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The effects of intimate relationship characteristics on unprotected anal intercourse among same-sex male couples in China: a dyadic analysis using the actor-partner interdependence model.

作者信息

Chen Sha, Yang Qingling, He Juan, Fan Xiongzhi, Liu Zhongqi, Qiu Jialing, Zheng Zhiwei, Gu Jing, Cheng Weibin, Hao Yuantao, Li Jinghua, Hao Chun

机构信息

Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou, 510080, China.

Institution of Drug Clinical Trial, Guangdong Second Provincial General Hospital, Guangzhou, 510317, Guangdong, China.

出版信息

BMC Infect Dis. 2021 Jun 22;21(1):593. doi: 10.1186/s12879-021-06317-y.


DOI:10.1186/s12879-021-06317-y
PMID:34157968
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8218385/
Abstract

BACKGROUND: Unprotected anal intercourse (UAI) within the context of concurrent sexual relationship are prevalent among men who have sex with men (MSM) who have regular male sex partners and it aggravates the risk of HIV infection among this community. The aim of this study was to assess the effect of intimate relationship characteristics on UAI among MSM couples at the dyadic level. METHODS: Two hundred four MSM couples were recruited from a HIV testing clinic from April 2017 to April 2018 in Guangzhou, China. The actor-partner interdependence model (APIM) was applied for dyadic analysis. Each MSM couple was divided into the insertive role and the receptive role according to their regular anal sex role. In this context, actor effect is the impact of an MSM's intimate relationship characteristics on his own UAI, and partner effect is the impact of his partner's intimate relationship characteristics on his UAI. RESULTS: Of the 408 participants, 58.82% had UAI with regular male sex partner (UAI-RP) and 8.09% had concurrent UAI. Intimate relationship characteristics were associated with concurrent UAI, but not associated with UAI-RP. For the receptive role, his relationship investment exerted significant actor and partner effects on concurrent UAI (AOR  = 1.31, P < 0.001; AOR  = 1.17, P < 0.001). Meanwhile, receptive role's violence experience within relationship exerted significant actor effects on his own concurrent UAI (AOR  = 6.43, P = 0.044). CONCLUSIONS: Relationship investment and violence experience influenced concurrent UAI among MSM couples and it varied in different sex roles. Additional assistance on empowerment, relationship therapy and sexual agreement is urgently needed to reduce their high possibility on engagement of HIV-related risk behaviors.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b9c/8218385/1cafa48a571a/12879_2021_6317_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b9c/8218385/9c72170108ae/12879_2021_6317_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b9c/8218385/1cafa48a571a/12879_2021_6317_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b9c/8218385/9c72170108ae/12879_2021_6317_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b9c/8218385/1cafa48a571a/12879_2021_6317_Fig2_HTML.jpg

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[1]
The effects of intimate relationship characteristics on unprotected anal intercourse among same-sex male couples in China: a dyadic analysis using the actor-partner interdependence model.

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引用本文的文献

[1]
Sexually Explicit Media Exposure, Sexual Violence Victimization, and Sexual Risk Behaviors Among HIV-Positive Men Who Have Sex with Men with New Drug Abuse in Jinan, China.

Arch Sex Behav. 2025-3

[2]
Intimate Partner Violence Screening Instruments: A Protocol for a COSMIN-Based Systematic Review.

Int J Environ Res Public Health. 2023-1-14

本文引用的文献

[1]
Social Support, Attachment Closeness, and Self-Esteem Affect Depression in International Students in China.

Front Psychol. 2021-3-4

[2]
The Relationship between Perceived Stress and Marital Satisfaction in Couples with Infertility: Actor-Partner Interdependence Model.

Int J Fertil Steril. 2019-4

[3]
The Effect of Using Geosocial Networking Apps on the HIV Incidence Rate Among Men Who Have Sex With Men: Eighteen-Month Prospective Cohort Study in Shenyang, China.

J Med Internet Res. 2018-12-21

[4]
A cross-sectional study of the relationship between sexual compulsivity and unprotected anal intercourse among men who have sex with men in shanghai, China.

BMC Infect Dis. 2018-9-15

[5]
Trends of HIV incidence and prevalence among men who have sex with men in Beijing, China: Nine consecutive cross-sectional surveys, 2008-2016.

PLoS One. 2018-8-9

[6]
Eriksonian intimacy development, relationship satisfaction, and depression in gay male couples.

Psychol Sex Orientat Gend Divers. 2017-6

[7]
HIV prevalence among men who have sex with men in Brazil: results of the 2nd national survey using respondent-driven sampling.

Medicine (Baltimore). 2018-5

[8]
The effect of depression on quality of life in infertile couples: an actor-partner interdependence model approach.

Health Qual Life Outcomes. 2018-4-24

[9]
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 Infect Dis. 2018-4-2

[10]
Young Men Who Have Sex with Men at High Risk for HIV, Bangkok MSM Cohort Study, Thailand 2006-2014.

AIDS Behav. 2018-7

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