Skip to main content
Erschienen in: Annals of Behavioral Medicine 2/2015

01.04.2015 | Original Article

Intimacy Motivations and Pre-exposure Prophylaxis (PrEP) Adoption Intentions Among HIV-Negative Men Who Have Sex with Men (MSM) in Romantic Relationships

verfasst von: Kristi E. Gamarel, PhD, Sarit A. Golub, PhD

Erschienen in: Annals of Behavioral Medicine | Ausgabe 2/2015

Einloggen, um Zugang zu erhalten

Abstract

Background

In the USA, 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.

Methods

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.

Results

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.

Conclusions

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.
Literatur
1.
Zurück zum Zitat Centers for Disease Control and Prevention. Estimated HIV incidence among adults and adolescents in the United States, 2007–2010. HIV Surveillance Supplemental Report; 2012. Centers for Disease Control and Prevention. Estimated HIV incidence among adults and adolescents in the United States, 2007–2010. HIV Surveillance Supplemental Report; 2012.
2.
Zurück zum Zitat Centers for Disease Control and Prevention. Diagnoses of HIV infection in the United States and dependent areas, 2011. HIV Surveillance Report; 2013. Centers for Disease Control and Prevention. Diagnoses of HIV infection in the United States and dependent areas, 2011. HIV Surveillance Report; 2013.
3.
Zurück zum Zitat Sullivan PS, Hamouda O, Delpech V, et al. Reemergence of the HIV epidemic among men who have sex with men in North America, Western Europe, and Australia, 1996–2005. Ann Epid. 2009; 19(6): 423-31.CrossRef Sullivan PS, Hamouda O, Delpech V, et al. Reemergence of the HIV epidemic among men who have sex with men in North America, Western Europe, and Australia, 1996–2005. Ann Epid. 2009; 19(6): 423-31.CrossRef
4.
Zurück zum Zitat Goodreau SM, Carnegie NB, Vittinghoff E, et al. What drives the US and Peruvian HIV epidemics in men who have sex with men (MSM)? PloS one. 2012; 7(11): e50522.CrossRefPubMedCentralPubMed Goodreau SM, Carnegie NB, Vittinghoff E, et al. What drives the US and Peruvian HIV epidemics in men who have sex with men (MSM)? PloS one. 2012; 7(11): e50522.CrossRefPubMedCentralPubMed
6.
Zurück zum Zitat Golub SA, Starks TJ, Payton G, Parsons JT. The critical role of intimacy in the sexual risk behaviors of gay and bisexual men. AIDS Behav. 2012; 16(3): 626-32.CrossRefPubMedCentralPubMed Golub SA, Starks TJ, Payton G, Parsons JT. The critical role of intimacy in the sexual risk behaviors of gay and bisexual men. AIDS Behav. 2012; 16(3): 626-32.CrossRefPubMedCentralPubMed
7.
Zurück zum Zitat Farr RH, Forssell SL, Patterson CJ. Gay, lesbian, and heterosexual adoptive parents: Couple and relationship issues. Journal of GLBT Family Studies. 2010; 6(2): 199-213.CrossRef Farr RH, Forssell SL, Patterson CJ. Gay, lesbian, and heterosexual adoptive parents: Couple and relationship issues. Journal of GLBT Family Studies. 2010; 6(2): 199-213.CrossRef
8.
Zurück zum Zitat Peplau LA, Fingerhut AW. The close relationships of lesbians and gay men. Ann Rev Psychol. 2007; 58: 405-24.CrossRef Peplau LA, Fingerhut AW. The close relationships of lesbians and gay men. Ann Rev Psychol. 2007; 58: 405-24.CrossRef
9.
Zurück zum Zitat Adam BD, Sears A, Schellenberg EG. Accounting for unsafe sex: Interviews with men who have sex with men. J Sex Res. 2000; 37: 24-6.CrossRef Adam BD, Sears A, Schellenberg EG. Accounting for unsafe sex: Interviews with men who have sex with men. J Sex Res. 2000; 37: 24-6.CrossRef
10.
Zurück zum Zitat Suarez T, Miller J. Negotiating risks in context: A perspective on unprotected anal intercourse and barebacking among men who have sex with men—where do we go from here? Arch Sex Behav. 2001; 30(3): 287-300.CrossRefPubMed Suarez T, Miller J. Negotiating risks in context: A perspective on unprotected anal intercourse and barebacking among men who have sex with men—where do we go from here? Arch Sex Behav. 2001; 30(3): 287-300.CrossRefPubMed
11.
Zurück zum Zitat Zea MC, Reisen CA, Poppen PJ, Bianchi FT. Unprotected anal intercourse among immigrant Latino MSM: The role of characteristics of the person and the sexual encounter. AIDS Behav. 2009; 13(4): 700-15.CrossRefPubMedCentralPubMed Zea MC, Reisen CA, Poppen PJ, Bianchi FT. Unprotected anal intercourse among immigrant Latino MSM: The role of characteristics of the person and the sexual encounter. AIDS Behav. 2009; 13(4): 700-15.CrossRefPubMedCentralPubMed
12.
Zurück zum Zitat Newcomb ME, Ryan DT, Garofalo R, Mustanski B. The effects of sexual partnership and relationship characteristics on three sexual risk variables in young men who have sex with men. Arch Sex Behav. 2013:1–12. Newcomb ME, Ryan DT, Garofalo R, Mustanski B. The effects of sexual partnership and relationship characteristics on three sexual risk variables in young men who have sex with men. Arch Sex Behav. 2013:1–12.
13.
Zurück zum Zitat Malebranche DJ, Fields EL, Bryant LO, Harper SR. Masculine socialization and sexual risk behaviors among Black men who have sex with men: A qualitative exploration. Men and Masculinities. 2009; 12(1): 90-112.CrossRef Malebranche DJ, Fields EL, Bryant LO, Harper SR. Masculine socialization and sexual risk behaviors among Black men who have sex with men: A qualitative exploration. Men and Masculinities. 2009; 12(1): 90-112.CrossRef
14.
Zurück zum Zitat Rhodes T, Cusick L. Love and intimacy in relationship risk management: HIV positive people and their sexual partners. Soc Health Ill. 2000; 22(1): 1-26.CrossRef Rhodes T, Cusick L. Love and intimacy in relationship risk management: HIV positive people and their sexual partners. Soc Health Ill. 2000; 22(1): 1-26.CrossRef
15.
Zurück zum Zitat Diaz R, Ayala G. Love, passion and rebellion: Ideologies of HIV risk among Latino gay men in the USA. Culture, Health, & Sexuality. 2002; 1: 277-93.CrossRef Diaz R, Ayala G. Love, passion and rebellion: Ideologies of HIV risk among Latino gay men in the USA. Culture, Health, & Sexuality. 2002; 1: 277-93.CrossRef
16.
Zurück zum Zitat Purcell DW, Mizuno Y, Smith DK, et al. Incorporating couples-based approaches into HIV prevention for gay and bisexual men: Opportunities and challenges. Arch Sex Behav. 2014; 43(1): 35-46.CrossRefPubMed Purcell DW, Mizuno Y, Smith DK, et al. Incorporating couples-based approaches into HIV prevention for gay and bisexual men: Opportunities and challenges. Arch Sex Behav. 2014; 43(1): 35-46.CrossRefPubMed
17.
Zurück zum Zitat Hoff CC, Chakravarty D, Beougher SC, Darbes LA, Dadasovich R, Neilands TB. Serostatus differences and agreements about sex with outside partners among gay male couples. AIDS Edu Prev. 2009; 21(1): 25-38.CrossRef Hoff CC, Chakravarty D, Beougher SC, Darbes LA, Dadasovich R, Neilands TB. Serostatus differences and agreements about sex with outside partners among gay male couples. AIDS Edu Prev. 2009; 21(1): 25-38.CrossRef
18.
Zurück zum Zitat Hoff CC, Beougher SC. Sexual agreements among gay male couples. Arch SexBehav. 2010; 39(3): 774-87. Hoff CC, Beougher SC. Sexual agreements among gay male couples. Arch SexBehav. 2010; 39(3): 774-87.
19.
Zurück zum Zitat Hoff CC, Stall R, Paul K, et al. Differences in sexual behavior among HIV discordant and concordant gay men in primary relationships. J Acquir Immune Defic Syndr. 1997; 14(1): 72-8.CrossRef Hoff CC, Stall R, Paul K, et al. Differences in sexual behavior among HIV discordant and concordant gay men in primary relationships. J Acquir Immune Defic Syndr. 1997; 14(1): 72-8.CrossRef
20.
Zurück zum Zitat Brady SS, Iantaffi A, Galos DL, Rosser BS. Open, closed, or in between: Relationship configuration and condom use among men who use the internet to seek sex with men. AIDS Behav. 2013; 17(4): 1499-514.CrossRefPubMedCentralPubMed Brady SS, Iantaffi A, Galos DL, Rosser BS. Open, closed, or in between: Relationship configuration and condom use among men who use the internet to seek sex with men. AIDS Behav. 2013; 17(4): 1499-514.CrossRefPubMedCentralPubMed
21.
Zurück zum Zitat Goodman RN, Rietschel JC, Roy A, et al. Increased reward in ankle robotics training enhances motor control and cortical efficiency in stroke. J Rehabil Res Dev. 2014; 51(2): 213-28.CrossRefPubMed Goodman RN, Rietschel JC, Roy A, et al. Increased reward in ankle robotics training enhances motor control and cortical efficiency in stroke. J Rehabil Res Dev. 2014; 51(2): 213-28.CrossRefPubMed
22.
Zurück zum Zitat Hoff CC, Beougher SC, Chakravarty D, Darbes LA, Neilands TB. Relationship characteristics and motivations behind agreements among gay male couples: Differences by agreement type and couple serostatus. AIDS Care. 2010; 22(7): 827-35.CrossRefPubMedCentralPubMed Hoff CC, Beougher SC, Chakravarty D, Darbes LA, Neilands TB. Relationship characteristics and motivations behind agreements among gay male couples: Differences by agreement type and couple serostatus. AIDS Care. 2010; 22(7): 827-35.CrossRefPubMedCentralPubMed
23.
Zurück zum Zitat Grant RM, Lama JR, Anderson PL, McMahan V, Liu AY, et al. Preexposure chemoprophylaxis for HIV prevention in men who have sex with men. N Eng J Med. 2010; 363: 2587-99.CrossRef Grant RM, Lama JR, Anderson PL, McMahan V, Liu AY, et al. Preexposure chemoprophylaxis for HIV prevention in men who have sex with men. N Eng J Med. 2010; 363: 2587-99.CrossRef
24.
Zurück zum Zitat Baeten JM, Donnell D, Ndase P, et al. Antiretroviral prophylaxis for HIV prevention in heterosexual men and women. N Eng J Med. 2012; 367: 399-410.CrossRef Baeten JM, Donnell D, Ndase P, et al. Antiretroviral prophylaxis for HIV prevention in heterosexual men and women. N Eng J Med. 2012; 367: 399-410.CrossRef
25.
Zurück zum Zitat Thigpen MC, Kebaabetswe PM, Paxton LA, et al. Antiretroviral preexposure prophylaxis for heterosexual HIV transmission in Botswana. N Eng J Med. 2012; 367: 423-434.CrossRef Thigpen MC, Kebaabetswe PM, Paxton LA, et al. Antiretroviral preexposure prophylaxis for heterosexual HIV transmission in Botswana. N Eng J Med. 2012; 367: 423-434.CrossRef
26.
Zurück zum Zitat Food and Drug Administration. Truvada approved to reduce the risk of sexually transmitted HIV in people who are not infected with the virus. 2012. Food and Drug Administration. Truvada approved to reduce the risk of sexually transmitted HIV in people who are not infected with the virus. 2012.
27.
Zurück zum Zitat Centers for Disease Control and Prevention. Pre-exposure prophylaxis for the prevention of HIV infection in the United States: A clinical practice guideline. 2014. Centers for Disease Control and Prevention. Pre-exposure prophylaxis for the prevention of HIV infection in the United States: A clinical practice guideline. 2014.
28.
Zurück zum Zitat White JM, Mimiaga MJ, Krakower DS, Mayer KH. Evolution of Massachusetts physician attitudes, knowledge, and experience regarding the use of antiretrovirals for HIV prevention. AIDS Patient Care ST. 2012; 26(7): 395-405. White JM, Mimiaga MJ, Krakower DS, Mayer KH. Evolution of Massachusetts physician attitudes, knowledge, and experience regarding the use of antiretrovirals for HIV prevention. AIDS Patient Care ST. 2012; 26(7): 395-405.
29.
Zurück zum Zitat Tripathi A, Ogbuanu C, Monger M, Gibson JJ, Duffus WA. Preexposure prophylaxis for HIV infection: Healthcare providers’ knowledge, perception, and willingness to adopt future implementation in the southern US. South Med J. 2012; 105(4): 199-206.CrossRefPubMed Tripathi A, Ogbuanu C, Monger M, Gibson JJ, Duffus WA. Preexposure prophylaxis for HIV infection: Healthcare providers’ knowledge, perception, and willingness to adopt future implementation in the southern US. South Med J. 2012; 105(4): 199-206.CrossRefPubMed
30.
Zurück zum Zitat Khawcharoenporn T, Kendrick S, Smith K. HIV risk perception and preexposure prophylaxis interest among a heterosexual population visiting a sexually transmitted infection clinic. AIDS Patient Care ST. 2012; 26(4): 222-33. Khawcharoenporn T, Kendrick S, Smith K. HIV risk perception and preexposure prophylaxis interest among a heterosexual population visiting a sexually transmitted infection clinic. AIDS Patient Care ST. 2012; 26(4): 222-33.
31.
Zurück zum Zitat Krakower DS, Mimiaga MJ, Rosenberger JG, et al. Limited Awareness and Low Immediate Uptake of Pre-Exposure Prophylaxis among Men Who Have Sex with Men Using an Internet Social Networking Site. PloS one. 2012; 7(3): e33119.CrossRefPubMedCentralPubMed Krakower DS, Mimiaga MJ, Rosenberger JG, et al. Limited Awareness and Low Immediate Uptake of Pre-Exposure Prophylaxis among Men Who Have Sex with Men Using an Internet Social Networking Site. PloS one. 2012; 7(3): e33119.CrossRefPubMedCentralPubMed
32.
Zurück zum Zitat Golub SA, Gamarel KE, Rendina HJ, Surace A, Lelutiu-Weinberger C. From Efficacy to Effectiveness: Facilitators and Barriers to PrEP Acceptability and Motivations for Adherence Among MSM and Transgender Women in New York City. AIDS Patient Care ST. 2013; 27(4): 248-54.CrossRef Golub SA, Gamarel KE, Rendina HJ, Surace A, Lelutiu-Weinberger C. From Efficacy to Effectiveness: Facilitators and Barriers to PrEP Acceptability and Motivations for Adherence Among MSM and Transgender Women in New York City. AIDS Patient Care ST. 2013; 27(4): 248-54.CrossRef
33.
Zurück zum Zitat Mimiaga MJ, Case P, Johnson CV, Safren SA, Mayer KH. Pre-exposure antiretroviral prophylaxis (PrEP) attitudes in high risk Boston area MSM: Limited knowledge and experience, but potential for increased utilization after education. J Acquir Immune Defic Syndr. 2009; 50(1): 77.CrossRefPubMedCentralPubMed Mimiaga MJ, Case P, Johnson CV, Safren SA, Mayer KH. Pre-exposure antiretroviral prophylaxis (PrEP) attitudes in high risk Boston area MSM: Limited knowledge and experience, but potential for increased utilization after education. J Acquir Immune Defic Syndr. 2009; 50(1): 77.CrossRefPubMedCentralPubMed
34.
Zurück zum Zitat Brooks RA, Kaplan RL, Lieber E, Landovitz RJ, Lee S, Leibowitz AA. Motivators, concerns, and barriers to adoption of preexposure prophylaxis for HIV prevention among gay and bisexual men in HIV-serodiscordant male relationships. AIDS Care. 2011; 23(9): 1136-45.CrossRefPubMedCentralPubMed Brooks RA, Kaplan RL, Lieber E, Landovitz RJ, Lee S, Leibowitz AA. Motivators, concerns, and barriers to adoption of preexposure prophylaxis for HIV prevention among gay and bisexual men in HIV-serodiscordant male relationships. AIDS Care. 2011; 23(9): 1136-45.CrossRefPubMedCentralPubMed
35.
Zurück zum Zitat Brooks RA, Landovitz RJ, Kaplan RL, Lieber E, Lee S, Barkley TW. Sexual risk behaviors and acceptability of HIV pre-exposure prophylaxis among HIV-negative gay and bisexual men in serodiscordant relationships: A mixed methods study. AIDS Patient Care ST. 2012; 26(2): 87-94.CrossRef Brooks RA, Landovitz RJ, Kaplan RL, Lieber E, Lee S, Barkley TW. Sexual risk behaviors and acceptability of HIV pre-exposure prophylaxis among HIV-negative gay and bisexual men in serodiscordant relationships: A mixed methods study. AIDS Patient Care ST. 2012; 26(2): 87-94.CrossRef
36.
Zurück zum Zitat Mimiaga MJ, Closson EF, Kothary V, Mitty JA. Sexual partnerships and considerations for HIV antiretroviral pre-exposure prophylaxis utilization among high-risk substance using men who have sex with men. Arch Sex Behav. 2013:1–8. Mimiaga MJ, Closson EF, Kothary V, Mitty JA. Sexual partnerships and considerations for HIV antiretroviral pre-exposure prophylaxis utilization among high-risk substance using men who have sex with men. Arch Sex Behav. 2013:1–8.
37.
Zurück zum Zitat Carey MP, Carey KB, Maisto SA, Gordon CM, Weinhardt LS. Assessing sexual risk behaviour with the Timeline Followback (TLFB) approach: Continued development and psychometric evaluation with psychiatric outpatients. Int J STD AIDS. 2001; 12: 365-75.CrossRefPubMedCentralPubMed Carey MP, Carey KB, Maisto SA, Gordon CM, Weinhardt LS. Assessing sexual risk behaviour with the Timeline Followback (TLFB) approach: Continued development and psychometric evaluation with psychiatric outpatients. Int J STD AIDS. 2001; 12: 365-75.CrossRefPubMedCentralPubMed
38.
Zurück zum Zitat Lewis MA, McBride CM, Pollak KI, Puleo E, Butterfield RM, Emmons KM. Understanding health behavior change among couples: An interdependence and communal coping approach. Soc Sci Med. 2006; 62(6): 1369-80.CrossRefPubMed Lewis MA, McBride CM, Pollak KI, Puleo E, Butterfield RM, Emmons KM. Understanding health behavior change among couples: An interdependence and communal coping approach. Soc Sci Med. 2006; 62(6): 1369-80.CrossRefPubMed
39.
Zurück zum Zitat New York City Department of Health and Mental Hygiene. Pediatric/Adolescent HIV/AIDS Surveillance in New York City: Annual Report, December 2009. 2010. New York City Department of Health and Mental Hygiene. Pediatric/Adolescent HIV/AIDS Surveillance in New York City: Annual Report, December 2009. 2010.
40.
Zurück zum Zitat Mustanski B, Newcomb ME, Clerkin EM. Relationship characteristics and sexual risk-taking in young men who have sex with men. Health Psychol. 2011; 30(5): 597.CrossRefPubMedCentralPubMed Mustanski B, Newcomb ME, Clerkin EM. Relationship characteristics and sexual risk-taking in young men who have sex with men. Health Psychol. 2011; 30(5): 597.CrossRefPubMedCentralPubMed
41.
42.
Zurück zum Zitat Maisel NC, Karney BR. Socioeconomic status moderates associations among stressful events, mental health, and relationship satisfaction. J Fam Psychol. 2012; 26(4): 654.CrossRefPubMed Maisel NC, Karney BR. Socioeconomic status moderates associations among stressful events, mental health, and relationship satisfaction. J Fam Psychol. 2012; 26(4): 654.CrossRefPubMed
43.
Zurück zum Zitat Kalichman SC, Grebler T. Stress and poverty predictors of treatment adherence among people with low-literacy living with HIV/AIDS. Psychosom Med. 2010; 72(8): 810-6.CrossRefPubMedCentralPubMed Kalichman SC, Grebler T. Stress and poverty predictors of treatment adherence among people with low-literacy living with HIV/AIDS. Psychosom Med. 2010; 72(8): 810-6.CrossRefPubMedCentralPubMed
44.
Zurück zum Zitat Gardner EM, McLees MP, Steiner JF, del Rio C, Burman WJ. The spectrum of engagement in HIV care and its relevance to test-and-treat strategies for prevention of HIV infection. Clin Infect Dis. 2011; 52(6): 793-800.CrossRefPubMedCentralPubMed Gardner EM, McLees MP, Steiner JF, del Rio C, Burman WJ. The spectrum of engagement in HIV care and its relevance to test-and-treat strategies for prevention of HIV infection. Clin Infect Dis. 2011; 52(6): 793-800.CrossRefPubMedCentralPubMed
45.
Zurück zum Zitat WHO. Guidance on couples HIV testing and counseling including antiretroviral therapy for treatment and prevention in serodiscordant couples: Recommendations for a public health approach. 2012. WHO. Guidance on couples HIV testing and counseling including antiretroviral therapy for treatment and prevention in serodiscordant couples: Recommendations for a public health approach. 2012.
46.
Zurück zum Zitat Stephenson R, Sullivan PS, Salazar LF, Gratzer B, Allen S, Seelbach E. Attitudes towards couples-based HIV testing among MSM in three US cities. AIDS Behav. 2011; 15(1): 80-7.CrossRef Stephenson R, Sullivan PS, Salazar LF, Gratzer B, Allen S, Seelbach E. Attitudes towards couples-based HIV testing among MSM in three US cities. AIDS Behav. 2011; 15(1): 80-7.CrossRef
47.
Zurück zum Zitat Wagenaar BH, Christiansen-Lindquist L, Khosropour C, et al. Willingness of US men who have sex with men (MSM) to participate in couples HIV voluntary counseling and testing (CVCT). PloS one. 2012; 7(8): e42953.CrossRefPubMedCentralPubMed Wagenaar BH, Christiansen-Lindquist L, Khosropour C, et al. Willingness of US men who have sex with men (MSM) to participate in couples HIV voluntary counseling and testing (CVCT). PloS one. 2012; 7(8): e42953.CrossRefPubMedCentralPubMed
48.
Zurück zum Zitat Bolger N, Davis A, Rafaeli E. Diary methods: Capturing life as it is lived. Ann Rev Psychol. 2003; 54(1): 579-616.CrossRef Bolger N, Davis A, Rafaeli E. Diary methods: Capturing life as it is lived. Ann Rev Psychol. 2003; 54(1): 579-616.CrossRef
49.
Zurück zum Zitat Bolger N, Laurenceau JP. Intensive longitudinal methods: An introduction to diary and experience sampling research. New York, NY: Guilford Press; 2013. Bolger N, Laurenceau JP. Intensive longitudinal methods: An introduction to diary and experience sampling research. New York, NY: Guilford Press; 2013.
Metadaten
Titel
Intimacy Motivations and Pre-exposure Prophylaxis (PrEP) Adoption Intentions Among HIV-Negative Men Who Have Sex with Men (MSM) in Romantic Relationships
verfasst von
Kristi E. Gamarel, PhD
Sarit A. Golub, PhD
Publikationsdatum
01.04.2015
Verlag
Springer US
Erschienen in
Annals of Behavioral Medicine / Ausgabe 2/2015
Print ISSN: 0883-6612
Elektronische ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-014-9646-3

Weitere Artikel der Ausgabe 2/2015

Annals of Behavioral Medicine 2/2015 Zur Ausgabe