Let’s Talk About Sex: The Impact of Partnership Contexts on Communication About HIV Serostatus and Condom Use Among Men Who Have Sex with Men (MSM) and Transgender Women (TW) in Lima, Peru

Ayer, Amrita; Perez-Brumer, Amaya; Segura, Eddy R.; Chavez-Gomez, Susan; Fernández, R. Bermúdez-Cañete; Arroyo, Cecilia; Barrantes, A; Lake, Jordan E.; Cabello, Robinson; Clark, Jesse L.

doi:10.1007/s10461-020-03144-1

Cited by 10 publications

(14 citation statements)

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“…This result may be situated within prior Peruvian literature, as previous work has found partner notification practices to vary with factors such as partnership type (in relation to perceived risks and benefits of notification as well as ability to contact partners), type of STI diagnosed (HIV or other STIs), perception of peer support for notification, and fear of rejection or interpersonal violence [29][30][31]. It is notable that participants reported low levels of HIV serostatus communication with sexual partners in a separate analysis from this same study cohort, as our finding regarding social support for partner STI notification may reflect broader reticence in sexual communication norms [23]. We did not observe an association between close SNM attitudes or characteristics and participant-reported CAI.…”

Section: Discussionmentioning

confidence: 61%

“…Prior research with this cohort has suggested that CAI is frequent and sexual communication with partners, limited [23]; thus, understanding the social environments experienced by these communities may provide insight into positive and negative influences on sexual behavior and opportunities for intervention [15]. In this analysis, we aimed to characterize key social network members (SNMs) within the social networks of Peruvian MSM and trans women; explore perceptions of SNM opinions toward sexual health behaviors; and examine associations of SNM attitudes and characteristics with CAI.…”

Section: Introductionmentioning

confidence: 95%

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Sexual health norms and communication patterns within the close social networks of men who have sex with men and transgender women in Lima, Peru: a 2017 cross-sectional study

et al. 2021

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Background Social networks, norms, and discussions about sexual health may inform sexual practices, influencing risk of human immunodeficiency virus (HIV) or sexually transmitted infection (STI) acquisition. To better understand social networks of Peruvian men who have sex with men (MSM) and transgender women (trans women), we examined key social network members (SNMs), participant perceptions of these network members’ opinions toward sexual health behaviors, and associations between network member characteristics and condomless anal intercourse (CAI). Methods In a 2017 cross-sectional study, a convenience sample of 565 MSM and trans women with HIV-negative or unknown serostatus was asked to identify three close SNMs; describe discussions about HIV and STI prevention with each; and report perceived opinions of condom use, HIV/STI testing, and partner notification of STIs. Generalized estimating equations evaluated relationships between SNM characteristics, opinions, and discussions and participant-reported CAI. Results Among participants who identified as MSM, 42.3% of key SNMs were perceived to identify as gay. MSM “never” discussed HIV and STI prevention concerns with 42.4% of heterosexual SNMs, but discussed them “at least once weekly” with 16.9 and 16.6% of gay- and bisexual- identifying SNMs, respectively. Among participants who identified as trans women, 28.2% of key SNMs were perceived as heterosexual; 25.9%, as bisexual; 24.7%, as transgender; and 21.2%, as gay. Trans women discussed HIV/STI prevention least with cis-gender heterosexual network members (40.2% “never”) and most with transgender network members (27.1% “at least once weekly”). Participants perceived most of their close social network to be completely in favor of condom use (71.2% MSM SNMs, 61.5% trans women SNMs) and HIV/STI testing (73.1% MSM SNMs, 75.6% trans women SNMs), but described less support for partner STI notification (33.4% MSM SNMs, 37.4% trans women SNMs). Most participants reported CAI with at least one of their past three sexual partners (77.5% MSM, 62.8% trans women). SNM characteristics were not significantly associated with participant-reported frequency of CAI. Conclusions Findings compare social support, perceived social norms, and discussion patterns of Peruvian MSM and trans women, offering insight into social contexts and sexual behaviors. Trial registration The parent study from which this analysis was derived was registered at ClinicalTrials.gov (Identifier: NCT03010020) on January 4, 2017.

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Section: Discussionmentioning

confidence: 61%

Section: Introductionmentioning

confidence: 95%

Sexual health norms and communication patterns within the close social networks of men who have sex with men and transgender women in Lima, Peru: a 2017 cross-sectional study

et al. 2021

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“…Para el diseño de cada uno de los reactivos de las dos escalas, se siguió el procedimiento de Reyes-Lagunes (1993). Primero, se formaron dos grupos de hombres con diagnóstico de vih y hombres sin el diagnóstico, debido a que en la literatura se ha reportado que el conocimiento del estado serológico influye en la manera en que se comunican con la pareja, así como en el comportamiento sexual (Ayer et al, 2021;Damian et al, 2019;Gursahaney et al, 2019;Hass et al, 2017;Ncube, et al, 2017). El análisis se realizó en hojas de cálculo en Excel.…”

Section: Análisis De Resultadosunclassified

“…En el caso particular de hsh en que es más frecuente la comunicación sobre vih, es entre quienes se identifican como heterosexuales, que entre los que se consideran bisexuales o gais (Ayer et al, 2021). Dentro de los hsh también hay diferencias en términos del diagnóstico de vih, por ejemplo, los estereotipos y el estigma del vih es mayor en vih positivos y esto influye en la poca comunicación con la pareja sexual (Haas et al, 2020), de igual forma, como mencionan Grimm y Schwartz (2021), la comunicación es fundamental para que los hsh tengan conductas preventivas, por ejemplo, se ha observado que hsh que se comunican más con su pareja tienen menores conductas de riesgo sexual (Afriyanti et al, 2020;Crosby et al, 2016;Gause, et al, 2018;Lo et al, 2011).…”

Section: Quinnunclassified

“…Cabe señalar que el contexto en el proceso de comunicación, tiene dos componentes el físico y el simbólico, el primero puede pensarse como el lugar bajo el cual ocurre la comunicación, o sobre las características de las personas, como ser hombre o mujer, o la orientación sexual (Ayer et al, 2021), y el segundo relacionado con el significado que le atribuyen las personas; de acuerdo con Dixson (1995), el contexto puede ser diverso o similar entre las personas, pero cómo lo perciben es lo que realmente impacta en la comunicación, es decir, el contexto influirá en cómo se estable, cómo se interpreta, además de las consecuencias que se deriven en la relación; en el caso particular de la salud sexual, permitirá conocer si ese contexto lo perciben de manera favorable o desfavorable, de qué manera se relaciona con otros componentes de la comunicación, y por último, sobre el impacto que tiene sobre el uso del condón en relaciones sexuales.…”

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Diseño y validación de dos escalas de comunicación sexual con la pareja en hombres que tienen sexo con hombres

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Objetivo: Diseñar y validar dos escalas de comunicación sexual con la pareja en hombres que tienen sexo con hombres, que en conjunto evalúan cinco componentes de la comunicación, contenido, extensión, estilo, tiempo y contexto. Metodología: Se dividió en dos fases, la primera para elaborar los reactivos que conforman cada escala, y la segunda para obtener sus propiedades psicométricas. En la primera fase participaron 200 hombres y en la segunda fase 1190 hombres, en ambos casos con una vida sexual activa, solteros y que reportaron tener sexo con hombres, la mitad de ellos con diagnóstico de VIH y cuya vía de infección fue por contacto sexual. Se aplicó la estrategia de redes semánticas naturales modificadas para obtener las principales definidoras a los estímulos: temas sexuales y comunicación sexual con la pareja, con base en los resultados, se diseñaron los reactivos para conformar dos escalas. En ambas fases la aplicación se realizó en una clínica especializada en atención de personas con VIH. Resultados: Los resultados de la validación muestra evidencias de validez de constructo y validez concurrente, así como la confiabilidad interna de cada escala mostrando propiedades psicométricas adecuadas. Conclusiones: Es necesario evaluar la comunicación considerando todos sus componentes para lo cual se requiere de instrumentos culturalmente válidos como las escalas presentadas en la presente investigación.

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Heterogeneity in HIV/Sexually Transmitted Infection Prevalence and Prevention Among the Partners of Transgender and Nonbinary People

Tordoff¹,

Minalga²,

Perry³

et al. 2023

Sexual Trans Dis

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Background: Transgender and nonbinary (TNB) people are diverse in their sexual orientation and partnerships. We describe the epidemiology of HIV/sexually transmitted infection (STI) prevalence and prevention utilization among the partners of TNB people in Washington State. Methods:We pooled data from five 2017 to 2021 cross-sectional HIV surveillance data sources to generate a large sample of TNB people and cisgender people who had a TNB partner in the past year. We described characteristics of recent partners of trans women, trans men, and nonbinary people and used Poisson regression to assess if having a TNB partner was associated with self-reported HIV/STIs prevalence, testing, and preexposure prophylaxis (PrEP) use.Results: Our analysis included 360 trans women, 316 trans men, 963 nonbinary people, 2896 cis women, and 7540 cis men. Overall, 9% of sexual minority cis men, 13% of sexual minority cis women, and 36% of TNB participants reported having any TNB partners. There was significant heterogeneity in HIV/STI prevalence, testing, and PrEP use among the partners of TNB people by study participant gender and the gender of their sex partners. In regression models, having a TNB partner was associated with a higher likelihood of HIV/STI testing and PrEP use but was not associated with higher HIV prevalence. Conclusions:We observed significant heterogeneity in HIV/STI prevalence and preventative behaviors among the partners of TNB people. Given that TNB people are diverse in their sexual partnerships, there is a need to better understand individual-, dyad-, and structural-level factors that facilitate HIV/STI prevention across these diverse partnerships.

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Let’s Talk About Sex: The Impact of Partnership Contexts on Communication About HIV Serostatus and Condom Use Among Men Who Have Sex with Men (MSM) and Transgender Women (TW) in Lima, Peru

Cited by 10 publications

References 50 publications

Sexual health norms and communication patterns within the close social networks of men who have sex with men and transgender women in Lima, Peru: a 2017 cross-sectional study

Sexual health norms and communication patterns within the close social networks of men who have sex with men and transgender women in Lima, Peru: a 2017 cross-sectional study

Diseño y validación de dos escalas de comunicación sexual con la pareja en hombres que tienen sexo con hombres

Heterogeneity in HIV/Sexually Transmitted Infection Prevalence and Prevention Among the Partners of Transgender and Nonbinary People

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