Let's Talk About Sex: The Impact of Partnership Contexts on Communication About HIV Serostatus and Condom Use Among Men Who Have Sex with Men (MSM) and Transgender Women (TW) in Lima, Peru

被引：11

作者：

Ayer, Amrita ^{[1
,2
]}

Perez-Brumer, Amaya ^{[3
]}

Segura, Eddy R. ^{[1
,4
]}

Chavez-Gomez, Susan ^{[5
]}

Fernandez, Rosario ^{[5
]}

Arroyo, Cecilia ^{[5
]}

Barrantes, Alex ^{[5
]}

Lake, Jordan E. ^{[1
,6
]}

Cabello, Robinson ^{[1
,5
]}

Clark, Jesse L. ^{[1
,7
]}

机构：

[1] Univ Calif Los Angeles, David Geffen Sch Med, South Amer Program HIV Prevent Res, 10833 Le Conte Ave, Los Angeles, CA 90095 USA

[2] Univ Calif Los Angeles, David Geffen Sch Med, 10833 Le Conte Ave,CHS 37-121, Los Angeles, CA 90095 USA

[3] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada

[4] Univ Peruana Ciencias Aplicadas, Escuela Med, Lima, Peru

[5] Asociac Civil Via Libre, Lima, Peru

[6] UT Hlth, McGovern Med Sch, Dept Internal Med, Div Infect Dis, Houston, TX USA

[7] Univ Calif Los Angeles, David Geffen Sch Med, Dept Med, Div Infect Dis, Los Angeles, CA 90095 USA

来源：

AIDS AND BEHAVIOR | 2021年 / 25卷 / 07期

关键词：

HIV serostatus communication; Condom negotiation; Men who have sex with men; Transgender women; Peru; UNPROTECTED ANAL INTERCOURSE; HIGH-RISK MEN; TRANSMISSION RISK; STATUS DISCLOSURE; BEHAVIOR; PREVENTION; LEVEL; GAY; PATTERNS; STRATEGY;

D O I：

10.1007/s10461-020-03144-1

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Sexual communication with partners informs risk assessment and sexual practices. We evaluated participant, partner, and network factors associated with communication about condom use and HIV serostatus and explored their relationships with condomless anal intercourse (CAI) among 446 men who have sex with men (MSM) and 122 transgender women (TW) in Lima, Peru. Generalized estimating equations assessed contextual influences on communication and practices with recent sexual partners. More frequent HIV communication was reported by MSM who: identified as heterosexual, compared to bisexual or gay; characterized partnerships as stable, compared to casual, anonymous, or commercial; or discussed HIV/STIs with close social contacts (p < 0.05). TW in concurrent partnerships discussed condom use more frequently than those in monogamous relationships (p < 0.05). Condom use discussions and alcohol use among MSM were associated with CAI (p < 0.05). Findings highlight complexity in sexual decision-making and call for further study of conversation content and practices to inform HIV prevention messaging.

引用

页码：2139 / 2153

页数：15

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