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AIDS Behav. 2018 Aug;22(8):2584-2592. doi: 10.1007/s10461-018-2070-0.

A Conceptual Model of Dyadic Coordination in HIV Care Engagement Among Couples of Black Men Who Have Sex with Men: A Qualitative Dyadic Analysis.

Author information

1
Department of Medicine, University of California San Francisco, 550 16th Street, 3rd Fl, San Francisco, CA, 94158, USA. judy.y.tan@gmail.com.
2
Department of Medicine, University of California San Francisco, 550 16th Street, 3rd Fl, San Francisco, CA, 94158, USA.
3
Mount Holyoke College, South Hadley, MA, USA.

Abstract

Among Black men who have sex with men (MSM), HIV incidence is disproportionately high and HIV care engagement is disproportionately low. There may be important opportunities to leverage the primary relationship to improve engagement in HIV care and treatment among Black MSM couples. Using dyadic qualitative analysis of semi-structured, one-on-one interviews, we explored dyadic aspects of HIV care engagement among 14 Black MSM couples in which at least one partner was HIV-positive and identified as a Black cisgender man. Findings showed that men varied in how involved they were in their HIV-positive partner's care and treatment, and in how they reciprocated their partner's involvement. Patterns of dyadic HIV care engagement supported a conceptual model of dyadic coordination that describes Black MSM relationships in terms of two conceptual dimensions of dyadic HIV care engagement, and guides future intervention designs with Black MSM couples.

KEYWORDS:

Black men who have sex with men; Couples; Dyadic coordination; HIV; HIV care engagement; Primary romantic relationship

PMID:
29464429
PMCID:
PMC6051888
[Available on 2019-08-01]
DOI:
10.1007/s10461-018-2070-0

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