Abstract Gay men in relationships are often overlooked HIV prevention efforts, yet many engage sexual behaviors that increase their risk and some seroconvert as a result. While different aspects of gay male have been studied, such agreements, relationship characteristics, couple serostatus, little research combines these elements to examine for this population. The present study recruited 566 couples from the San Francisco Bay Area motivations behind making other agreement investment,...

Abstract: We investigated pre-exposure prophylaxis (PrEP) uptake, adherence, and discontinuation among young app-using men who have sex with in California (N = 761). Approximately, 9.7% of participants had ever used PrEP; 87% those deemed good candidates for screening (indicated by a Centers Disease Control Prevention risk index score ≥10) were not current or past users. PrEP use was associated higher income [adjusted odds ratio (aOR): 4.13; confidence interval (CI): 1.87 to 9.12], receptive...

Understanding situations that increase HIV risk among men who have sex with (MSM) requires consideration of the context in which risky behaviors occur. Relationships are one such context. This study examines presence and predictors unprotected anal intercourse (UAI) past 3 months 566 MSM couples. A majority couples allowed outside partners. Overall, 65% sample engaged UAI primary partner, including nearly half discordant Positive relationship factors, as attachment intimacy, were associated...

While correlates of pre-exposure prophylaxis (PrEP) uptake have been explored among older men who sex with (MSM), less is known about the facilitators and barriers that encourage younger MSM (YMSM). This study explores association between willingness to take PrEP demographic characteristics, sexual risk, substance use, attitudinal factors YMSM in California use geosocial networking applications (GSN apps). Based on survey data from recruited through GSN apps (n = 687), was positively...

This article describes agreements gay male couples make about sex outside the relationship and how process of making those agreements, their perceived quality, varies depending on couple serostatus. Data include 191 recruited in San Francisco Bay Area from June to December 2004. Monogamous were reported by 56% participants concordant-negative, 47% concordant-positive, 36% discordant relationships. The remaining allowing with partners some form. Agreement quality was lowest among men Overall,...

Sexual agreements are ubiquitous among gay men. Lower levels of investment in these may be associated with breaking them or engaging risky sexual behavior. A scale was developed to measure agreement Qualitative data from 78 men committed relationships were analyzed inform item development, followed by quantitative analyses two larger samples (n = 380, n 1,001) assess construct, convergent, and discriminant validity. The Agreement Investment Scale (SAIS) is a psychometrically sound the level...

We investigated the influence of partner-provided HIV-specific and general social support on sexual risk behavior gay male couples with concordant, discordant, or serostatus-unknown outside partners. Participants were 566 from San Francisco Bay Area. was a consistent predictor for reduced unprotected anal intercourse (UAI) both concordant partners (all couple types) discordant unknown serostatus (concordant negative couples). General associated increased UAI positive (i.e., serosorting). Our...

Abstract As HIV research and prevention efforts increasingly target gay men in relationships, situational factors such as couple serostatus agreements about sex become central to examinations of risk. Discordant couples are particular interest because the risk infection is seemingly near-at-hand. Yet, little known their sexual behaviors, sex, safer efforts. The present study utilized longitudinal semi-structured, qualitative interviews explore these issues among 12 discordant couples....

HIV-prevention efforts with gay men in relationships frequently omit primary partners. When they are considered, examinations of race/ethnicity often overlooked despite higher infection rates among colour. Acknowledging both the need to contextualise behaviours that may affect HIV risk for colour and disproportionate impact on Latino men, present study utilised semi-structured, qualitative interviews explore relationship dynamics, sexual agreements behaviours, safer sex choices nine male...

Parenthood changes couples' relationships across multiple domains, generally decreasing relationship quality, sexual satisfaction, and frequency. Emerging research suggests that gay couples who are parenting might experience similar challenges. However, such have even more profound implications for health, in particular their HIV risk, given the somewhat different ways which they negotiate tolerate behaviors with outside partners. We aimed to examine these issues a qualitative analysis of...

Depression is associated with poor antiretroviral therapy (ART) adherence among people living HIV/AIDS. This relationship may be moderated by an individual's social network characteristics. Our study sought to examine correlates of treatment HIV-positive men recruited from service agencies throughout Los Angeles County (N = 150) inform technology-driven support interventions for this population. We administered egocentric and computer-assisted survey interviews focused on demographic...

Discordant couples are unique because neither partner shares the same serostatus. Yet research overlooks how they became discordant, mistakenly assuming that have always been way and, by extension, being discordant impacts relationship in a similar manner. This study examines HIV infection history and its impact on dynamics using qualitative data from 35 gay male couples. Most met (69%); however, many did not (31%). Those felt had lesser their sexual relational satisfaction, while those meet...