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 inAIDS and behavior Vol. 25; no. 7; pp. 2139 - 2153
Main Authors Ayer, Amrita, Perez-Brumer, Amaya, Segura, Eddy R., Chavez-Gomez, Susan, Fernandez, Rosario, Arroyo, Cecilia, Barrantes, Alex, Lake, Jordan E., Cabello, Robinson, Clark, Jesse L.
Format Journal Article
LanguageEnglish
Published New York Springer US 01.07.2021
Springer Nature B.V
Subjects
Anal intercourse
Bisexuality
Communication
Condoms
Decision making
Female
Gays & lesbians
Health behavior
Health Psychology
Heterosexuality
HIV
HIV Infections - epidemiology
HIV Infections - prevention & control
Homosexuality, Male
Human immunodeficiency virus
Humans
Infectious Diseases
Male
Medicine
Medicine & Public Health
Men who have sex with men
Mens health
Monogamy
Original Paper
Partnerships
Peru - epidemiology
Privacy
Public Health
Risk assessment
Risk communication
Sexual and Gender Minorities
Sexual Behavior
Sexual intercourse
Sexual Partners
Sexually transmitted diseases
STD
Transgender Persons
Unsafe Sex
Women
Womens health
Peru
Transgender women
Peru
Condom negotiation
Men who have sex with men
HIV serostatus communication
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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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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