Transmission of STIs/HIV at the Partnership Level: Beyond Individual-Level Analyses

Gorbach, Pamina M.; Holmes, King K.

doi:10.1093/jurban/jtg079

Cited by 57 publications

(54 citation statements)

References 44 publications

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“…Promoting and encouraging dyadic communication, particularly on HIV-related issues and condom use prior to sexual intercourse, should be considered. Indeed, several studies among both heterosexual and homosexual populations have confirmed that the greater the communication regarding safer sex within sexual dyads, the higher the level of condom use observed (Greene & Faulkner, 2005;Gorbach & Holmes, 2003;Noar et al, 2006).…”

Section: Discussionmentioning

confidence: 98%

“…MSM, men who have sex with men; MSM-EP = MSM recruited from entertainment places; MSM-MP = MSM recruited from massage parlors; TG-SP = transgender women who congregated and/or sought sexual partners on streets/parks. Eaton et al, 2009;Gorbach & Holmes, 2003;Mi et al, 2007;Nemoto et al, 2004;Praptoraharjo, 2011). Our study also demonstrates that the use of club drugs with sexual partners is associated with lower likelihood of condom use, another finding consistent with prior studies (Boeri et al, 2004;Buchbinder et al, 2005;Diaz et al, 2005;Lyons et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

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Condom Use Among Men Who Have Sex With Men and Male-to-Female Transgenders in Jakarta, Indonesia

et al. 2013

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This article examined differences in condom use during anal intercourse among men who have sex with men (MSM) and male-to-female transgender women in Jakarta, Indonesia. A cross-sectional design, structured interviews, and hierarchical linear modeling were used to examine condom use among MSM recruited from entertainment places (EPs; e.g., discotheques/dance clubs/karaoke bars), massage parlors (MPs), and among transgender women who congregated and/or sought sexual partners on streets/parks (S/P). The sample consisted of 91, 97, and 114 of MSM-EP, MSM-MP, and transgender-S/P, respectively. Respondents reported on 641 unique sexual partner encounters, which were “nested” within 302 respondents. Reported condom use was high, 66%, 84%, and 83% for MSM-EP, MSM-MP, and transgender-S/P, respectively, and varied across type of respondent. At the individual level, depressive symptoms and history of physical abuse during childhood and adulthood were associated with lower condom use ( p < .05). By contrast, having a higher level of education was associated with more condom use ( p < .05). At the partner level, condom use was associated with type of partners and the use of club drugs before sex. HIV-prevention efforts should take into account the multilevel determinants of condom use within these populations.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Condom Use Among Men Who Have Sex With Men and Male-to-Female Transgenders in Jakarta, Indonesia

et al. 2013

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“…For example, given the potential effect of recent exchange of sex for money or drugs, consideration should be given to amending the checklist to include directed questions about sex exchange and other relational contexts. In our sample there were clearly underlying decisions about when and with whom safer sex practice would or would not occur, often within concurrent multiple sexual relationships (see also Gorbach and Holmes 54 ). Contextual factors as well as individual psychological dispositions, motivations, and behaviors need to be considered in order to design effective interventions.…”

Section: -63mentioning

confidence: 99%

HIV-Positive Men Sexually Active with Women: Sexual Behaviors and Sexual Risks

Aidala

Lee

Howard³

et al. 2006

J Urban Health

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This study examines patterns of sexual behavior, sexual relating, and sexual risk among HIV-positive men sexually active with women. A total of 278 HIV-positive men were interviewed every 6-12 months between 1994 and 2002 and reported considerable variability in sexual behaviors over time. Many were not sexually active at all for months at a time; many continued to have multiple female and at times male partners. Over one-third of the cohort had one or more periods when they had engaged in unprotected sex with a female partner who was HIV-negative or status unknown (unsafe sex). Periods of unsafe sex alternated with periods of safer sex. Contextual factors such as partner relations, housing status, active drug use, and recently exchanging sex showed the strongest association with increased odds of unsafe sex. A number of predictors of unsafe sex among African American men were not significant among the Latino sub-population, suggesting race/ethnic differences in factors contributing to heterosexual transmission. Implications for prevention interventions are discussed.

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“…5 Two sexual behaviors are driving the heterosexual HIV epidemic propagation in the USA: unprotected vaginal or anal sex 6,7 and concurrent partnering. [8][9][10] Several factors have been found to reduce consistent condom use among heterosexual men regardless of race/ethnicity, including reduced sexual pleasure and concerns about sexual performance, [11][12][13] negative outcome expectancies, 14,15 condom use selfefficacy, [16][17][18][19] attitudes towards condoms, 13,17,19 and risk perceptions. [20][21][22] Condom use also varies by partnership type, 23 relationship duration, 24,25 use of other contraceptive methods, 26,27 and sexual communication, [28][29][30][31] as well as drug and alcohol use.…”

Section: Introductionmentioning

confidence: 99%

Condom Use and Concurrent Partnering among Heterosexually Active, African American Men: A Qualitative Report

et al. 2012

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African Americans are overrepresented among heterosexual cases of HIV/ AIDS in the USA. Inconsistent condom use and concurrent partnering are two sexual behaviors driving the heterosexual HIV epidemic in the African American community. To inform the development of an HIV prevention behavioral intervention to decrease concurrent partnering and increase condom use among African American heterosexual men, we conducted formative research, including 61 structured interviews, 5 focus groups with 25 men, and 30 in-depth qualitative interviews between July and December 2009. We used a grounded theoretical approach and categorizing strategies to code and analyze the qualitative data. Results around condom use confirmed earlier findings among heterosexual men in general: condoms diminish pleasure, interfere with erection, and symbolize infidelity. Although valued by some as a form of disease prevention and pregnancy prevention, condoms are often used only with specific types of female partners, such as new or casual partners, or due to visual risk assessment. Sex partner concurrency was described as normative and ascribed to men's "natural" desire to engage in a variety of sexual activities or their high sex drive, with little recognition of the role it plays in the heterosexual HIV epidemic. Fatherhood emerged among many men as a crucial life event and compelling motivation for reducing sexual risk behavior. Based on these results, we conclude that existing HIV prevention efforts to improve attitudes towards and motivate use of condoms either have not reached or have not been successful with African American heterosexual men. In designing behavioral interventions to decrease concurrent partnering and increase condom use, addressing negative attitudes towards condoms and partner risk assessment is critical, as is integrating novel motivational approaches related to identity as fathers and men in the African American community.

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Transmission of STIs/HIV at the Partnership Level: Beyond Individual-Level Analyses

Abstract: ABSTRACT

Cited by 57 publications

References 44 publications

Condom Use Among Men Who Have Sex With Men and Male-to-Female Transgenders in Jakarta, Indonesia

Condom Use Among Men Who Have Sex With Men and Male-to-Female Transgenders in Jakarta, Indonesia

HIV-Positive Men Sexually Active with Women: Sexual Behaviors and Sexual Risks

Condom Use and Concurrent Partnering among Heterosexually Active, African American Men: A Qualitative Report

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