title: Enhancing acceptability and use of sexual barrier products among HIV concordant and discordant couples.
abstract: Strategies to prevent HIV transmission may benefit from addressing both individual and dyadic factors. This study compared the impact of group and individual interventions on the acceptability of sexual barrier products among HIV sero-concordant and discordant couples, and evaluated the contribution of couple members' perceived product acceptability to their sexual barrier use. Participants (n = 216 couples) were multicultural couples in Miami, Florida. Longitudinal multilevel modeling and the actor-partner interdependence model were used for analyses. Product acceptability increased more among female group participants, and acceptability of male condoms increased more among sero-discordant couples in the group. Additionally, acceptability of products associated with prevention of STDS/HIV and pregnancy increased more among sero-concordant couples in the group condition. Both actor and partner product acceptability predicted use. Results support the use of group interventions targeting both partners in relationships in prevention programs designed to enhance sexual barrier use.
authors.affiliation: Department of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine, 1400 NW 10th Avenue, #404 (D-80), Miami, FL 33136, USA. djones@med.miami.edu
authors.forename: Deborah
authors.initials: D
authors.lastname: Jones
authors.forename: Deborah
authors.initials: D
authors.lastname: Kashy
authors.forename: Olga
authors.initials: O
authors.lastname: Villar-Loubet
authors.forename: Stephen
authors.initials: S
authors.lastname: Weiss
mesh_terms: D000328:Adult; D000368:Aged; D017280:Condoms / Q000706:statistics & numerical data*; D019111:Single-Use Internal Condom / Q000706:statistics & numerical data; D005191:Family Characteristics; D005260:Female; D005431:Florida; D015658:HIV Infections / Q000517:prevention & control*; D006679:HIV Seropositivity / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012737:Sex Factors; D012725:Sexual Behavior / Q000523:psychology / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D055815:Young Adult