Timing and Sequence of Events: HIV Status Disclosure, Condomless Anal Sex, and Sexual Agreement Formation Among Same-Sex Male Couples.

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  • Author(s): Mitchell JW;Mitchell JW; Wu Y; Wu Y; Gamarel KE; Gamarel KE
  • Source:
    Journal of sex research [J Sex Res] 2019 Jul-Aug; Vol. 56 (6), pp. 728-739. Date of Electronic Publication: 2018 Oct 08.
  • Publication Type:
    Journal Article; Research Support, N.I.H., Extramural
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Routledge Country of Publication: United States NLM ID: 0062647 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1559-8519 (Electronic) Linking ISSN: 00224499 NLM ISO Abbreviation: J Sex Res Subsets: MEDLINE
    • Publication Information:
      Publication: Philadelphia : Routledge
      Original Publication: New York, Society for the Scientific Study of Sex.
    • Subject Terms:
      Disclosure* ; HIV Infections* ; Health Status* ; Homosexuality, Male* ; Sexual Behavior* ; Sexual Partners* ; Unsafe Sex*; Adult ; Humans ; Male ; Self Report ; Time Factors ; Young Adult
    • Abstract:
      Despite the implications for human immunodeficiency virus (HIV) prevention and sexual health, little is known about the timing and chronological order of when same-sex male couples disclose their HIV serostatus, establish a sexual agreement, and first engage in condomless anal sex (CAS) in their relationships. Dyadic data from 357 dyads were used to describe when these respective events occurred; whether members of a couple concurred about when the events happened; and the chronological order of these events. For many, disclosure and CAS happened within the first month, whereas an agreement tended to occur much later (if at all). Couples' concordance of when disclosure and agreement formation happened differed by their serostatus, whereas there was little difference by serostatus for CAS. The chronological order of these events revealed interesting patterns and varied substantially. Although two-thirds of partners reported disclosure had occurred first, some reported events happening on the same day. These findings reveal that the first few months in a same-sex male couple's relationship is a critical time period for when information and decisions about sexual health occur. Suggestions are provided for how current and future HIV prevention efforts could assist couples with their sexual health needs.
    • Grant Information:
      T32 MH019985 United States MH NIMH NIH HHS; P30 MH052776 United States MH NIMH NIH HHS
    • Publication Date:
      Date Created: 20181009 Date Completed: 20200814 Latest Revision: 20240207
    • Publication Date:
      20240207
    • Accession Number:
      10.1080/00224499.2018.1523361
    • Accession Number:
      30295545