Men In Same-sex Relationships Research Articles

(320) Erectile Dysfunction and Men’s Health Websites: How diverse is our Racial, Ethnic, and Sexual Orientation Representation?

Abstract Introduction Images featured in patient educational materials can enhance comprehension of medical conditions, particularly those associated with sensitive issues like erectile dysfunction (ED). Past research indicates that minority men are often underrepresented in online urological content and thus may not relate to the material. Objective The present study aims to evaluate the representation of racial, ethnic, and sexual orientation diversity in ED and men’s health content on reputable urology program websites. Methods Websites of the top urology departments from U.S. News & World Reports 2022 rankings were reviewed as sources of high quality content. All subpages were reviewed to identify ED and men’s health sites with extraction of photo and video imagery depicting human subjects. A three-person review team interpreted race, ethnicity, and sexual orientation categorically. Race was also interpreted using a numeric scale, Fitzpatrick skin rating, and median ratings classified as white (1-3) or non-white (4-6). Consensus ratings were summarized descriptively. Spearman’s rank correlation was used to measure inter-rater reliability of Fitzpatrick ratings and MedCalc’s z-test used to compare diversity proportions to national rates from census data. Results The top 50 ranked urology program websites were reviewed. Seven programs did not have any patient-facing ED or men’s health web pages. Nearly half of programs with sites did not contain any human images (n=19/43, 44%). A total of 113 images were collected and reviewed. Race in the 102 (90.3%) interpretable images included 6 (5.9%) Asian, 16 (15.7%) black, 75 (73.5%) white, and 5 (4.9%) other men. Latino men were represented in 3/70 (4.3%) images. Utilizing Fitzpatrick ratings, 94 (83.2%) subjects were classified as white and 19 (16.8%) non-white. Most images [67 (59.3%)] demonstrated a man without a partner which precluded sexual orientation evaluation. Of those pictured with a partner, 25 (92.6%) were interpreted as heterosexual and 2 (7.4%) as same sex. Between reviewer correlation coefficients for Fitzpatrick ratings ranged from 0.66-0.69. Table 1 compares interpreted image data to population benchmarks from United States census data. Conclusions Limited imagery on academic urology ED websites continues to underrepresent some groups, namely Latinos. Although men in same sex relationships were depicted, the absolute number of such images was low. Conscious effort to improve diversity in online men’s health, and namely ED, content is needed. Disclosure No.

Intimate Partner Violence Perpetration Denial and Underreporting in Cisgender Male Couples.

Intimate partner violence (IPV) perpetrators often deny their actions, limiting opportunities for intervention. Cisgender male couples experience similar IPV rates to mixed-gender couples, yet less is known about how men in same-sex relationships deny or report their IPV behavior. This study aimed to describe perpetration denial across emotional, monitoring/controlling, and physical/sexual IPV, and to identify correlates of perpetration denial, in a convenience sample of male couples (N = 848; United States, 2016-2017). Past-year victimization and perpetration were measured with the IPV-Gay and Bisexual Men (GBM) scale; perpetration deniers were men whose self-reported perpetration contradicted their partner's reported victimization. Individual-, partner-, and dyadic-correlates of perpetration denial, by IPV-type, were identified using actor-partner interdependence models. We identified 663 (78.2%) perpetrators: 527 emotional; 490 monitoring/controlling; 267 physical/sexual. Thirty-six percent of physical/sexual-, 27.7% of emotional-, and 21.43% of monitoring/controlling-perpetrators categorically denied their actions. Depression was negatively associated with denying monitoring/controlling-perpetration (odds ratio 95% confidence interval: 0.91 [0.84, 0.99]) and physical/sexual-perpetration (0.91 [0.83, 0.97]); dyadic differences in depression were associated with emotional-perpetration denial (0.95 [0.90, 0.99]). Recent substance users had 46% lower odds of monitoring/controlling-denial (0.54 [0.32, 0.92]), versus non-users. Partner-race and employment were also significantly associated with emotional perpetration denial. This study highlights IPV denial's complexities, including differences across IPV types. Further investigations into how cisgender men in same-sex couples perceive and report various types of IPV perpetration will provide valuable insight into how an underserved and understudied population experiences IPV.

Skin Cancer Behavioral Risk Factors and Screening Among U.S. Adults in Same-Sex Relationships: A Population-Based Study from 2000 to 2015.

Purpose: Skin cancer is prevalent in sexual minority men but little is known about risk factors and screening specifically among couples in same-sex relationships (SSR). We aimed to compare sunburns, sun-protective behaviors, indoor tanning, and total body skin examinations (TBSEs) between people in SSR with those in opposite-sex relationships (OSR). Methods: We conducted a pooled cross-sectional analysis of 2000-2015 data from the National Health Interview Survey, a nationally representative survey of the United States civilian population. Results: Of 102,365 adults with a spouse or married partner, 448 (0.4%) were men in SSR, 48,312 (48.1%) men in OSR, 497 (0.5%) women in SSR, and 53,108 women in OSR (51.9%). Men in SSR were more likely than men in OSR to seek shade (adjusted odds ratio [aOR] = 1.41; 95% confidence interval [CI] = 1.07-1.85), tan indoors (aOR = 3.71; 95% CI = 2.38-5.78), and receive any TBSE (aOR = 2.45; 95% CI = 1.69-3.54) after adjusting for sociodemographic factors, health insurance status, and health behaviors. Men in SSR were less likely than men in OSR to wear long pants (aOR = 0.63; 95% CI = 0.46-0.85) and caps or visors (aOR = 0.50; 95% CI = 0.36-0.69). No differences in sunburns, sun-protective behaviors, indoor tanning, and TBSE between women in SSR and OSR were observed after multivariable adjustment. Conclusion: Patterns of sun-protective behaviors and indoor tanning among men in SSR, compared with men in OSR, demonstrate modifiable behaviors that may mitigate skin cancer risk. Dyadic counseling and public health interventions geared toward men in SSR may promote sun-protective behaviors and reduce indoor tanning.

The feminine target: Gender expression in same-sex relationships as a predictor of experiences with public displays of affection

The extent to which sexual minority individuals present publicly as masculine, feminine, or both has been associated with their perceptions of threat and safety in public spaces. The current study investigates the role of gender expression in men and women’s experiences of public displays of affection (PDAs) in same-sex relationships. Participants (N = 528) reported their own gender expression as well as that of their partner, perceptions of support for PDAs, PDA-related vigilance, general vigilance and overall PDA frequency. Men in same-sex relationships reported less frequent PDAs and greater PDA-related vigilance than women, while women reported greater overall variability in their gender expression than men. Multiple regression analyses show femininity within the participant (for men) or their partner (for both men and women) was associated with greater general and PDA-related vigilance. These findings align with previous research on femmephobia, in which femininity is described as making individuals feel ‘targeted’ for other forms of oppression (e.g., homophobia, sexism, transphobia; Hoskin, 2019 ). Although femininity was associated with greater vigilance, the association between masculinity within a same-sex relationship and vigilance was more tenuous, demonstrating evidence of masculinity serving as both a potential target for homophobic violence as well as a source of protection. The dual nature of masculinity was particularly salient among women in same-sex relationships, where masculinity tempered by femininity was associated with greater perceived support for PDAs but for women with partners low in femininity, the more masculine their partner, the greater their reported levels of vigilance.

Do adult men and women in same-sex relationships have weaker ties to their parents?

Using a national sample of people in same-sex relationships (N = 843) and different-sex relationships (N = 510) in the Netherlands, we examine the frequently discussed but infrequently tested hypothesis of weaker intergenerational ties between parents and their adult daughters and sons in same-sex relationships. We also test hypotheses linking the strength of these ties to gender differences and the liberal or traditional views held by the parents when the child was growing up (reported retrospectively). Overall, we find few differences in the strength of the current parent-child relationship but clear differences in the process of leaving home. Our findings show that people who are in same-sex relationships in adulthood left home earlier and moved further away from their parents than those in different-sex relationships. In addition, they left more often due to conflicts at home and due to an unpleasant atmosphere in the community of origin, and less often to move in directly with a partner. In adulthood, people in same-sex relationships show many commonalities with people in different-sex relationships and only a few differences. Men in same-sex relationships have more ambivalent relationships with their mothers and weaker relationships with their fathers than men partnered with women. When the parental home was more traditional in terms of gendered role division in parenting, the current relationship of women in same-sex relationships with their father is on average weaker in adulthood. Women in same-sex relationships also have less frequent contact with both parents compared to women in different-sex relationships. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Social Exclusion and Resilience: Examining Social Network Stratification among People in Same-Sex and Different-Sex Relationships

Abstract Social networks of minoritized societal groups may be exposed to a unique structural force, namely that of social exclusion. Using a national sample of people in same-sex and different-sex relationships in the Netherlands (N = 1,329), this study examines sexual orientation as stratifying factor in social networks. Specifically, it is a comparison of their size and composition. Overall, the networks are similar but a few differences stand out. People in same-sex relationships have larger networks than people in different-sex relationships, which are made up of fewer ties with the family-of-origin and more friends. This lends support to the families-of-choice hypothesis and suggests that people employ resilience strategies, such as alternative community building, to counteract social exclusion from families-of-origin. The results further show that men in same-sex relationships have the fewest same-gender ties in their networks out of both men and women in any relationship type. Overall, the results show that sexual orientation is a dimension worthwhile studying as a stratifying factor of social networks both standing alone and at the intersection with gender.

Facial masculinity preferences according to relationship status and sociosexual orientation in gay and bisexual men in China

Research indicates that partnered women prefer masculinized male faces more strongly than unpartnered women. Furthermore, unpartnered women of unrestricted sociosexual orientation tended to prefer masculinized male faces. This study examined whether relationship status had similar effects on the facial masculinity preferences of gay and bisexual men. Results indicated significant differences in such preferences among relationship status groups. Study participants in same-sex and without relationships preferred masculinized faces while those in opposite-sex relationships preferred feminine faces. Gay and bisexual men in same-sex relationships more often preferred masculinized faces compared to those in opposite-sex or without relationships. Participants without relationships more often preferred masculinized faces compared to individuals in opposite-sex relationships. Participants of unrestricted sociosexual orientation and who were without relationships more often preferred masculinized faces. There was no significant correlation between sociosexual orientation and facial masculinity preference for participants in same-sex relationships. These findings support the proposal that individuals in relationships tend to focus on sex-typical characteristics that indicate health cues with short-term advantages while individuals without relationships tend to focus on characteristics with long-term advantages.

Masculinity and Minority Stress among Men in Same-sex Relationships.

Although previous research has examined associations among masculinity, sexual orientation, minority stress, and mental health, these studies focused exclusively on individuals as units of analysis. This study investigates how men in same-sex relationships uniquely experience minority stress associated with their perceptions and performances of masculinity, as individuals and as couples. Qualitative, dyadic data are drawn from in-depth interviews with 24 male couples (48 partners), discussing two main stress themes-Threatened by Others' Gender Performances and Straight-acting Masculinity as Individual-level Insulation with Couple-level Challenges. Primary findings are (1) men in same-sex relationships are vulnerable to new forms of minority stress because their relationships increase visibility via others' masculinity, and (2) being in a same-sex relationship influences partners' self-perceptions of masculinity and their relationship dynamics. Findings improve insights regarding gender performance in minority stress processes affecting sexual minority men and their intimate relationships with one another. By virtue of their sexual minority and relationship statuses, men in same-sex relationships experience unique, masculinity-related stressors.

Top, Bottom, and Versatile Anal Sex Roles in Same-Sex Male Relationships: Implications for Relationship and Sexual Satisfaction.

Across much of the gay and bisexual male research on sexual position self-label (i.e., calling oneself a top, bottom, or versatile), there exist two commonalities: (1) studies tend to focus almost entirely on individual, relationally single androphilic men; (2) studies rarely account for relationships and relationship dynamics. In response, we explored the role of self-label over sexual and relationship satisfaction among gay and bisexual partnered men. Specifically, we looked at whether adopted sexual position identities were consonant or dissonant (i.e., matching or mismatching) with enacted behavior in relationships and how that impacted men's attitudes toward different relational attributes. Through an online survey, we sampled 169 men in same-sex relationships, asking them questions about their ideal penetrative role identities and their reality penetrative roles with their partner. We then asked them to rate their relationship on 10 sexual and interpersonal attributes. Multiple regression modeling suggested ideal-reality penetrative role dissonance was predictive of sexual dissatisfaction among tops who bottomed in their relationships and, to a lesser extent, bottoms who topped. In contrast, penetrative role dissonance was predictive of relationship satisfaction among tops who bottomed in their relationship, but not bottoms who topped. We conclude that a potential reason for this paradox among tops who bottom may be sexual altruism. That is, men may be satisfied with other aspects within their relationships, understand their partner's anal sex preferences, and accommodate that position in response to their initial relationship satisfaction.

Not a "mom thing": Predictors of gatekeeping in same-sex and heterosexual parent families.

The current study is the first to examine parental gatekeeping in both same-sex (57 female, 51 male) and heterosexual (n = 82) couples, all of whom became parents via adoption. Aspects of the individual, the couple, and the work context, measured preadoption, were examined as predictors of gatekeeping. Gatekeeping refers to attitudes and behaviors aimed at regulating and limiting the involvement of the other parent in housework and child care and was measured 2 years postadoption. Findings revealed that women in heterosexual relationships reported higher gatekeeping compared with all other groups, and men in same-sex relationships reported higher gatekeeping compared with women in same-sex relationships and men in heterosexual relationships. Across the full sample, lower job autonomy predicted higher gatekeeping in both housework and child care, whereas greater relationship ambivalence, greater perceived parenting skill, and lower perceived partner parenting skill predicted higher gatekeeping in child care. Findings provide insight into how gatekeeping behaviors and beliefs are enacted in diverse types of couples and suggest that work factors should be taken into account when conducting research on, and seeking to improve, coparenting relationships. (PsycINFO Database Record

Health Insurance Coverage among Puerto Rican Adults in Same-Sex Relationships.

The primary objectives of this study were to measure and compare health insurance coverage between nonelderly Puerto Rican adults in cohabiting same-sex relationships and their counterparts in cohabiting different-sex relationships. This study used data from the 2008-2014 Puerto Rican Community Survey on nonelderly adults (18-64 years) in cohabiting same-sex (n=274) and different-sex (n=58,128) relationships. Multinomial logistic regression models estimated differences in primary source of health insurance while controlling for key demographic and socioeconomic characteristics. Compared with men in different-sex relationships, men in same-sex relationships were less likely to have employer-sponsored insurance (ESI). Women in same-sex relationships were less likely than others to have ESI, insurance purchased directly from an insurer, and public health insurance after controlling for socio-demographic factors. Employment-based discrimination and policy barriers may have prevented same-sex couples from enjoying the full benefits associated with marriage and cohabitation in Puerto Rico, including employer-sponsored health insurance.

Emotional intimate partner violence experienced by men in same-sex relationships

Intimate partner violence research has focused almost exclusively on physical and sexual intimate partner violence in opposite-sex relationships, paying little attention to the intimate partner violence experienced by men in same-sex relationships. Emerging research focusing on intimate partner violence among male-male couples has focused largely on physical and sexual violence, with little consideration of the unique forms of emotional violence experienced by gay men. Ten focus-group discussions with gay and bisexual men were conducted to examine perceived typologies, antecedents and experiences of emotional violence that occur between male partners. Participants described emotional violence as the most threatening form of intimate partner violence, driven largely by factors including power differentials, gender roles and internalised homophobia. Results indicate that gay and bisexual men perceive emotional intimate partner violence to be commonplace. A better understanding of emotional violence within male-male relationships is vital to inform intimate partner violence prevention efforts and the more accurate measurement of intimate partner violence for gay men.

Intimate partner violence among sexual minority populations: A critical review of the literature and agenda for future research.

Summary of the Research Literature on IPV AmongLGB PersonsIncidence and Prevalence Rates Sixty-two studies have reported on the incidence and/or preva-lence rates of IPV among LGB individuals. Rates of IPV rangefrom 1% (e.g., Turell [2000] measuring forced sex perpetration incurrent relationships among LGBT individuals) to more than 97%(i.e.,Hequembourg,Parks,V Straus, Hamby, Boney-McCoy, & Sugarman, 1996) find-ing that 33.3% of men in same-sex relationships reporting victim-ization (Craft & Serovich, 2005), and 9.5% of gay and bisexualmen reporting sexual victimization using author-created questions(Feldman, Ream, Diaz, & El-Bassel, 2008). Similar to the higherrates reported by Craft and Serovich (2005), these researchers alsofound that 27.5% of men in same-sex relationships reported sexualIPV perpetration (Craft & Serovich, 2005). Finally, research in-vestigating physical IPV has found that 41.0% of gay and bisexualmen report being the victim and 35.0% report being the perpetratorof at least one act of physical IPV in their lifetime (Bartholomew,Regan, White, & Oram, 2008), and Craft and Serovich (2005)found similar rates, with 45.1% of men in same-sex relationshipsreporting physical IPV victimization and 39.2% reporting perpe-tration. Although discrepancies appear to be a result of the differ-entformsofIPVbeingmeasuredandsomeresearchers’tendenciesto aggregate multiple forms of IPV when reporting rates, themeasures used can also influence rates. For instance, includingmilder forms of violence in IPV perpetration and victimizationscales can lead to higher rates of reported violence. Specifically,Miller, Greene, Causby, White, and Lockhart (2001) found that46.1% of the lesbians in their study reported some form of mod-erate physical IPV, whereas 14.1% reported severe physical IPV.As shown above, the gaping discrepancy in rates of IPV isattributable to variability in how IPV is defined (IPV victimizationand/or perpetration; physical, sexual, psychological, and/or stalk-ingIPV;lifetime,currentrelationship,lastyear,orsomeothertimeframe) and measured (standardized measurement, most commonlythe Conflict Tactics Scale Revised [Straus et al., 1996], or itemscreated for the individual study by researchers) as well as thesample used (e.g., demographic make-up, national vs. conveniencesample, clinical vs. community sample). Not surprising, the high-est rates of IPV are documented when the measures and definitionsused by researchers are more inclusive and include a longer timeframe. The highest rates of IPV victimization are also documentedin samples evidencing higher levels of IPV risk factors (e.g.,clinical and criminal justice system samples).IPV estimates ranging from 1% to more than 97% tell usextremely little about the scope of the problem. Consistent withother reviews (e.g., Finkelhor, 2011), herein we draw upon themost recent, nationally representative epidemiological data to pro-vide what we consider to be the most reliable and valid estimatesof IPV among LGB individuals, and how these estimates vary asa function of sexual orientation and gender. The CDC releasedsome of the most recent data from the National Intimate Partnerand Sexual Violence Survey, which documented that lifetimeprevalence rates of IPV (inclusive of physical, sexual, stalkingvictimization, but not psychological victimization) occurred atsimilar to higher rates among self-identified LGB adults (bisexualwomen: 61.1%; lesbian women: 43.8%; bisexual men: 37.3%; gaymen: 26.0%) than heterosexual adults (women: 35.0%; men:29.0%)(Walters,Chen,B lesbian women: 29.4%; gaymen: 16.4%) than heterosexual adults (women: 23.6%; men:13.9%). The findings reported by Walters et al. (2013) are some-what consistent with Messinger’s (2011) analysis of the NationalViolence Against Women Survey, in which Messinger docu-mented that means for all forms of IPV victimization (inclusive ofphysical, psychological, and sexual) were greater for LGB indi-viduals than heterosexual individuals. Messinger also documentedthat sexual minority women were most likely to be victims ofsexual IPV, followed by heterosexual women, sexual minoritymen, and heterosexual men. Further, bisexual individuals weremore likely to be victimized than all other groups, and bisexualwomen were more likely to be victimized than bisexual men for allforms of IPV, except psychological IPV.Data from the National Longitudinal Study of AdolescentHealth provide information on IPV among adolescents and youngadults as a function of gender and sexual orientation (Halpern,Young, Waller, Martin, & Kupper, 2004; Renner & Whitney,2010). Using Wave II, Halpern et al. (2004) found that 24% ofadolescents who were in same-sex relationships during the past 18months reported physical and/or psychological IPV victimization.Girls in same-sex relationships reported higher rates of physical

Supportive care for men with prostate cancer: why are the trials not working? A systematic review and recommendations for future trials.

Men with prostate cancer are likely to have a long illness and experience psychological distress for which supportive care may be helpful. This systematic review describes the evidence for effectiveness and cost-effectiveness of supportive care for men with prostate cancer, taking into account treatment pathway and components of interventions. MEDLINE, EMBASE, CINAHL, CENTRAL, and Psychinfo were searched from inception––July 2013 for randomized controlled trials and controlled trials. Two authors independently assessed risk of bias and extracted data. Twenty-six studies were included (2740 participants). Interventions were delivered pre and during (n = 12), short-term (n = 8), and longer term (18 months) (n = 5) after primary treatment. No interventions were delivered beyond this time. Few trials recruited ethnic minorities and none recruited men in same sex relationships. Intervention components included information, education, health professional discussion, homework, peer discussion, buddy support, cognitive behavioral therapy, cognitive restructuring, psychoeducation, Reiki and relaxation. Most interventions were delivered for 5–10 weeks. Risk of bias of trials was assessed as unclear for most domains due to lack of information. The majority of trials measuring quality of life and depression found no effect. Relatively few trials measured anxiety, coping skills and self-efficacy, and the majority found no effect. No cost data were available. Trials of supportive care for men with prostate cancer cover a range of interventions but are limited by population diversity, inconsistent measurement and reporting of outcomes, and inability to assess risk of bias. Recommendations on design and conduct of future trials are presented.

Monogamy Agreements in Male Same-Sex Couples: Associations With Relationship Quality and Individual Well-Being

In this study, the authors explored whether type of sexual agreement (for monogamy, unrestricted nonmonogamy, or restricted nonmonogamy) is associated with the relationship quality and psychological well-being of men in same-sex relationships. A geographically diverse sample of 219 U.S. men in cohabiting same-sex relationships reported on sexual agreement type, several relationship characteristics central to long-term couple health, and two indices of psychological well-being (depressive symptoms and internalized heterosexism). Results indicated no differences by sexual agreement type in the majority of indices of relationship health, including self-reported relationship satisfaction, hostile conflict, felt constraint, confidence in the relationship, and perceived instability. There were also no group differences in depressive symptoms or internalized heterosexism. However, men in relationships with nonmonogamous agreements reported higher perceived quality of alternatives to their relationship and lower dedication commitment than did those with monogamous agreements. These findings add to a growing literature suggesting that male same-sex relationships that adopt nonmonogamous agreements can be quite healthy and happy but raise the possibility that nonmonogamy may create some vulnerability to long-term couple stability by raising attractiveness of alternatives to the relationship and lowering commitment.

Disparities in health and disability among older adults in same-sex cohabiting relationships.

The present study compared indicators of impaired health and disability between older adults in same-sex cohabiting relationships and their peers in opposite-sex cohabiting relationships. Data were obtained on men (n = 698) and women (n = 630) aged 50 years and older and in self-reported same-sex relationships from the National Health Interview Survey. Multiple regression analyses were conducted to estimate differences in physical health, mental health, and disability status. Compared with their peers in married opposite-sex relationships, older men in same-sex relationships exhibited greater odds of psychological distress, and older women in same-sex relationships experienced elevated odds of poor/fair health, needing help with activities of daily living and instrumental activities of daily living, functional limitations, and psychological distress. This study adds to the limited information on health and disability among older lesbian, gay, and bisexual adults. As this population grows, gerontologists must develop a better understanding of the unique issues and challenges facing them and their families.

Health Insurance and Disclosure of Same-Sex Sexual Behaviors Among Gay and Bisexual Men in Same-Sex Relationships.

Gay and bisexual men (GBM) have poorer health outcomes than the general population. Improved health outcomes will require that GBM have access to healthcare and that healthcare providers are aware of their sexual behaviors. This study sought to examine factors associated with having health insurance and disclosure of same-sex sexual behaviors to primary care providers (PCPs) among GBM in primary same-sex relationships. We conducted an online survey of a national sample of 722 men in same-sex couples living in the United States. Logistic regression and multinomial regression models were conducted to assess whether characteristic differences existed between men who did and did not have health insurance, and between men who did and did not report that their PCP knew about their same-sex sexual activity. Our national sample of same-sex partnered men identified themselves predominantly as gay and white, and most reported having an income and health insurance. Having health insurance and disclosing sexual behavior to PCPs was associated with increasing age, higher education, and higher income levels. Insurance was less prevalent among nonwhite participants and those living in the south and midwest United States. Disclosure of sexual behavior was more common in urban respondents and in the western United States. In 25% of couples, one partner was insured, while the other was not. Having health insurance and disclosing one's sexual behavior to PCPs was suboptimal overall and occurred in patterns likely to exacerbate health disparities among those GBM already more heavily burdened with poorer health outcomes. These factors need to be considered by PCPs and health policymakers to improve the health of GBM. Patient- and provider-targeted interventions could also improve the health outcomes of GBM.

Stimulant use and HIV disease management among men in same-sex relationships

BackgroundResearch conducted to date has focused primarily on identifying individual-level, psychological determinants of stimulant use and HIV disease management. The present cross-sectional study examined relationship factors as correlates of stimulant use and HIV disease management among men who have sex with men (MSM). MethodsIn total, 266 male couples completed a baseline assessment for a cohort study examining the role of relationship factors in HIV treatment. A computer-based assessment of relationship factors, self-reported alcohol and substance use, and self-reported anti-retroviral therapy (ART) adherence was administered. All HIV-positive participants also provided a blood sample to measure viral load. ResultsAfter controlling for demographic characteristics and relationship factors, men in a primary relationship with a stimulant-using partner had more than six-fold greater odds of reporting any stimulant use in the past three months. Among HIV-positive participants on ART (n=371), having a stimulant-using partner was independently associated with 67% lower odds of reporting perfect 30-day ART adherence and more than two-fold greater odds of displaying a detectable HIV viral load. In contrast, more partner-level alcohol use was independently associated with greater odds of reporting perfect 3-day ART adherence and lower odds of displaying a detectable HIV viral load. ConclusionsPartner-level stimulant use is an important risk factor for individual-level stimulant use and difficulties with HIV disease management among MSM. To optimize the effectiveness of HIV treatment as prevention, clinical research is needed to develop couples-based interventions targeting stimulant use as a potential driver of detectable HIV viral load.

Near-lethal violence in a sample of high-risk men in same-sex relationships.

Near-lethal violence in a sample of high-risk men in same-sex relationships.

A couple-based approach: An innovative effort to tackle HIV infection among Latino gay men.

The HIV epidemic is a serious and pervasive health issue in the Latino community. While prevention efforts have helped maintain stability in the overall number of infections among Latinos for more than a decade, this population continues to be affected by HIV at high levels. In particular, Predominantly Spanish-speaking Latino men who have sex with men (MSM) are disproportionately impacted by HIV. Several factors contribute to the HIV epidemic among Predominantly Spanish-speaking Latino MSM including substance use; intimate partner violence; the presence of certain STIs; same-sex relationship dynamics; avoidance of seeking testing counseling and treatment out of fear of discrimination and immigration status; and poverty, migration patterns, and language barriers. In particular, epidemiological behavioral research has identified how relationship dynamics in male couples are associated with sexual risk behavior. Consequently, further research is needed to identify and deliver interventions geared toward couple-based risk reduction among men in same-sex relationships. This paper describes the potential significance that innovative couple-based approaches can have on reducing HIV and AIDS cases among Predominantly Spanish-speaking Latino MSM and their same-sex partners.