title: Relationship-Based Predictors of Sexual Risk for HIV Among MSM Couples: A Systematic Review of the Literature.
abstract: Behavioral and epidemiological studies report high risk for HIV among MSM couples. Over the last decade, studies have examined relationship dynamics associated with sexual risk for HIV. It is important to examine the impact this research has had on HIV prevention and what is still needed. We conducted a review of the literature focusing on relationship dynamics associated with sexual risk for HIV among MSM couples. Procedures used for this review were guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses established to provide a framework for collecting, reviewing and reporting studies systematically (Mohler et al. in Ann Intern Med 151(4):264-269, 2009). We found that positive relationship dynamics are associated with less risk with partners outside the relationship, but were associated with greater odds of unprotected anal intercourse with primary partners. We also discuss other factors including sexual agreements about outside partners and make recommendations for next steps in HIV prevention research among MSM couples.
authors.affiliation: Center for Research and Education on Gender and Sexuality, San Francisco State University, 835 Market Street Suite 523, San Francisco, CA, 94103, USA. choff@sfsu.edu.
authors.forename: Colleen C
authors.initials: CC
authors.lastname: Hoff
authors.affiliation: Center for Research and Education on Gender and Sexuality, San Francisco State University, 835 Market Street Suite 523, San Francisco, CA, 94103, USA.|Center for AIDS Prevention Studies, University of California San Francisco, San Francisco, CA, USA.
authors.forename: Chadwick K
authors.initials: CK
authors.lastname: Campbell
authors.affiliation: Center for Research and Education on Gender and Sexuality, San Francisco State University, 835 Market Street Suite 523, San Francisco, CA, 94103, USA.|Center for AIDS Prevention Studies, University of California San Francisco, San Francisco, CA, USA.
authors.forename: Deepalika
authors.initials: D
authors.lastname: Chakravarty
authors.affiliation: Center for AIDS Prevention Studies, University of California San Francisco, San Francisco, CA, USA.
authors.forename: Lynae A
authors.initials: LA
authors.lastname: Darbes
mesh_terms: D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology*; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D008297:Male; D040242:Risk Reduction Behavior; D012747:Sexual Partners / Q000523:psychology*; D047568:Unsafe Sex / Q000517:prevention & control* / Q000523:psychology*
keywords: Agreements; Gay couples; HIV prevention; HIV risk; MSM couples; Review; Sexual risk behavior