Online Program

Relationship dynamics and pre-exposure prophylaxis (PrEP) adherence self-efficacy among men who have sex with men (MSM) in romantic relationships

Tuesday, November 3, 2015 : 4:30 p.m. - 4:50 p.m.

Kristi Gamarel, PhD, Department of Behavioral and Social Sciences, Brown University, Providence, RI
Amy Hilley, MPH, Callen-Lorde Community Health Center, New York, NY
Kailip Boonrai, BS, Department of Psychology, Hunter College of the City University of New York (CUNY), New York, NY
Asa Radix, MD, Callen-Lorde Community Health Center, New York, NY
Sarit Golub, PhD, MPH, Department of Psychology, Hunter College, New York, NY
Background: Evidence suggests that optimal health behaviors among couples arise out of relationship quality and goal congruence, which is the extent to which partners’ goals are aligned. The purpose of the study was to examine: (1) the sexual health goals of HIV-negative MSM who initiated PrEP; and (2) whether perceptions of relationship quality and sexual health goal congruence with their partner predicted PrEP adherence self-efficacy.

Methods: As part of an ongoing PrEP demonstration-implementation project, analyses were conducted among a subsample of HIV-negative MSM in romantic relationships who completed baseline and 3-month follow up assessments (N = 60). Participants mean age was 33.3; 46.6% were racial/ethnic minority; 30.9% earned less than a Bachelor’s degree; 58.8% had an open sexual agreement; and 47.1% had an HIV-positive partner. Sexual health goals were qualitatively coded and thematically analyzed. Regression models examined associations between goal congruence and relationship quality at baseline on PrEP adherence self-efficacy at follow-up, adjusting for age, education, partner HIV-status, and substance use.

Results: Men in serodiscordant relationships’ top sexual health goals were to protect themselves from HIV and enhance sexual satisfaction with their partner; whereas men in relationships with HIV-negative partners’ sexual health goals were to protect themselves and their partners from HIV and have responsible sex. Greater relationship quality was associated with higher PrEP adherence self-efficacy (β=0.34, p<0.05).

Conclusions: Findings suggest that relationship dynamics may influence PrEP use and adherence. Examining relationship dynamics, including couples’ health goals and partner support for PrEP use represents an important area for future research.

Learning Areas:

Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
Describe the sexual health goals of HIV-negative MSM in romantic relationships who initiated PrEP, and identify differences by partner HIV status. Identify longitudinal associations between relationship dynamics and PrEP adherence self-efficacy, and to consider their unique roles in biomedical intervention strategies.

Keyword(s): HIV/AIDS, Treatment Adherence

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a Data Analyst for this NIH-funded project. I conceptualized and conducted the analyses for this abstract submission. I have a PhD and years of experience conducting research in the realm of HIV.
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.