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J Acquir Immune Defic Syndr. 2014 Jun 1;66(2):193-6. doi: 10.1097/QAI.0000000000000148.

An omitted level: an examination of relational orientations and viral suppression among HIV serodiscordant male couples.

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  • 1*Department of Psychology, The Graduate Center of CUNY, New York, NY; ‚ĆDepartment of Psychology, Hunter College of CUNY, New York, NY; and ‚Ä°Department of Medicine, University of California, San Francisco, San Francisco, CA.


Couples' adopting a relational orientation, when partners regard themselves as a collective unit, is associated with optimal health. HIV-positive men and their HIV-negative partners (N = 116 serodiscordant male couples) were surveyed. Logistic regression showed greater relational orientations of HIV-positive [adjusted odds ratio (aOR) = 7.87; 95% confidence interval (CI): 1.63 to 38.05] and HIV-negative partners (aOR = 6.16; 95% CI: 1.43 to 26.59) and HIV-positive partners' higher income (aOR = 2.95; 95% CI: 1.13 to 7.70) and lower depression (aOR = 0.39; 95% CI: 0.15 to 0.97) were associated with viral suppression with no evidence of mediation by adherence. Incorporating relationship dynamics into biomedical strategies is a promising avenue for research and intervention.

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