Let’s Talk About Sex: The Impact of Partnership Contexts on Communication About HIV Serostatus and Condom Use Among Men Who Have Sex with Men (MSM) and Transgender Women (TW) in Lima, Peru
Sexual communication with partners informs risk assessment and sexual practices. We evaluated participant, partner, and network factors associated with communication about condom use and HIV serostatus and explored their relationships with condomless anal intercourse (CAI) among 446 men who have sex...
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Published in | AIDS and behavior Vol. 25; no. 7; pp. 2139 - 2153 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
New York
Springer US
01.07.2021
Springer Nature B.V |
Subjects | |
Online Access | Get full text |
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Summary: | Sexual communication with partners informs risk assessment and sexual practices. We evaluated participant, partner, and network factors associated with communication about condom use and HIV serostatus and explored their relationships with condomless anal intercourse (CAI) among 446 men who have sex with men (MSM) and 122 transgender women (TW) in Lima, Peru. Generalized estimating equations assessed contextual influences on communication and practices with recent sexual partners. More frequent HIV communication was reported by MSM who: identified as heterosexual, compared to bisexual or gay; characterized partnerships as stable, compared to casual, anonymous, or commercial; or discussed HIV/STIs with close social contacts (p < 0.05). TW in concurrent partnerships discussed condom use more frequently than those in monogamous relationships (p < 0.05). Condom use discussions and alcohol use among MSM were associated with CAI (p < 0.05). Findings highlight complexity in sexual decision-making and call for further study of conversation content and practices to inform HIV prevention messaging. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Author Contributions: JLC, ERS, APB, JEL, and AA contributed to the conceptualization of this analysis. RC, JLC, ERS, SCG, RF, CA, and AB contributed to the data acquisition and study protocol implementation. ERS and AA contributed to data analysis. JLC, APB, ERS, JEL, and AA contributed to the interpretation of results and drafting of the manuscript. All authors reviewed, edited, and approved the final version of the manuscript and agree to be accountable for all aspects of the work, including its accuracy and integrity. |
ISSN: | 1090-7165 1573-3254 |
DOI: | 10.1007/s10461-020-03144-1 |