ArticleArchives of sexual behavior2014
Health, trust, or "just understood": explicit and implicit condom decision-making processes among black, white, and interracial same-sex male couples.
Article in Archives of sexual behavior, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Thematic synthesis HIV prevention qualitative studies in men who have sex with men (MSM).Colombia medica (Cali, Colombia) · 2019Pooled it
- Systematic review of couple-based HIV intervention and prevention studies: advantages, gaps, and future directions.AIDS and behavior · 2014Pooled it
- A protocol for a randomized controlled trial of couples motivational interviewing to reduce drug use and HIV transmission risk among male couples in the US: the Couples Health Project.BMC public health · 2024Article
- Comparing Repeated (Annual) Couples HIV Testing and Counseling to Individual HIV Testing and Counseling Among Male Couples at High Risk of HIV Infection: Protocol for a Randomized Control Trial.JMIR research protocols · 2024Article
- Viral load and sexually transmitted infection testing among youth with HIV in a southern United States clinic.International journal of STD & AIDS · 2024Article
- Exploring HIV risk perception mechanisms among youth in a test-and-treat trial in Kenya and Uganda.PLOS global public health · 2024Article
- Condom stigma among men who have sex with men population: Concept synthesis.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2022Article
- Communication Patterns Among Male Couples with Open and Monogamous Agreements.Archives of sexual behavior · 2021Article
- Sexual Agreements and Intimate Partner Violence Among Male Couples in the U.S.: An Analysis of Dyadic Data.Archives of sexual behavior · 2021Article
- Predictors of viral suppression among youth living with HIV in the southern United States.AIDS care · 2020Article
- Adolescent Male Couples-Based HIV Testing Intervention (We Test): Protocol for a Type 1, Hybrid Implementation-Effectiveness Trial.JMIR research protocols · 2019Article
- "Condoms are … like public transit. It's something you want everyone else to take": Perceptions and use of condoms among HIV negative gay men in Vancouver, Canada in the era of biomedical and seroadaptive prevention.BMC public health · 2019Article
- "My Sexuality…It Creates a Stress": HIV-Related Communication Among Bisexual Black and Latino Men, New York City.Archives of sexual behavior · 2019Article
- Managing the risk of intimacy: accounts of disclosure and responsiveness among people with HIV and intimate partners of people with HIV.Culture, health & sexuality · 2018Article
- A Conceptual Model of Dyadic Coordination in HIV Care Engagement Among Couples of Black Men Who Have Sex with Men: A Qualitative Dyadic Analysis.AIDS and behavior · 2018Article
- Dyadic Qualitative Analysis of Condom Use Scripts Among Emerging Adult Gay Male Couples.Journal of sex & marital therapy · 2018Article
- Intimate relationship characteristics as determinants of HIV risk among men who have sex with regular male sex partners: a cross-sectional study in Guangzhou, China.BMC infectious diseases · 2018Article
- Receipt and Perpetration of Intimate Partner Violence and Condomless Anal Intercourse Among Gay and Bisexual Men in Atlanta.AIDS and behavior · 2017Article
- Sexual behavior and HIV risk among age-discrepant, same-sex male couples.Culture, health & sexuality · 2016Article
- Differences in Gay Male Couples' Use of Drugs and Alcohol With Sex by Relationship HIV Status.American journal of men's health · 2016Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
Among gay and bisexual men, primary partners are a leading source of HIV infection. Trust, intimacy, and advancements in HIV treatment may impact same-sex male (SSM) couples' decisions to engage in unprotected anal intercourse (UAI). This qualitative study explored how Black, White and interracial couples discussed, and made decisions regarding condoms. Qualitative interviews were conducted with 48 SSM couples in the New York and San Francisco metropolitan areas. Stratified purposive sampling was used to include Black (n = 16), White (n = 17), and interracial (Black-White) (n = 15) couples. Twenty-six couples were concordant HIV-negative and 22 were HIV-discordant. Interviews were recorded, transcribed, coded, and analyzed using a grounded theory approach. Some couples described explicit processes, which involved active discussion, while others described implicit processes, where condom-use decisions occurred without any explicit discussion. These processes also differed by race and HIV status. Black couples tended to report condom-use as "just understood." White, HIV-discordant couples decided not to use condoms, with some identifying the HIV-positive partner's suppressed viral load and high CD4 count as deciding factors. After an unplanned episode of UAI, White, HIV-negative couples tended to discontinue condom use while Black HIV-negative couples decided to revert to using condoms. HIV prevention efforts focused on same-sex, male couples must consider the explicit/implicit nature of condom decision-making processes. Understanding differences in these processes and considering relationship dynamics, across race and HIV status, can promote the development of innovative couple-level, HIV prevention interventions.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.