Skip to main content
Top
Published in: AIDS and Behavior 8/2018

01-08-2018 | Original Paper

A Conceptual Model of Dyadic Coordination in HIV Care Engagement Among Couples of Black Men Who Have Sex with Men: A Qualitative Dyadic Analysis

Authors: Judy Y. Tan, Chadwick K. Campbell, Alyssa P. Tabrisky, Robert Siedle-Khan, Amy A. Conroy

Published in: AIDS and Behavior | Issue 8/2018

Login to get access

Abstract

Among Black men who have sex with men (MSM), HIV incidence is disproportionately high and HIV care engagement is disproportionately low. There may be important opportunities to leverage the primary relationship to improve engagement in HIV care and treatment among Black MSM couples. Using dyadic qualitative analysis of semi-structured, one-on-one interviews, we explored dyadic aspects of HIV care engagement among 14 Black MSM couples in which at least one partner was HIV-positive and identified as a Black cisgender man. Findings showed that men varied in how involved they were in their HIV-positive partner’s care and treatment, and in how they reciprocated their partner’s involvement. Patterns of dyadic HIV care engagement supported a conceptual model of dyadic coordination that describes Black MSM relationships in terms of two conceptual dimensions of dyadic HIV care engagement, and guides future intervention designs with Black MSM couples.
Literature
1.
go back to reference Sullivan PS, Peterson J, Rosenberg ES, et al. Understanding racial HIV/STI disparities in black and white men who have sex with men: a multilevel approach. PLoS ONE. 2014;9(3):e90514.CrossRefPubMedPubMedCentral Sullivan PS, Peterson J, Rosenberg ES, et al. Understanding racial HIV/STI disparities in black and white men who have sex with men: a multilevel approach. PLoS ONE. 2014;9(3):e90514.CrossRefPubMedPubMedCentral
2.
go back to reference Rosenberg ES, Millett GA, Sullivan PS, del Rio C, Curran JW. Understanding the HIV disparities between black and white men who have sex with men in the USA using the HIV care continuum: a modelling study. Lancet HIV. 2014;1(3):e112–8.CrossRefPubMedPubMedCentral Rosenberg ES, Millett GA, Sullivan PS, del Rio C, Curran JW. Understanding the HIV disparities between black and white men who have sex with men in the USA using the HIV care continuum: a modelling study. Lancet HIV. 2014;1(3):e112–8.CrossRefPubMedPubMedCentral
3.
go back to reference Millett GA, Peterson JL, Flores SA, et al. Comparisons of disparities and risks of HIV infection in black and other men who have sex with men in Canada, UK, and USA: a meta-analysis. Lancet. 2012;380(9839):341–8.CrossRefPubMed Millett GA, Peterson JL, Flores SA, et al. Comparisons of disparities and risks of HIV infection in black and other men who have sex with men in Canada, UK, and USA: a meta-analysis. Lancet. 2012;380(9839):341–8.CrossRefPubMed
4.
go back to reference Sullivan PS, Rosenberg ES, Sanchez TH, et al. Explaining racial disparities in HIV incidence in black and white men who have sex with men in Atlanta, GA: a prospective observational cohort study. Ann Epidemiol. 2015;25(6):445–54.CrossRefPubMedPubMedCentral Sullivan PS, Rosenberg ES, Sanchez TH, et al. Explaining racial disparities in HIV incidence in black and white men who have sex with men in Atlanta, GA: a prospective observational cohort study. Ann Epidemiol. 2015;25(6):445–54.CrossRefPubMedPubMedCentral
5.
go back to reference Oster AM, Wiegand RE, Sionean C, et al. Understanding disparities in HIV infection between black and white MSM in the United States. AIDS. 2011;25(8):1103–12.CrossRefPubMed Oster AM, Wiegand RE, Sionean C, et al. Understanding disparities in HIV infection between black and white MSM in the United States. AIDS. 2011;25(8):1103–12.CrossRefPubMed
6.
go back to reference Koblin BA, Mayer KH, Eshleman SH, et al. Correlates of HIV acquisition in a cohort of black men who have sex with men in the United States: HIV prevention trials network (HPTN) 061. PLoS ONE. 2013;8(7):e70413.CrossRefPubMedPubMedCentral Koblin BA, Mayer KH, Eshleman SH, et al. Correlates of HIV acquisition in a cohort of black men who have sex with men in the United States: HIV prevention trials network (HPTN) 061. PLoS ONE. 2013;8(7):e70413.CrossRefPubMedPubMedCentral
7.
go back to reference Hoff C. Negotiated safety agreements: do they protect and how they protect. Focus. 2005;20(2):1–5.PubMed Hoff C. Negotiated safety agreements: do they protect and how they protect. Focus. 2005;20(2):1–5.PubMed
8.
go back to reference Hoff CC, Beougher SC. Sexual agreements among gay male couples. Arch Sex Behav. 2010;39(3):774–87.CrossRefPubMed Hoff CC, Beougher SC. Sexual agreements among gay male couples. Arch Sex Behav. 2010;39(3):774–87.CrossRefPubMed
9.
go back to reference Campbell CK, Gómez AM, Dworkin S, et al. Health, trust, or “Just understood”: explicit and implicit condom decision-making processes among black, white, and interracial same-sex male couples. Arch Sex Behav. 2014;43(4):697–706.CrossRefPubMed Campbell CK, Gómez AM, Dworkin S, et al. Health, trust, or “Just understood”: explicit and implicit condom decision-making processes among black, white, and interracial same-sex male couples. Arch Sex Behav. 2014;43(4):697–706.CrossRefPubMed
10.
go back to reference Eaton LA, Kalichman SC, Cherry C. Sexual partner selection and HIV risk reduction among black and white men who have sex with men. Am J Public Health. 2010;100(3):503–9.CrossRefPubMedPubMedCentral Eaton LA, Kalichman SC, Cherry C. Sexual partner selection and HIV risk reduction among black and white men who have sex with men. Am J Public Health. 2010;100(3):503–9.CrossRefPubMedPubMedCentral
11.
go back to reference Conroy AA, Gamarel KE, Neilands TB, Dilworth SE, Darbes LA, Johnson MO. Relationship dynamics and partner beliefs about viral suppression: a longitudinal study of male couples living with HIV/AIDS (the DUO project). AIDS Behav. 2016;20(7):1572–83.CrossRefPubMedPubMedCentral Conroy AA, Gamarel KE, Neilands TB, Dilworth SE, Darbes LA, Johnson MO. Relationship dynamics and partner beliefs about viral suppression: a longitudinal study of male couples living with HIV/AIDS (the DUO project). AIDS Behav. 2016;20(7):1572–83.CrossRefPubMedPubMedCentral
12.
go back to reference Horvath KJ, Smolenski D, Iantaffi A, Grey JA, Rosser BS. Discussions of viral load in negotiating sexual episodes with primary and casual partners among men who have sex with men. AIDS Care. 2012;24(8):1052–5.CrossRefPubMedPubMedCentral Horvath KJ, Smolenski D, Iantaffi A, Grey JA, Rosser BS. Discussions of viral load in negotiating sexual episodes with primary and casual partners among men who have sex with men. AIDS Care. 2012;24(8):1052–5.CrossRefPubMedPubMedCentral
13.
go back to reference Prestage G, Mao L, Kippax S, et al. Use of viral load to negotiate condom use among gay men in Sydney, Australia. AIDS Behav. 2009;13(4):645.CrossRefPubMed Prestage G, Mao L, Kippax S, et al. Use of viral load to negotiate condom use among gay men in Sydney, Australia. AIDS Behav. 2009;13(4):645.CrossRefPubMed
14.
go back to reference Neme S, Goldenberg T, Stekler JD, Sullivan PS, Stephenson R. Attitudes towards couples HIV testing and counseling among Latino men who have sex with men in the Seattle area. AIDS Care. 2015;27(10):1354–9.CrossRefPubMed Neme S, Goldenberg T, Stekler JD, Sullivan PS, Stephenson R. Attitudes towards couples HIV testing and counseling among Latino men who have sex with men in the Seattle area. AIDS Care. 2015;27(10):1354–9.CrossRefPubMed
15.
go back to reference Stephenson R, Sullivan PS, Salazar LF, Gratzer B, Allen S, Seelbach E. Attitudes towards couples-based HIV testing among MSM in three US cities. AIDS Behav. 2011;15(1):80–7.CrossRef Stephenson R, Sullivan PS, Salazar LF, Gratzer B, Allen S, Seelbach E. Attitudes towards couples-based HIV testing among MSM in three US cities. AIDS Behav. 2011;15(1):80–7.CrossRef
16.
go back to reference Campbell C, Hoff C, Kolber J, Chakravarty D, Neilands T, Grisham K. PrEP uptake, dyadic decision-making, and condom use among HIV-negative men in committed same-sex male relationships. In: Presented at National HIV Prevention Conference; December 6–9, Atlanta, 2015. Campbell C, Hoff C, Kolber J, Chakravarty D, Neilands T, Grisham K. PrEP uptake, dyadic decision-making, and condom use among HIV-negative men in committed same-sex male relationships. In: Presented at National HIV Prevention Conference; December 6–9, Atlanta, 2015.
17.
18.
go back to reference Stumbo S, Wrubel J, Johnson MO. A qualitative study of HIV treatment adherence support from friends and family among same sex male couples. Psychol Educ. 2011;2(4):318–22.PubMedPubMedCentral Stumbo S, Wrubel J, Johnson MO. A qualitative study of HIV treatment adherence support from friends and family among same sex male couples. Psychol Educ. 2011;2(4):318–22.PubMedPubMedCentral
19.
go back to reference Wrubel J, Stumbo S, Johnson MO. Male same-sex couple dynamics and received social support for HIV medication adherence. J Soc Pers Relat. 2010;27(4):553–72.CrossRefPubMedPubMedCentral Wrubel J, Stumbo S, Johnson MO. Male same-sex couple dynamics and received social support for HIV medication adherence. J Soc Pers Relat. 2010;27(4):553–72.CrossRefPubMedPubMedCentral
20.
go back to reference Conroy A, Leddy A, Johnson M, Ngubane T, van Rooyen H, Darbes L. ‘I told her this is your life’: relationship dynamics, partner support and adherence to antiretroviral therapy among South African couples. Cult Health Sex. 2017;19(11):1239–53.CrossRefPubMedPubMedCentral Conroy A, Leddy A, Johnson M, Ngubane T, van Rooyen H, Darbes L. ‘I told her this is your life’: relationship dynamics, partner support and adherence to antiretroviral therapy among South African couples. Cult Health Sex. 2017;19(11):1239–53.CrossRefPubMedPubMedCentral
21.
go back to reference Conroy AA, McKenna SA, Leddy A, et al. “If she is drunk, I don’t want her to take it”: partner beliefs and influence on use of alcohol and antiretroviral therapy in South African couples. AIDS Behav. 2017;21(7):1885–91.CrossRefPubMedPubMedCentral Conroy AA, McKenna SA, Leddy A, et al. “If she is drunk, I don’t want her to take it”: partner beliefs and influence on use of alcohol and antiretroviral therapy in South African couples. AIDS Behav. 2017;21(7):1885–91.CrossRefPubMedPubMedCentral
22.
go back to reference Wrubel J, Stumbo S, Johnson MO. Antiretroviral medication support practices among partners of men who have sex with men: a qualitative study. AIDS Patient Care STDS. 2008;22(11):851–8.CrossRefPubMedPubMedCentral Wrubel J, Stumbo S, Johnson MO. Antiretroviral medication support practices among partners of men who have sex with men: a qualitative study. AIDS Patient Care STDS. 2008;22(11):851–8.CrossRefPubMedPubMedCentral
23.
go back to reference Johnson MO, Dilworth SE, Taylor JM, Darbes LA, Comfort ML, Neilands TB. Primary relationships, HIV treatment adherence, and virologic control. AIDS Behav. 2012;16(6):1511–21.CrossRefPubMedPubMedCentral Johnson MO, Dilworth SE, Taylor JM, Darbes LA, Comfort ML, Neilands TB. Primary relationships, HIV treatment adherence, and virologic control. AIDS Behav. 2012;16(6):1511–21.CrossRefPubMedPubMedCentral
24.
go back to reference Millett GA, Flores SA, Peterson JL, Bakeman R. Explaining disparities in HIV infection among black and white men who have sex with men: a meta-analysis of HIV risk behaviors. AIDS. 2007;21(15):2083.CrossRefPubMed Millett GA, Flores SA, Peterson JL, Bakeman R. Explaining disparities in HIV infection among black and white men who have sex with men: a meta-analysis of HIV risk behaviors. AIDS. 2007;21(15):2083.CrossRefPubMed
25.
go back to reference Millett GA, Peterson JL, Wolitski RJ, Stall R. Greater risk for HIV infection of black men who have sex with men: a critical literature review. Am J Public Health. 2006;96(6):1007.CrossRefPubMedPubMedCentral Millett GA, Peterson JL, Wolitski RJ, Stall R. Greater risk for HIV infection of black men who have sex with men: a critical literature review. Am J Public Health. 2006;96(6):1007.CrossRefPubMedPubMedCentral
26.
go back to reference Peterson JL, Bakeman R, Sullivan P, et al. Social discrimination and resiliency are not associated with differences in prevalent HIV infection in black and white men who have sex with men. J Acquir Immune Defic Syndr. 2014;66(5):538–43.CrossRefPubMedPubMedCentral Peterson JL, Bakeman R, Sullivan P, et al. Social discrimination and resiliency are not associated with differences in prevalent HIV infection in black and white men who have sex with men. J Acquir Immune Defic Syndr. 2014;66(5):538–43.CrossRefPubMedPubMedCentral
28.
go back to reference Eisikovits Z, Koren C. Approaches to and outcomes of dyadic interview analysis. Qual Health Res. 2010;20(12):1642–55.CrossRefPubMed Eisikovits Z, Koren C. Approaches to and outcomes of dyadic interview analysis. Qual Health Res. 2010;20(12):1642–55.CrossRefPubMed
29.
go back to reference Koren C, Eisikovits Z. Life beyond the planned script: accounts and secrecy of older persons living in second couplehood in old age in a society in transition. J Soc Pers Relat. 2011;28(1):44–63.CrossRef Koren C, Eisikovits Z. Life beyond the planned script: accounts and secrecy of older persons living in second couplehood in old age in a society in transition. J Soc Pers Relat. 2011;28(1):44–63.CrossRef
30.
go back to reference Lieber E, Weisner T, Taylor J. Dedoose software. California: Sociocultural Research Consultants; 2011. Lieber E, Weisner T, Taylor J. Dedoose software. California: Sociocultural Research Consultants; 2011.
31.
go back to reference Skovdal M, Campbell C, Madanhire C, Mupambireyi Z, Nyamukapa C, Gregson S. Masculinity as a barrier to men’s use of HIV services in Zimbabwe. Globa Health. 2011;7(1):13.CrossRef Skovdal M, Campbell C, Madanhire C, Mupambireyi Z, Nyamukapa C, Gregson S. Masculinity as a barrier to men’s use of HIV services in Zimbabwe. Globa Health. 2011;7(1):13.CrossRef
32.
go back to reference Siu GE, Seeley J, Wight D. Dividuality, masculine respectability and reputation: how masculinity affects men’s uptake of HIV treatment in rural eastern Uganda. Soc Sci Med. 2013;89:45–52.CrossRefPubMed Siu GE, Seeley J, Wight D. Dividuality, masculine respectability and reputation: how masculinity affects men’s uptake of HIV treatment in rural eastern Uganda. Soc Sci Med. 2013;89:45–52.CrossRefPubMed
33.
go back to reference Gamarel KE, Neilands TB, Golub SA, Johnson MO. An omitted level: an examination of relational orientations and viral suppression among HIV serodiscordant male couples. J Acquir Immune Defic Syndr. 2014;66(2):193–6.PubMedPubMedCentral Gamarel KE, Neilands TB, Golub SA, Johnson MO. An omitted level: an examination of relational orientations and viral suppression among HIV serodiscordant male couples. J Acquir Immune Defic Syndr. 2014;66(2):193–6.PubMedPubMedCentral
34.
go back to reference Conroy A, Comfort M, Darbes LA, Johnson MO, Van Oosterhout JJG, Mkandawire J. Exploring linkages between couple functioning and adherence to ART in malawi: a dyadic perspective”. Oral presentation to be given at the AIDS impact 13th international conference, Cape Town, South Africa, 13–15 November 2017. Conroy A, Comfort M, Darbes LA, Johnson MO, Van Oosterhout JJG, Mkandawire J. Exploring linkages between couple functioning and adherence to ART in malawi: a dyadic perspective”. Oral presentation to be given at the AIDS impact 13th international conference, Cape Town, South Africa, 13–15 November 2017.
35.
go back to reference Tan JY, Pratto F, Paul J, Choi K. A social-ecological perspective on power and HIV/AIDS with a sample of men who have sex with men of colour. Cult Health Sex. 2014;16(2):1–14.CrossRef Tan JY, Pratto F, Paul J, Choi K. A social-ecological perspective on power and HIV/AIDS with a sample of men who have sex with men of colour. Cult Health Sex. 2014;16(2):1–14.CrossRef
36.
go back to reference Pratto F, Lee I, Tan JY, Pitpitan E. Power basis theory: A psycho-ecological approach to power. In: Dunning D, editor. Social motivation. New York: Psychology Press; 2010. Pratto F, Lee I, Tan JY, Pitpitan E. Power basis theory: A psycho-ecological approach to power. In: Dunning D, editor. Social motivation. New York: Psychology Press; 2010.
37.
go back to reference Tan JY, Conroy AA, Lee IC, Pratto F. Leveraging power in intimate partner relationships: a power bases perspective. In: Agnew CR, Harman JJ, editors. Power in close relationships. Cambridge: Cambridge University Press; 2017. Tan JY, Conroy AA, Lee IC, Pratto F. Leveraging power in intimate partner relationships: a power bases perspective. In: Agnew CR, Harman JJ, editors. Power in close relationships. Cambridge: Cambridge University Press; 2017.
38.
go back to reference Preston DB, D’Augelli AR, Kassab CD, Cain RE, Schulze FW, Starks MT. The influence of stigma on the sexual risk behavior of rural men who have sex with men. AIDS Educ Prevent. 2004;16(4):291–303.CrossRef Preston DB, D’Augelli AR, Kassab CD, Cain RE, Schulze FW, Starks MT. The influence of stigma on the sexual risk behavior of rural men who have sex with men. AIDS Educ Prevent. 2004;16(4):291–303.CrossRef
39.
go back to reference Schwartz SR, Nowak RG, Orazulike I, et al. The immediate effect of the same-sex marriage prohibition act on stigma, discrimination, and engagement on HIV prevention and treatment services in men who have sex with men in Nigeria: analysis of prospective data from the TRUST cohort. Lancet HIV. 2015;2(7):e299–306.CrossRefPubMedPubMedCentral Schwartz SR, Nowak RG, Orazulike I, et al. The immediate effect of the same-sex marriage prohibition act on stigma, discrimination, and engagement on HIV prevention and treatment services in men who have sex with men in Nigeria: analysis of prospective data from the TRUST cohort. Lancet HIV. 2015;2(7):e299–306.CrossRefPubMedPubMedCentral
Metadata
Title
A Conceptual Model of Dyadic Coordination in HIV Care Engagement Among Couples of Black Men Who Have Sex with Men: A Qualitative Dyadic Analysis
Authors
Judy Y. Tan
Chadwick K. Campbell
Alyssa P. Tabrisky
Robert Siedle-Khan
Amy A. Conroy
Publication date
01-08-2018
Publisher
Springer US
Published in
AIDS and Behavior / Issue 8/2018
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-018-2070-0

Other articles of this Issue 8/2018

AIDS and Behavior 8/2018 Go to the issue