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Relationship-Based Predictors of Sexual Risk for HIV Among MSM Couples: A Systematic Review of the Literature

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Abstract

Behavioral and epidemiological studies report high risk for HIV among MSM couples. Over the last decade, studies have examined relationship dynamics associated with sexual risk for HIV. It is important to examine the impact this research has had on HIV prevention and what is still needed. We conducted a review of the literature focusing on relationship dynamics associated with sexual risk for HIV among MSM couples. Procedures used for this review were guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses established to provide a framework for collecting, reviewing and reporting studies systematically (Mohler et al. in Ann Intern Med 151(4):264-269, 2009). We found that positive relationship dynamics are associated with less risk with partners outside the relationship, but were associated with greater odds of unprotected anal intercourse with primary partners. We also discuss other factors including sexual agreements about outside partners and make recommendations for next steps in HIV prevention research among MSM couples.

Resumen

Estudios conductuales y epidemiológicos informan alto riesgo de HIV entre parejas de MSM. En la última década, estudios han analizado la dinámica de relación asociado al riesgo sexual para el HIV. Es importante examinar el impacto de que esta investigación ha tenido en la prevención del HIV y lo que es necesario. Se realizó una revisión de la literatura centrada en la dinámica de la relación asociada a sexuales de riesgo para el VIH entre las parejas de HSH. Procedimientos utilizados para esta revisión fueron guiados por los elementos de información preferido para revisiones sistemáticas y metanálisis (PRISMA) establecido para proporcionar un marco para recolectar, revisar e informar estudios sistemáticamente (Mohler et al. in Ann Intern Med 151(4):264-269, 2009). Encontramos que dinámica de la relación positiva se asocian a menor riesgo con socios fuera de la relación, pero se asociaron con mayor probabilidad de relaciones sexuales anales sin protección (UAI) con los principales socios. También discutir otros factores incluyendo acuerdos sexuales sobre socios exterior y formular recomendaciones para próximos pasos en la investigación de la prevención del HIV entre parejas de MSM.

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Authors and Affiliations

  1. Center for Research and Education on Gender and Sexuality, San Francisco State University, 835 Market Street Suite 523, San Francisco, CA, 94103, USA

    Colleen C. Hoff, Chadwick K. Campbell & Deepalika Chakravarty

  2. Center for AIDS Prevention Studies, University of California San Francisco, San Francisco, CA, USA

    Chadwick K. Campbell, Deepalika Chakravarty & Lynae A. Darbes

Authors
  1. Colleen C. Hoff
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  2. Chadwick K. Campbell
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  3. Deepalika Chakravarty
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  4. Lynae A. Darbes
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Correspondence to Colleen C. Hoff.

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Hoff, C.C., Campbell, C.K., Chakravarty, D. et al. Relationship-Based Predictors of Sexual Risk for HIV Among MSM Couples: A Systematic Review of the Literature. AIDS Behav 20, 2873–2892 (2016). https://doi.org/10.1007/s10461-016-1350-9

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