艾滋病毒传播的新病例中，多达三分之二归因于主要关系。了解男性与男性伴侣的关系动态和性协议可以深入了解该人群的艾滋病毒传播模式和预防需求。日常使用抗逆转录病毒暴露前预防（PrEP）对于预防艾滋病毒非常有效，但其在社交和亲密关系环境中的协商和使用仍有待研究。我们对 20 对男性夫妇（n = 40 名男性）进行了半结构化定性访谈，其中至少一位伴侣正在使用或正在启动 PrEP。与对关系和协商风险的社会理论的理论关注相一致，我们对夫妇进行了关于关系动态、信任、沟通和性健康实践的采访，包括他们对 PrEP 的看法和使用。总体而言，我们发现夫妇在建立开放的性协议时表现出更高的信任和沟通，并在使用 PrEP 的背景下表现出对性风险和健康实践的高度认识。这项研究表明，了解关系动态如何能够更好地为有艾滋病毒风险的男性夫妇提供艾滋病毒预防和性健康促进工作。
Up to two-thirds of new cases of HIV transmission between gay, bisexual and other men who have sex with men in the USA are attributed to primary relationships. Understanding the relationship dynamics and sexual agreements of male-male couples can provide insight into HIV transmission patterns and prevention needs in this population. The daily use of antiretroviral pre-exposure prophylaxis (PrEP) is highly effective in preventing HIV, but its negotiation and use within social and intimate relationship contexts remain understudied. We conducted semi-structured qualitative interviews with 20 male couples (n = 40 men) in which at least one partner was either using or in the process of initiating PrEP. Congruent with a theoretical focus on social theories of relationships and negotiated risk, couples were interviewed about relationship dynamics, trust, communication and sexual health practices, including their perception and use of PrEP. Overall, we found that couples showed heightened trust and communication when establishing open, sexual agreements and demonstrated high awareness of sexual risks and health practices in the context of PrEP use. This study demonstrates how understanding relationship dynamics can better inform HIV prevention and sexual health promotion efforts for male couples at risk of HIV.
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影响因子：
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作者：
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通讯作者：
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影响因子：
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DOI：
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发表时间：
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