An Examination of Gay Couples' Motivations to Use (or Forego) Pre-exposure Prophylaxis Expressed During Couples HIV Testing and Counseling (CHTC) Sessions. Prev Sci 2019 Jan;20(1):157-167
Date
04/14/2018Pubmed ID
29651646Pubmed Central ID
PMC6185802DOI
10.1007/s11121-018-0892-7Scopus ID
2-s2.0-85045274609 (requires institutional sign-in at Scopus site) 22 CitationsAbstract
While many gay couples perceive themselves to have little risk for HIV transmission, research estimates that 35-68% of new HIV infections are transmitted within main partnerships. Pre-exposure prophylaxis (PrEP) is recommended for those partnered gay and bisexual men (GBM) who engage in sex outside their primary relationship or who have an HIV-positive partner. There is reason to believe that couples' sero-status and sexual agreement will shape perceptions of PrEP's personal relevance among gay couples. The current study examined motivations for and ambivalence towards PrEP uptake reported in a sample of 67 gay couples during completion of a brief CDC-recommended prevention intervention: Couples HIV Testing and Counseling. Findings suggest that all types of couples identified some circumstances in which they would consider PrEP; however, PrEP messaging should be crafted to avoid undermining current prevention strategies or threatening the trust and legitimacy of the relationship.
Author List
Starks TJ, Doyle KM, Shalhav O, John SA, Parsons JTAuthor
Steven A. John PhD Associate Professor in the Psychiatry and Behavioral Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Counseling
Diagnostic Tests, Routine
Female
HIV Infections
Homosexuality, Male
Humans
Male
Middle Aged
Patient Acceptance of Health Care
Pre-Exposure Prophylaxis
Randomized Controlled Trials as Topic
Sexual and Gender Minorities
Young Adult