AIDS and Behavior

, Volume 17, Issue 6, pp 2185–2193

Enhancing Acceptability and Use of Sexual Barrier Products Among HIV Concordant and Discordant Couples

  • Deborah Jones
  • Deborah Kashy
  • Olga Villar-Loubet
  • Stephen Weiss
Original Paper

Abstract

Strategies to prevent HIV transmission may benefit from addressing both individual and dyadic factors. This study compared the impact of group and individual interventions on the acceptability of sexual barrier products among HIV sero-concordant and discordant couples, and evaluated the contribution of couple members’ perceived product acceptability to their sexual barrier use. Participants (n = 216 couples) were multicultural couples in Miami, Florida. Longitudinal multilevel modeling and the actor–partner interdependence model were used for analyses. Product acceptability increased more among female group participants, and acceptability of male condoms increased more among sero-discordant couples in the group. Additionally, acceptability of products associated with prevention of STDS/HIV and pregnancy increased more among sero-concordant couples in the group condition. Both actor and partner product acceptability predicted use. Results support the use of group interventions targeting both partners in relationships in prevention programs designed to enhance sexual barrier use.

Keywords

HIV Couples Intervention Acceptability Multicultural Urban 

Resumen

Estrategias para prevenir la transmisión del VIH puede beneficiarse investigando factores individuales y diádicos. Este estudio comparó el impacto de intervenciones de inviduos y grupos con la aceptabilidad de productos de barreras sexuales entre parejas VIH seroconcordantes y –discordantes, y evaluo la contribución de los miembros de la pareja con la aceptibilidad percibida del producto al uso de su barrera sexual. Participantes (n = 216 parejas) fueron parejas multiculturales en Miami, Florida. El modelo longitudinal multilevel y el Actor-Pareja Interdependiencia Modelo (APIM) fueron usados para análisis. La aceptación aumentó más entre el grupo de mujeres participantes, y la aceptación de condones masculinos aumentó mas entre las parejas sero-discordantes en el grupo. Además, aceptación de productos asociados con la prevención de enfermades transmitidas sexualmente (STDs)/VIH y embarazo aumentó más entre las parejas sero-concordantes en el grupo. La aceptación de productos de ambos actor y pareja predijo el uso. Los resultados apoyan el uso de intervenciones de grupo hacia ambas parejas en relaciones en los programas preventivos designados para aumentar el uso de barreras sexuales.

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Deborah Jones
    • 1
  • Deborah Kashy
    • 2
  • Olga Villar-Loubet
    • 1
  • Stephen Weiss
    • 1
  1. 1.Department of Psychiatry & Behavioral SciencesUniversity of Miami Miller School of MedicineMiamiUSA
  2. 2.Department of PsychologyMichigan State UniversityLansingUSA

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