Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Die Folgen des Klimwandels haben einen direkten Einfluss auf die Primärversorgung in Deutschland: Hitzeschutz insbesondere bei älteren Patienten, die Zunahme von Infektionen und die Verlängerung der Allergiesesaison spielen medizinisch eine bedeutsame Rolle. Aber auch in der Prävention und der Aufklärung der Patienten kommt den Hausärztinnen und -ärzten eine besondere Rolle zu. Direkt aus der Praxis berichtet im Live-Webinar am 13. Mai von 18 bis 19 Uhr unser Experte Dr. med. Robin Maitra.
Erweiterte Suche
Anmelden
nach oben
AIDS and Behavior
Erschienen in: AIDS and Behavior 2/2012

01.02.2012 | Original Paper

Relationship Factors Associated with HIV Risk Among a Sample of Gay Male Couples

verfasst von: Jason W. Mitchell, S. Marie Harvey, Donna Champeau, David W. Seal

Erschienen in: AIDS and Behavior | Ausgabe 2/2012

Einloggen, um Zugang zu erhalten

Abstract

More HIV prevention research is needed to better understand how relationship factors may affect sexual risk behaviors among gay male couples. Our cross-sectional study collected dyadic data from 144 gay male couples to examine which relationship factors and characteristics were associated with men having UAI with a secondary sex partner. We targeted male couples by using a variety of recruitment strategies. Multilevel random-effects logistic regression modeling was used to examine which factors were predictive of men in gay couples who had UAI with a secondary sex partner. Analyses revealed that men were less likely to have had UAI with a secondary sex partner if they reported being in a strictly monogamous relationship, receiving an HIV test within the previous 3 months, and being committed to their sexual agreement. Future HIV prevention interventions must consider how relationship factors may influence sexual risk behaviors among gay male couples.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
2.
3.
4.
Curran JW, Jaffe HW, Hardy AM, Morgan WM, Selik RM, Dondero TJ. Epidemiology of HIV infection and AIDS in the United States. Science. 1988;239:610–6.PubMedCrossRef
5.
Sullivan PS, Wolitski RJ. HIV infection among gay and bisexual men. In: Wolitski RJ, Stall R, Valdiserri RO, editors. Unequal opportunity. Oxford: Oxford University Press; 2008. p. 220–47.
6.
Varghese B, Maher JE, Peterman TA, Branson BM, Steketee RW. Reducing the risk of sexual HIV transmission: quantifying the per-act risk for HIV on the basis of choice of partner, sex act, and condom use. Sex Transm Dis. 2002;29(10):38–43.PubMed
7.
Sullivan PS, Salazar L, Buchbinder S, Sanchez TH. Estimating the proportion of HIV transmissions from main sex partners among men who have sex with men in five US cities. AIDS. 2009;23(9):1153–62.PubMedCrossRef
8.
Crepaz N, Hart TA, Marks G. Highly active antiretroviral therapy are associated with sexual risk taking among HIV-infected and uninfected homosexual men. AIDS. 2004;16:775–80.
9.
Halkitis PN, Zade DD, Shrem M, Marmor M. Beliefs about HIV non-infection and risky sexual behavior among MSM. AIDS Educ Prev. 2004;16:448–58.PubMedCrossRef
10.
Kelly JA, Hoffman RG, Rompa D, Gray M. Protease inhibitor combination therapies and perceptions of gay men regarding AIDS severity and the need to maintain safer sex. AIDS. 1998;12:F91–5.PubMedCrossRef
11.
Koblin BA, Perdue T, Ren L, et al. Attitudes about combination HIV therapies: the next generation of gay men at risk. J Urban Health. 2003;80:510–9.PubMedCrossRef
12.
Remien RH, Wagner G, Carballo-Dieguez A, Dolezal C. Who may be engaging in high-risk sex due to medical treatment advances? AIDS. 1998;12:1560–1.PubMedCrossRef
13.
Sullivan PS, Drake AJ, Sanchez TH. Prevalence of treatment optimism-related risk behavior and associated factors among men who have sex with men in 11 states, 2000–2001. AIDS Behav. 2006;11:123–9.CrossRef
14.
Vanable PA, Ostrow DG, McKirnan DJ, Taywaditep KJ, Hope BA. Impact of combination therapies on HIV risk perceptions and sexual risk among HIV-positive and HIV-negative gay and bisexual men. Health Psychol. 2000;19:134–45.PubMedCrossRef
15.
16.
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;30:287–300.PubMedCrossRef
17.
18.
Mansergh G, Colfax GN, Marks G, Rader M, Guzman R, Buchbinder S. The Circuit Party Men’s Health Survey: findings and implications for gay and bisexual men. Am J Public Health. 2001;91:953–8.PubMedCrossRef
19.
Ostrow DG, Stall R. Alcohol, tobacco, and drug use among gay and bisexual men. In: Wolitski RJ, Stall R, Valdiserri RO, editors. Unequal opportunity. Oxford: Oxford University Press; 2008. p. 121–58.
20.
Stall R, Paul JP, Greenwood G, et al. Alcohol use, drug use and alcohol-related problems among men who have sex with men: the Urban Men’s Health Study. Addiction. 2001;96:1589–601.PubMedCrossRef
21.
Wolitski R. The emergence of barebacking among gay men in the United States: a public health perspective. J Gay Lesbian Psychother. 2005;9:13–38.
22.
Benotsch EG, Kalichman S, Cage M. Men who have met sex partners via the Internet: prevalence, predictors, and implications for HIV prevention. Arch Sex Behav. 2002;31:177–83.PubMedCrossRef
23.
Liau A, Millet G, Marks G. Meta-analytic examination of online sex-seeking and sexual risk behavior among men who have sex with men. Sex Transm Dis. 2006;33:576–84.PubMedCrossRef
24.
LaSala MC. Extradyadic sex and gay male couples: comparing monogamous and nonmonogamous relationships. Fam Soc. 2004;85(3):405–12.
25.
LaSala MC. Monogamy of the heart: extradyadic sex and gay male couples. J Gay Lesbian Soc Serv. 2004;17(3):1–24.CrossRef
26.
Appleby PR, Miller LC, Rothspan S. The paradox of trust for male couples: when risking is a part of loving. Pers Relatsh. 1999;6:81–93.CrossRef
27.
Blais M. Vulnerability to HIV among regular male partners and the social coding of intimacy in modern societies. Cult Health Sex. 2006;8(1):31–44.PubMedCrossRef
28.
Davidovich U, de Wit JBF, Stroebe W. Behavioral and cognitive barriers to safer sex between men in steady relationships: implications for prevention strategies. AIDS Educ Prev. 2004;16(4):304–14.PubMedCrossRef
29.
de Vroome EMM, Stroebe W, Sandfort TGM, de Wit JBF, Van Griensven GJP. Safer sex in social context: individualistic and relational determinants of AIDS-preventive behavior among gay men. J Appl Soc Psychol. 2000;30(11):2322–40.CrossRef
30.
Fitzpatrick R, Dawson J, McKechnie R, et al. Regular partners and risky behaviour: why do gay men have unprotected intercourse? AIDS Care. 1994;6(3):331–41.PubMedCrossRef
31.
McNeal JL. The association of idealization and intimacy factors with condom use in gay male couples. J Clin Psychol Med Settings. 1997;4(4):437–51.PubMedCrossRef
32.
Worth H, Reid A, McMillan K. Somewhere over the rainbow: love, trust in monogamy in gay relationships. J Sociol (Melb). 2002;38(3):237–53.CrossRef
33.
Davidovich U, de Wit JBF, Stroebe W. Relationship characteristics and risk of HIV infection: Rusbult’s investment model and sexual risk behavior of gay men in steady relationships. J Appl Soc Psychol. 2006;36(1):22–40.CrossRef
34.
Boulton M, McLean J, Fitzpatrick R, Hart G. Gay men’s accounts of unsafe sex. AIDS Care. 1995;7:619–30.PubMedCrossRef
35.
McLean J, Boulton M, Brookes M, et al. Regular partners and risky behaviour: Why do gay men have unprotected intercourse? AIDS Care. 1994;6:331–41.PubMedCrossRef
36.
Misovich SJ, Fisher JD, Coates TJ. Close relationship and elevated risk behavior: evidence and possible underlying psychological processes. Rev Gen Psychol. 1997;1:72–107.CrossRef
37.
Crawford I, Hammack PL, McKirnan DJ, et al. Sexual sensation seeking, reduced concern about HIV and sexual risk behaviour among gay men in primary relationships. AIDS Care. 2003;15(4):513–24.PubMedCrossRef
38.
Davidovich U, de Wit JBF, Stroebe W. Assessing sexual risk behaviour of young gay men in primary relationships: the incorporation of negotiated safety and negotiated safety compliance. AIDS. 2000;14(6):701–6.PubMedCrossRef
39.
Prestage G, Mao L, McGuigan D, et al. HIV risk and communication between regular partners in a cohort of HIV-negative gay men. AIDS Care. 2006;18(2):166–72.PubMedCrossRef
40.
Prestage G, Jin F, Zablotska I, et al. Trends in agreements between regular partners among gay men in Sydney, Melbourne and Brisbane, Australia. AIDS Behav. 2008;12:513–20.PubMedCrossRef
41.
Elford J, Bolding G, Maguire M, Sherr L. Sexual risk behaviour among gay men in a relationship. AIDS. 1999;13(11):1407–11.PubMedCrossRef
42.
Davidovich U, de Wit JBF, Albrecht N, Geskus R, Stroebe W, Coutinho R. Increase in the share of steady partners as a source of HIV infection: a 17-year study of seroconversion among gay men. AIDS. 2001;15(10):1303–8.PubMedCrossRef
43.
Hoff CC, Beougher SC. Sexual agreements among gay male couples. Arch Sex Behav. 2010;39(3):774–87.PubMedCrossRef
44.
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 Educ Prev. 2009;21(1):25–38.PubMedCrossRef
45.
Kippax S, Slavin S, Ellard J, et al. Seroconversion in context. AIDS Care. 2003;15(6):839–52.PubMedCrossRef
46.
Xiridou M, Geskus R, de Wit J, Coutinho R, Kretzschmar M. The contribution of steady and causal partnerships to the incidence of HIV infection among homosexual men in Amsterdam. AIDS. 2003;17(7):1029–38.PubMedCrossRef
47.
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.PubMedCrossRef
48.
Kippax S, Noble J, Prestage G, et al. Sexual negotiation in the AIDS era: negotiated safety revisited. AIDS. 1997;11(12):191–7.PubMedCrossRef
49.
Crawford JM, Rodden P, Kippax S, Van de Ven P. Negotiated safety and other agreements between men in relationships: risk practice redefined. Int J STD AIDS. 2001;12(3):164–70.PubMedCrossRef
50.
Rempel JK, Holmes JG, Zanna MP. Trust in close relationships. J Pers Soc Psychol. 1985;49(1):95–112.CrossRef
51.
Rusbult CE, Martz JM, Agnew CA. The investment model scale: measuring commitment level, satisfaction level, quality of alternatives, and investment size. Pers Relatsh. 1998;5:357–91.CrossRef
52.
Neilands TB, Chakravarty D, Darbes LA, Beougher SC, Hoff CC. Development and validation of the Sexual Agreement Investment Scale. J Sex Res. 2010;47(1):24–37.PubMedCrossRef
53.
Catania JA, Gibson DR, Chitwood DD, Coates TJ. Methodological problems in AIDS behavioral research: influences on measurement error and participation bias in studies of sexual behavior. Psychol Bull. 1990;108:339–62.PubMedCrossRef
54.
Acock AC. Working with missing values. J Marriage Fam. 2005;67:1012–28.CrossRef
55.
Le B, Agnew CR. Commitment and its theorized determinants: a meta-analysis of the Investment Model. Pers Relatsh. 2003;10:37–57.CrossRef
56.
Rusbult CE. Commitment and satisfaction in romantic associations: A test of the investment model. J Exp Soc Psychol. 1980;16:172–86.CrossRef
57.
Arriaga XB, Agnew CR. Being committed: Affective, cognitive, and conative components of relationship commitment. Pers Soc Psychol Bull. 2001;27:1190–203.CrossRef
58.
Rusbult CE, Buunk BP. Commitment processes in close relationships: An interdependent analysis. J Soc Pers Relat. 1993;10:175–204.CrossRef
59.
Kenny D, Kashy D, Cook W. Dyadic data analysis. New York: Guilford Press; 2006.
60.
Rabe-Hesketh S, Skrondal A. Multilevel and longitudinal modeling using Stata. College Station: Stata Press; 2008.
61.
Hsieh FY, Bloch DA, Larsen MD. A simple method of sample size calculation for linear and logistic regression. Stat Med. 1998;17:1623–34.PubMedCrossRef
62.
Parsons JT, Schrimshaw EW, Wolitski RJ, et al. Sexual harm reduction practices of HIV-seropositive gay and bisexual men: serosorting, strategic positioning, and withdrawal before ejaculation. AIDS. 2005;19:S13–25.PubMedCrossRef
63.
Van De Ven P, Kippax S, Crawford J, et al. In a minority of gay men, sexual risk practice indicates strategic positioning for perceived risk reduction rather than unbridled sex. AIDS Care. 2002;14:471–80.PubMedCrossRef
64.
Eaton L, West T, Kenny D, Kalichman S. HIV transmission risk among HIV seroconcordant and serodiscordant couples: dyadic processes of partner selection. AIDS Behav. 2009;13(2):185–95.PubMedCrossRef
Metadaten
Titel
Relationship Factors Associated with HIV Risk Among a Sample of Gay Male Couples
verfasst von
Jason W. Mitchell
S. Marie Harvey
Donna Champeau
David W. Seal
Publikationsdatum
01.02.2012
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 2/2012
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-011-9976-0

Weitere Artikel der Ausgabe 2/2012

AIDS and Behavior 2/2012 Zur Ausgabe

Commentary

Neglected Issues and Hypotheses Regarding the Impact of Sexual Concurrency on HIV and Sexually Transmitted Infections

Original Paper

Strategies to Retain Participants in a Long-term HIV Prevention Randomized Controlled Trial: Lessons from the MINTS-II Study

Original Paper

Caregiver Role Overload and Network Support in a Sample of Predominantly Low-Income, African-American Caregivers of Persons Living with HIV/AIDS: A Structural Equation Modeling Analysis

Original Paper

Real-Time Electronic Adherence Monitoring is Feasible, Comparable to Unannounced Pill Counts, and Acceptable

Original Paper

Concurrent Sexual Partnerships Among Urban African American High-Risk Women With Main Sex Partners

Original Paper

Interactive Voice Response Self-Monitoring to Assess Risk Behaviors in Rural Substance Users Living with HIV/AIDS

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

Battle of Experts: Sport vs. Spritze bei Adipositas und Typ-2-Diabetes

11.05.2024 DDG-Jahrestagung 2024 Kongressbericht

Im Battle of Experts traten zwei Experten auf dem Diabeteskongress gegeneinander an: Die eine vertrat die Auffassung „Sport statt Spritze“ bei Adipositas und Typ-2-Diabetes, der andere forderte „Spritze statt Sport!“ Am Ende waren sie sich aber einig: Die Kombination aus beidem erzielt die besten Ergebnisse.

Vorsicht, erhöhte Blutungsgefahr nach PCI!

10.05.2024 Koronare Herzerkrankung Nachrichten

Nach PCI besteht ein erhöhtes Blutungsrisiko, wenn die Behandelten eine verminderte linksventrikuläre Ejektionsfraktion aufweisen. Das Risiko ist umso höher, je stärker die Pumpfunktion eingeschränkt ist.

Triglyzeridsenker schützt nicht nur Hochrisikopatienten

10.05.2024 Hypercholesterinämie Nachrichten

Patienten mit Arteriosklerose-bedingten kardiovaskulären Erkrankungen, die trotz Statineinnahme zu hohe Triglyzeridspiegel haben, profitieren von einer Behandlung mit Icosapent-Ethyl, und zwar unabhängig vom individuellen Risikoprofil.

Gibt es eine Wende bei den bioresorbierbaren Gefäßstützen?

10.05.2024 Periphere arterielle Verschlusskrankheit Nachrichten

In den USA ist erstmals eine bioresorbierbare Gefäßstütze – auch Scaffold genannt – zur Rekanalisation infrapoplitealer Arterien bei schwerer PAVK zugelassen worden. Das markiert einen Wendepunkt in der Geschichte dieser speziellen Gefäßstützen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise