Relationship motivations for pre-exposure prophylaxis (PrEP) among HIV-negative MSM in seroconcordant negative romantic relationships
Methods: As part of a larger NIH-funded study, analyses were conducted among a subsample of MSM in seroconcordant negative romantic relationships (N = 164). Participants mean age was 32.14; 60.8% were racial/ethnic minority; 62.7% earned less than $20,000 annually; 70.6% reported having an open sexual agreement. Logistic regression models examined associations between intimacy motivations for condomless sex and discrepancies between actual and desired levels of closeness with participants' reports of PrEP acceptability, adjusting for income, relationship length, sexual agreements, risk perception, and sexual risk behavior.
Results: Overall, 52.9% of participants indicating they would definitely use PrEP. There were no bivariate differences in PrEP acceptability by sexual agreement, age, race, income, education, sexual behavior, or risk perception. Intimacy motivations (aOR=1.63, 95%CI: 1.06, 2.52) and desiring more closeness were associated with PrEP acceptability (aOR=3.13; 95% CI = 1.08, 4.22). No other variables were associated with PrEP acceptability.
Conclusions: PrEP adoption may be driven by discrepancies in couples' desired levels of intimacy and closeness. Discrepancies in closeness have been shown to result in distrust and dissatisfaction. Incorporating relationship dynamics into biomedical strategies is a promising avenue for research and intervention.
Learning Areas:Public health or related research
Social and behavioral sciences
Assess PrEP acceptability among a sample of HIV-negative MSM in seroconcordant romantic relationships. Identify and examine the associations between relationship motivations, such as desires for intimacy and closeness, in PrEP adoption, and to consider their unique roles in biomedical intervention strategies.
Keyword(s): HIV/AIDS, Prevention
Qualified on the content I am responsible for because: I am a doctoral candidate and project manager working with the principal investigator for this NIH-funded study examining PrEP acceptability among MSM.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.