Intimacy and Sexual Behavior Among HIV-Positive Men-Who-Have-Sex-With-Men in Primary Relationships
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Unprotected anal intercourse among men-who-have-sex-with-men (MSM) occurs more frequently between partners in a primary relationship than between nonprimary partners. Although research supports the role of social support in risky sex, findings also suggest that the reasons associated with risky sex differ depending on both the relationship status and HIV-serostatus of MSM. This study assessed whether level of intimacy within a primary relationship helps to explain risky sex among a sample of 78 HIV-positive MSM currently involved in a primary relationship. Findings suggest that both drug use prior to sex and HIV status of the primary partner moderate the relationship between intimacy and sexual risk behaviors. Under levels of low drug use, greater intimacy functioned as a protective factor within seroconcordant relationships whereas it functioned as a risk factor within serodiscordant relationships. Implications for educational and clinical interventions are discussed.
- Aiken, L. S., and West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage.
- Baron, R. M., and Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.
- Bastard, B., Cardia-Vonéche, L., Peto, D., and Van Campenhoudt, L. (1997). Relationships between sexual partners and ways of adapting to the risk of AIDS: Landmarks. for a relationship-oriented conceptual framework. In L. Van Campenhoudt, M. Cohen, G. Guizzardi, and D. Hausser (Eds.), Sexual interactions and HIV risk: New conceptual perspectives in European research (chap. 3, pp.1–49). London: Taylor and Francis.
- Blackard, J. T., Cohen, D. E., and Mayer, K. H. (2002). Human immunodeficiency virus superinfection and recombination: Current state of knowledge and potential clinical consequences. Clinical Infectious Diseases, 15, 1108–1114.
- Carballo-Diéguez, A., and Dolezal, C. (1996). HIV risk behaviors and obstacles to condom use among Puerto Rican men in New York City who have sex with men. American Journal of Public Health, 86, 1619–1622.
- Centers for Disease Control and Prevention. (2001). HIV/AIDS Surveillance Report, 13. Atlanta, GA: Author.
- Cohen, S. (1988). Psychosocial models of the role of social support in the etiology of physical disease. Health Psychology, 7, 269–297.
- DiClemente, R. J., Wingood, G. M., Del Rio, C., and Crosby, R. A. (2002). Prevention interventions for HIV positive individuals. Sexually Transmitted Infections, 78, 393–395.
- Folkman, S., Chesney, M. A., Pollack, L., and Phillips, C. (1992). Stress, coping, and high-risk sexual behavior. Health Psychology, 11, 218–222.
- Hays, R. B., Kegeles, S. M., and Coates, T. J. (1997). Unprotected sex and HIV risk taking among young gay men within boyfriend relationships. AIDS Education and Prevention, 9, 314–329.
- Hoff, C. C., Coates, T. J., Barrett, D. C., Collette, L., and Ekstrand, M. (1996). Differences between gay men in primary relationships and single men: Implications for prevention. AIDS Education and Prevention, 8, 546–559.
- Kelly, J. A., and Kalichman, S. C. (1998). Reinforcement value of unsafe sex as a predictor of condom use and continued HIV/AIDS risk behavior among gay and bisexual men. Health Psychology, 17, 328–335.
- Kelly, J. A., Murphy, D. A., Bahr, G. R., Koob, J. J., Morgan, M. G., Kalichman, S. C., Stevenson, L. Y., Brasfield, T. L., Bernstein, B. M., and St. Lawrence, J. S. (1993). Factors associated with severity of depression and high-risk sexual behavior among persons diagnosed with human immunodeficiency virus (HIV) infection. Health Psychology, 12, 215–219.
- McLean, J., Boulton, M., Brookes, M., Lakhani, D., Fitzpatrick, R., Dawson, J., McKechnie, R., and Hart, G. (1994). Regular partners and risky behaviour: Why do gay men have unprotected intercourse? AIDS Care, 6, 331–340.
- McNeal, J. L. (1997). The association of idealization and intimacy factors with condom use in gay male couples. Journal of Clinical Psychology in Medical Settings, 4, 437–451.
- Miller, G. E., and Cole, S. W. (1998). Social relationships and the progression of human immunodeficiency virus infection: Are-view of evidence and possible underlying mechanisms. Annals of Behavioral Medicine, 20, 181–189.
- Miller, R. S., and Lefcourt, H. M. (1982). The assessment of social intimacy. Journal of Personality Assessment, 46, 514–518.
- Phair, J., Jacobson, L., Detels, R., Rinaldo, C., Saah, A., Schrager, L., Muñoz, A. (1992). Acquired immune deficiency syndrome occurring within 5 years of infection with human immunodeficiency virus type-1: The multicenter AIDS cohort study. Journal of Acquired Immune Deficiency Syndromes, 5, 490–496.
- Polk, B. F., Fox, R., Brookmeyer, R., Kanchanaraksa, S., Kaslow, R., Visscher, B., Rinaldo, C., and Phair, J. (1987). Predictors of the acquired immunodeficiency syndrome developing in a cohort of seropositive homosexual men. The New England Journal of Medicine, 316, 61–66.
- Remien, R.H., Carballo-Diéguez, A., and Wagner, G. (1995). Intimacy and sexual risk behavior in serodiscordant male couples. AIDS Care, 7, 429–438.
- Remien, R. H., Wagner, G., Dolezal, C., and Carballo-Diéguez, A. (2001). HIV sexual risk behavior in male couples of mixed HIV status. Journal of Psychology and Human Sexuality, 13, 31–48.
- Ross, A. P. (2003). Infection with more than one HIV strain becoming more common could complicate vaccine development. In The Body: HIV/AIDS newsroom. Retrieved from http://www.thebody.com/newsroom/2003/jul15 03/multi hiv.html
- Stall, R., and Purcell, D. W. (2000). Intertwining epidemics: A review of research on substance use among men who have sex with men and its connection to the AIDS epidemic. AIDS and Behavior, 4, 181–192.
- Schwarzer, R., Dunkel-Schetter, C., and Kemeny, M. (1994). UCLA Social Support Inventory (UCLA-SSI). Los Angeles: University of California.
- Vanable, P. A., Ostrow, D. G., McKirnan, D. J., Taywaditep, K. J., and Hope, B. A. (2000). Impact of combination therapies on HIV risk perceptions and sexual risk among HIV-positive and HIV-negative gay and bisexual men. Health Psychology, 19, 134–145.
- Volker, M., and Harmon, L. (1998). Gay sex and AIDS. Sexuality and Disability, 16, 133–147.
- Intimacy and Sexual Behavior Among HIV-Positive Men-Who-Have-Sex-With-Men in Primary Relationships
AIDS and Behavior
Volume 8, Issue 3 , pp 321-331
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