AIDS and Behavior

, Volume 22, Issue 8, pp 2584–2592 | Cite as

A Conceptual Model of Dyadic Coordination in HIV Care Engagement Among Couples of Black Men Who Have Sex with Men: A Qualitative Dyadic Analysis

  • Judy Y. Tan
  • Chadwick K. Campbell
  • Alyssa P. Tabrisky
  • Robert Siedle-Khan
  • Amy A. Conroy
Original Paper


Among Black men who have sex with men (MSM), HIV incidence is disproportionately high and HIV care engagement is disproportionately low. There may be important opportunities to leverage the primary relationship to improve engagement in HIV care and treatment among Black MSM couples. Using dyadic qualitative analysis of semi-structured, one-on-one interviews, we explored dyadic aspects of HIV care engagement among 14 Black MSM couples in which at least one partner was HIV-positive and identified as a Black cisgender man. Findings showed that men varied in how involved they were in their HIV-positive partner’s care and treatment, and in how they reciprocated their partner’s involvement. Patterns of dyadic HIV care engagement supported a conceptual model of dyadic coordination that describes Black MSM relationships in terms of two conceptual dimensions of dyadic HIV care engagement, and guides future intervention designs with Black MSM couples.


HIV Black men who have sex with men Primary romantic relationship HIV care engagement Couples Dyadic coordination 



J.Y. Tan was supported by a National Institute of Mental Health (NIMH) Mentored Research Scientist Award (K01 MH106416). A.A. Conroy was supported by a NIMH Mentored Research Scientist Award (K01 MH107331).

Compliance with Ethical Standards

Conflict of interest

All the authors declared that they have no conflict of interest.

Ethical Approal

All procedures performed in this study were in accordance with the ethical standards of the UCSF Committee of Human Research/Institutional Review Board, and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in this study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of MedicineUniversity of California San FranciscoSan FranciscoUSA
  2. 2.Mount Holyoke CollegeSouth HadleyUSA

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