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AGREEMENTS, BEHAVIOUR, AND CHANGE: SEX OUTSIDE THE RELATIONSHIP IN MALE HIV-NEGATIVE PARTNERS IN HIV SERODISCORDANT RELATIONSHIPS IN AUSTRALIA, BRAZIL, AND THAILAND
Gray, James et al. | Fecha del documento: 2023
Autor
Gray, James
Prestage, Garrett
Jin, Fengyi
Phanuphak, Nittaya
Friedman, Ruth K.
Fairley, Christopher K.
Kelleher, Anthony
Templeton, David J.
Zablotska-Manos, Iryna
Hoy, Jennifer
McNulty, Anna
Baker, David
Brown, Graham
Grulich, Andrew
Bavinton, Benjamin
Afiliación
The Kirby Institute UNSW Sydney. Sydney, Australia.
The Kirby Institute UNSW Sydney. Sydney, Australia.
The Kirby Institute UNSW Sydney. Sydney, Australia.
Institute of HIV Research and Innovation. Bangkok, Thailand.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Melbourne Sexual Health Centre. Melbourne, Australia / Monash University. Central Clinical School. Melbourne, Australia.
The Kirby Institute UNSW Sydney. Sydney, Australia.
The Kirby Institute UNSW Sydney. Sydney, Australia / Department of Sexual Health Medicine and Sexual Assault Medical Service. Sydney Local Health District. Camperdown, Australia / The University of Sydney. Faculty of Medicine and Health. Central Clinical School. Discipline of Medicine. Sydney, Australia.
University of Sydney. Faculty of Medicine and Health. Westmead Clinical School. Sydney, Australia / Western Sydney Sexual Health. Western Sydney Local Health District. Sydney, Australia.
Monash University. Alfred Hospital. Department of Infectious Diseases. Melbourne, Australia.
Sydney Sexual Health Centre. Sydney and Sydney Eye Hospital. Sydney, Australia / School of Population Health. UNSW Sydney. Sydney, Australia.
East Sydney Doctors. Sydney, Australia.
Centre for Social Impact. UNSW Sydney. Sydney, Australia.
The Kirby Institute UNSW Sydney. Sydney, Australia.
The Kirby Institute UNSW Sydney. Sydney, Australia.
Resumen en ingles
Male HIV serodiscordant couples have diverse relationship agreements regarding sex outside the relationship. We examined the relationship agreements as described by 343 male HIV-negative partners in HIV serodiscordant relationships in Australia, Brazil and Thailand participating in a multi-year cohort study. At baseline, 125 (34.1%) HIV-negative partners reported no agreement, 115 (33.5%) had a monogamous agreement, and 103 (37.9%) had an open agreement allowing sex outside the relationship. Relationship agreements were largely stable over time, with 76% of HIV-negative men reporting the same agreement across follow up, while changes were predominantly towards having an open agreement. Behaviour largely matched relationship agreements, and the predictors of breaking an agreement by having condomless anal intercourse (CLAI) with an outside partner were CLAI within the relationship (OR=3.17, 95%CI: 1.64–6.14, p<0.001) and PrEP use in the last three months (OR=3.42, 95%CI: 1.48–7.92, p=0.004). When considering HIV transmission risk for HIV-negative men in serodiscordant relationships, greater focus needs to be placed on sex that is occurring outside the relationship and the agreements that facilitate this.
Palabras clave en ingles
Serodiscordant couples
Homosexual
Gay men
Men who have sex with men
HIV prevention
Risk reduction strategies
Sexual behavior
 
Editor
Springer Science
Referencia
GRAY, James et al. Agreements, Behaviour, and Change: Sex Outside the Relationship in Male HIV-negative Partners in HIV Serodiscordant Relationships in Australia, Brazil, and Thailand. AIDS and Behavior, n. 27, p. 3098–3108, 2023.
DOI
10.1007/s10461-023-04030-2
ISSN
1090-7165
Notas
Beatriz Grinsztejn - Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento.
Opposites Attract Study Group Andrew E. Grulich (Chief Investigator), Iryna B. Zablotska, Garrett P. Prestage, Fengyi Jin, Benjamin R. Bavinton (project leader), Beatriz Grinsztejn, Nittaya Phanuphak, David A. Cooper, Anthony Kelleher, Sean Emery, Christopher K. Fairley, David Wilson, Kersten K. Koelsch, Kathy Triffitt, Nicolas Doong, David Baker, Mark Bloch, David J. Templeton, Anna McNulty, Catherine Pell, Jennifer Hoy, Ban Kiem Tee, Richard Moore, Norm Roth, David Orth, Angie N. Pinto.