Department of Community Health and Prevention, Drexel University School of Public Health, Philadelphia, PA, USA.
Department of Psychological and Brain Sciences, The George Washington University, Washington, DC, USA.
Cult Health Sex. 2021 Jan;23(1):1-18. doi: 10.1080/13691058.2019.1683228. Epub 2020 Feb 10.
Sexual partner types and partnership dynamics have important implications for condom use. Yet most HIV prevention research conceptualises condom use as individual-level rather than dyadic-level behaviour. Evidence of a generalised HIV epidemic in urban predominantly low-income US Black heterosexual communities highlights the need for a culturally and contextually-grounded understanding of partner types, partnership dynamics and condom use from the perspective of Black heterosexual men. We conducted individual interviews with 30 self-identified men between the ages of 18 and 44, 18 (60%) of whom reported at least two partner types in the last 6 months. Key findings include: (1) 'main and casual' partner types per the HIV prevention literature; (2) three casual-partner subtypes: primary, recurrent, and one-time casuals; (3) overlapping partnership dynamics between main partners, primary-casual partners and recurrent-casual partners, but not one-time casual partners; and (4) consistent condom use reported for one-time casual partners only. The study underscores the critical need for more condom promotion messages and interventions that reflect the dyadic and culturally-grounded realities of US Black heterosexual men's sexual partner types and partnership dynamics.
性伴侣类型和伴侣关系动态对使用安全套有重要影响。然而，大多数艾滋病预防研究将安全套的使用视为个人层面的行为，而不是伴侣层面的行为。在美国城市以黑人异性恋为主的低收入社区，艾滋病呈普遍流行的证据突出表明，需要从黑人异性恋男性的角度，对伴侣类型、伴侣关系动态和安全套使用进行文化和背景相契合的理解。我们对 30 名年龄在 18 至 44 岁之间的自我认同男性进行了个体访谈，其中 18 名（60%）报告在过去 6 个月中至少有两种性伴侣类型。主要发现包括：(1) 符合艾滋病预防文献的“主要和偶然”伴侣类型；(2) 三种偶然伴侣亚型：主要偶然伴侣、反复偶然伴侣和一次性偶然伴侣；(3) 主要伴侣、主要偶然伴侣和反复偶然伴侣之间存在重叠的伴侣关系动态，但一次性偶然伴侣之间不存在；(4) 仅对一次性偶然伴侣报告了持续使用安全套。该研究强调了迫切需要更多的安全套推广信息和干预措施，以反映美国黑人异性恋男性性伴侣类型和伴侣关系动态的二元性和文化背景现实。
