An Omitted Level: An Examination of Relational Orientations and Viral Suppression Among HIV Serodiscordant Male Couples

被引：14

作者：

Gamarel, Kristi E. ^{[1
,2
]}

Neilands, Torsten B. ^{[3
]}

Golub, Sarit A. ^{[1
,2
]}

Johnson, Mallory O. ^{[3
]}

机构：

[1] CUNY, Grad Ctr, Dept Psychol, New York, NY USA

[2] CUNY Hunter Coll, Dept Psychol, New York, NY 10065 USA

[3] Univ Calif San Francisco, Dept Med, San Francisco, CA USA

来源：

JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES | 2014年 / 66卷 / 02期

基金：

美国国家卫生研究院;

关键词：

MSM; serodiscordant couples; viral suppression; TREATMENT ADHERENCE; CARE; SEX; PREVENTION; HEALTH; INTERDEPENDENCE; PREDICTORS; ENGAGEMENT; RETENTION; OUTCOMES;

D O I：

10.1097/QAI.0000000000000148

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

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.

引用

页码：193 / 196

页数：4

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