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AIDS Behav. 2018 Apr;22(4):1239-1252. doi: 10.1007/s10461-017-1835-1.

Should I Convince My Partner to Go on Pre-Exposure Prophylaxis (PrEP)? The Role of Personal and Relationship Factors on PrEP-Related Social Control among Gay and Bisexual Men.

John SA1, Starks TJ1,2,3, Rendina HJ1,2,3, Grov C1,4, Parsons JT5,6,7.

Author information

1
Center for HIV/AIDS Educational Studies & Training, Hunter College of the City University of New York (CUNY), New York, NY, USA.
2
Department of Psychology, Hunter College of the City University of New York (CUNY), 695 Park Avenue, New York, NY, 10065, USA.
3
Doctoral Program in Health Psychology and Clinical Science, The Graduate Center of CUNY, New York, NY, USA.
4
CUNY Graduate School of Public Health and Health Policy, New York, NY, USA.
5
Center for HIV/AIDS Educational Studies & Training, Hunter College of the City University of New York (CUNY), New York, NY, USA. Jeffrey.Parsons@hunter.cuny.edu.
6
Department of Psychology, Hunter College of the City University of New York (CUNY), 695 Park Avenue, New York, NY, 10065, USA. Jeffrey.Parsons@hunter.cuny.edu.
7
Doctoral Program in Health Psychology and Clinical Science, The Graduate Center of CUNY, New York, NY, USA. Jeffrey.Parsons@hunter.cuny.edu.

Abstract

An estimated 35-68% of new HIV infections among gay, bisexual, and other men who have sex with men (GBM) are transmitted through main partnerships. Pre-exposure prophylaxis (PrEP) is highly effective in reducing HIV seroconversion, yet PrEP uptake has been modest. PrEP-naïve GBM with HIV-negative, PrEP-naïve main partners enrolled in One Thousand Strong (n = 409), a U.S. national cohort of GBM, were asked about (1) the importance of partner PrEP use and (2) their willingness to convince their partner to initiate PrEP. On average, participants thought partner PrEP was only modestly important and were only moderately willing to try to convince their partner to initiate PrEP. Personal PrEP uptake willingness and intentions were the strongest indicators of partner PrEP outcomes. Being in a monogamish relationship arrangement (as compared to a monogamous arrangement) and the experience of intimate partner violence victimization were associated with increased willingness to persuade a partner to initiate PrEP.

KEYWORDS:

Couples interdependence theory; Intimate partner violence; Men who have sex with men; Pre-exposure prophylaxis; Same-sex couples

PMID:
28634660
PMCID:
PMC5738299
[Available on 2019-04-01]
DOI:
10.1007/s10461-017-1835-1

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