Georgetown University School of Medicine, Washington, DC, United States of America.
Department of Medicine, Division of Infectious Diseases, Georgetown University Medical Center, Washington, DC, United States of America.
PLoS One. 2021 Feb 17;16(2):e0245863. doi: 10.1371/journal.pone.0245863. eCollection 2021.
This study describes the primary and secondary partnerships of aging gay men participating in the Understanding Patterns of Healthy Aging Among Men Who Have Sex with Men substudy of the Multicenter AIDS Cohort Study and examines differences in the prevalence of these relationship structures by HIV status while adjusting for age, education, and race/ethnicity. Relationships were compared within the following structural categories: "only a primary partnership", "only a secondary partnership", "both a primary and secondary relationship", or "neither a primary nor secondary relationship". There were 1,054 participants (51.9% HIV negative/48.1% HIV positive) included in the study. Participants had a median age of 62.0 years (interquartile range: 56.0-67.0) and most reported being non-Hispanic white (74.6%) and college educated (88.0%). Of the 1,004 participants with available partnership status data, 384 (38.2%) reported no primary or secondary partnerships, 108 (10.8%) reported secondary-only partnership, 385 (38.3%) reported primary-only partnership, and 127 (12.6%) reported both primary and secondary partnerships. Of participants who reported primary partnerships only, the prevalence rates (PRs) were lower among those 62 years and older, HIV positive, black non-Hispanic and Hispanics. Of participants who reported only having a secondary partnership, the PRs were higher among those 62 years and older and HIV positive. Of participants who did not report having either a primary or secondary partnership, the PRs were higher among those 62 years and older, HIV positive, and black non-Hispanic compared with their respective referent groups. There was no significant difference in PRs of having both primary and secondary partnerships by age category, HIV status, race/ethnicity, and education. This study aimed to fill a knowledge gap in the literature regarding both primary and secondary supportive partnerships among aging HIV-positive and HIV-negative gay men.
本研究描述了参与理解男男性行为人群健康老龄化模式研究（Multicenter AIDS Cohort Study 的子研究）的老年男同性恋者的主要和次要伴侣关系，并在调整年龄、教育程度和种族/民族的情况下，检查了这些关系结构的流行率在 HIV 状况方面的差异。关系在以下结构类别中进行了比较：“只有一个主要伴侣”、“只有一个次要伴侣”、“既有主要关系又有次要关系”或“既没有主要关系也没有次要关系”。共有 1054 名参与者（51.9% HIV 阴性/48.1% HIV 阳性）参与了这项研究。参与者的中位年龄为 62.0 岁（四分位距：56.0-67.0），大多数报告为非西班牙裔白人（74.6%）和大学学历（88.0%）。在 1004 名有可用伴侣关系数据的参与者中，384 名（38.2%）报告没有主要或次要伴侣关系，108 名（10.8%）报告只有次要伴侣关系，385 名（38.3%）报告只有主要伴侣关系，127 名（12.6%）报告既有主要伴侣关系又有次要伴侣关系。在报告只有主要伴侣关系的参与者中，62 岁及以上、HIV 阳性、黑人非西班牙裔和西班牙裔的流行率（PR）较低。在仅报告次要伴侣关系的参与者中，62 岁及以上和 HIV 阳性者的 PR 较高。在没有报告主要或次要伴侣关系的参与者中，62 岁及以上、HIV 阳性和黑人非西班牙裔者的 PR 高于各自的参照组。按年龄组、HIV 状况、种族/民族和教育程度，同时报告主要和次要伴侣关系的 PR 没有显著差异。本研究旨在填补有关老年 HIV 阳性和 HIV 阴性男同性恋者主要和次要支持性伴侣关系文献中的知识空白。
