Composite Risk for HIV: A New Approach Towards Integrating Biomedical and Behavioral Strategies in Couples-Based HIV Prevention Research

Gamarel, Kristi E.; Chakravarty, Deepalika; Neilands, Torsten B.; Hoff, Colleen C.; Lykens, James; Darbes, Lynae A.

doi:10.1007/s10461-018-2229-8

Cited by 9 publications

(8 citation statements)

References 49 publications

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“…These primary relationships, which involve two or more people who have significant commitments that involve merging the daily infrastructure of their lives in a spouse-like arrangement without specific regard to sexual monogamy and/or emotional connection, have recently garnered greater attention from HIV researchers. This greater attention became apparent as an increasing number of HIV prevention research efforts that were designed to study and intervene on HIV risk within gbMSM partnerships turned their focus to the relevance of these primary relationships [82]. There is much work and empirical investigation that still needs to be done so that future interventions to foster HIV resilience and address HIV/AIDS health disparities could have sufficient evidencebased knowledge on meaningful sexual relationships of gbMSM living with HIV/AIDS to utilize, beginning with the essential aspects within the primary and other meaningful relationships our participants identified and described that contributed to fostering their own resilience to HIV/AIDS.…”

Section: Considering and Valuing Controversial Protective Factors In The Development Of Interventions That Foster Resilience To Hiv/aidsmentioning

confidence: 99%

Protective Factors That Foster Resilience to HIV/AIDS: Insights and Lived Experiences of Older Gay, Bisexual, and Other Men Who Have Sex with Men

Liboro

Yates²,

Bell

et al. 2021

IJERPH

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Since the beginning of the HIV/AIDS epidemic, gay, bisexual, and other men who have sex with men (gbMSM) have been disproportionately impacted by HIV/AIDS health disparities. Research showed that resilience to HIV/AIDS is associated with increased use of relevant health services, lower sexual health risks, and improved mental health outcomes among racially and ethnically diverse gbMSM. As the subpopulation that has historically been impacted by HIV/AIDS the longest, older gbMSM living with HIV/AIDS have inarguably exhibited resilience to HIV/AIDS the most. The qualitative study described in this paper sought to identify and examine protective factors that fostered resilience to HIV/AIDS based on the insights and lived experiences of racially and ethnically diverse, older gbMSM. Applying a community-based participatory research approach that included the meaningful involvement of older gbMSM living with HIV/AIDS in different roles (i.e., advisory committee member, collaborator, peer researcher, and participant), the study recruited and included forty-one older gbMSM living with HIV/AIDS from Ontario, Canada, in confidential, semi-structured interviews. Utilizing thematic analysis, we identified three major themes from the participant interviews as factors that fostered the resilience of older gbMSM to HIV/AIDS and helped to address HIV/AIDS health disparities: (1) established protective factors, (2) behavioral protective factors, and (3) controversial protective factors. This paper argues for the importance of valuing and capitalizing on these protective factors in the conceptualization and development of interventions, services, and programs that are dedicated to fostering resilience to HIV/AIDS.

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Section: Considering and Valuing Controversial Protective Factors In The Development Of Interventions That Foster Resilience To Hiv/aidsmentioning

confidence: 99%

Protective Factors That Foster Resilience to HIV/AIDS: Insights and Lived Experiences of Older Gay, Bisexual, and Other Men Who Have Sex with Men

Liboro

Yates²,

Bell

et al. 2021

IJERPH

View full text Add to dashboard Cite

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“…Given the small number of participants who engaged in condomless sex with primary or casual partners by different partner HIV statuses, we collapsed this into one variable, which may underestimate levels of risk. With advances in biomedical prevention strategies (e.g., PrEP and TasP), better risk assessments are needed to more accurately capture HIV risk behavior (Gamarel, Chakravarty, Neilands, et al (2018). Due to the cross-sectional study design, causal or temporal claims cannot be drawn.…”

Section: Limitationsmentioning

confidence: 99%

Relationship Stigma and HIV Risk Behavior Among Cisgender Men Partnered with Transgender Women: The Moderating Role of Sexual Identity

et al. 2019

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Cisgender men partnered with transgender women are an understudied and hard to engage population in HIV prevention efforts. Relationship stigma -the anticipation of negative treatment based on having a relationship with a member of a stigmatized group -has been linked to adverse health behaviors, but it remains unclear whether different sources of relationship stigma (i.e., family, friends, and the general public) are associated with HIV risk behaviors and whether these associations may vary by men's sexual identities (e.g., gay, bisexual, heterosexual). The current study examined associations between relationship stigma and HIV risk behaviors, and whether these associations were moderated by sexual identity. We recruited a convenience sample of 185 cisgender men in primary partnerships with transgender women to participate in a one-time survey. Gay-identified men reported greater levels of relationship stigma from the general public compared to heterosexual-identified men. In multivariable models, higher levels of relationship stigma from the public were associated with increased odds of engaging in drug use prior to

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“…In many contexts, other prevention strategies have equal or more relevance such as consistent condom use, monogamy, and sexual decision making based on partners’ serostatus and viral load [66]. We recommend the design of studies that include composite indicators of HIV risk, which recognize the multiple options that can reduce HIV transmission and improve disease progression [67].…”

Section: Discussionmentioning

confidence: 99%

Behavioral and social interventions to promote optimal HIV prevention and care continua outcomes in the United States

Gamarel

King

Operario

2022

Current Opinion in HIV and AIDS

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Purpose of reviewThis review reports on trends in behavioral and social intervention research in the United States published over the past year (2020-2021) investigating HIV prevention and care outcomes, organized by the level of intervention focus -individual, dyadic, and organizational. Recent findingsResearchers have continued to develop and evaluate behavioral and social interventions to reduce HIV acquisition risk and disease progression. With few exceptions, social and behavioral interventions have primarily focused on individuals as the unit of behavior change. Interventions operating at the individual-, dyadic-, and organizational-level have made strides to reduce HIV transmission risk and disease progressing by addressing mental health, substance use, stigma, peer and romantic relationships, and, to some extent, structural vulnerabilities.

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Composite Risk for HIV: A New Approach Towards Integrating Biomedical and Behavioral Strategies in Couples-Based HIV Prevention Research

Cited by 9 publications

References 49 publications

Protective Factors That Foster Resilience to HIV/AIDS: Insights and Lived Experiences of Older Gay, Bisexual, and Other Men Who Have Sex with Men

Protective Factors That Foster Resilience to HIV/AIDS: Insights and Lived Experiences of Older Gay, Bisexual, and Other Men Who Have Sex with Men

Relationship Stigma and HIV Risk Behavior Among Cisgender Men Partnered with Transgender Women: The Moderating Role of Sexual Identity

Behavioral and social interventions to promote optimal HIV prevention and care continua outcomes in the United States

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