The Implications of PrEP Use, Condom Use, and Partner Viral Load Status for Openness to Serodifferent Partnering Among US Sexual Minority Men (SMM).

Autor: Kalwicz DA; Department of Psychological and Brain Sciences, George Washington University, 2013 H Street NW, Washington, DC, 20006, USA. dkalwicz@gwu.edu., Rao S; Department of Psychological and Brain Sciences, George Washington University, 2013 H Street NW, Washington, DC, 20006, USA., Modrakovic DX; Department of Psychological and Brain Sciences, George Washington University, 2013 H Street NW, Washington, DC, 20006, USA., Zea MC; Department of Psychological and Brain Sciences, George Washington University, 2013 H Street NW, Washington, DC, 20006, USA., Dovidio JF; Department of Psychology, Yale University, New Haven, CT, USA.; Social and Behavioral Sciences Department, Yale University, New Haven, CT, USA., Eaton LA; Department of Human Development and Family Sciences, University of Connecticut, Storrs, CT, USA., Holt M; Centre for Social Research in Health, UNSW Sydney, Sydney, NSW, Australia., MacGibbon J; Centre for Social Research in Health, UNSW Sydney, Sydney, NSW, Australia., Zaheer MA; Department of Psychological and Brain Sciences, George Washington University, 2013 H Street NW, Washington, DC, 20006, USA.; School of Medicine and Health Sciences, George Washington University, Washington, DC, USA., Garner A; Hornet Gay Social Network, Los Angeles, CA, USA., Calabrese SK; Department of Psychological and Brain Sciences, George Washington University, 2013 H Street NW, Washington, DC, 20006, USA.; Department of Prevention and Community Health, George Washington University, Washington, DC, USA.
Jazyk: angličtina
Zdroj: AIDS and behavior [AIDS Behav] 2024 Feb; Vol. 28 (2), pp. 524-534. Date of Electronic Publication: 2024 Feb 08.
DOI: 10.1007/s10461-023-04241-7
Abstrakt: PrEP has been reported to facilitate openness to serodifferent sexual partnerships among sexual minority men (SMM). However, other aspects of a sexual scenario likely come into play, including whether or not condoms are used and whether or not the partner living with HIV has an undetectable viral load. This online survey study evaluated the association between PrEP status and openness to serodifferent partnering, as well as the effects of various sexual scenario variables (condom use and partner's viral load) among 268 HIV-negative SMM in the US. Each participant reported their PrEP status and rated their openness to serodifferent partnering in four sexual scenarios, which varied by condom use (with/without) and partner viral load status (detectable/undetectable). Analyses of covariance (ANCOVAs) were conducted to assess differences in openness to serodifferent partnering by PrEP status in each scenario, adjusting for background characteristics. A two-way repeated measures ANCOVA and a three-way mixed factorial ANCOVA, including PrEP status as a between-subjects variable, were also performed to assess the effects of condom use and partner viral load status on openness. Across all scenarios, current PrEP users expressed significantly greater openness to serodifferent partnering compared to participants who had never used PrEP. Current PrEP users were also more likely than former PrEP users to consider partnering with someone with an undetectable viral load without using condoms. Both PrEP users and PrEP-inexperienced individuals had greater openness to serodifferent partnering with a partner having an undetectable (vs. detectable) viral load, which was magnified by condom use among the latter.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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