Social support moderates the relationship between gay community integration and sexual risk behavior among gay male couples

Health Education and Behavior

Volumn 36, Issue 5, 2009, Pages 846-859

  Fergus, Stevenson ^a   Lewis, Megan A ^b   Darbes, Lynae A ^c   Kral, Alex H ^b  

^a QUEEN S UNIVERSITY   (Canada)

^b RTI INTERNATIONAL   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Dyadic analysis; Gay community integration; Gay couples; Sexual risk behavior; Social support

Indexed keywords

ADULT; ARTICLE; HIGH RISK BEHAVIOR; HOMOSEXUALITY; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; MALE; MIDDLE AGED; PSYCHOLOGICAL ASPECT; QUESTIONNAIRE; SEXUAL BEHAVIOR; SEXUALITY; SOCIAL BEHAVIOR; SOCIAL SUPPORT; SOCIOECONOMICS; URBAN POPULATION;

ADULT; HIV INFECTIONS; HOMOSEXUALITY, MALE; HUMANS; MALE; MIDDLE AGED; QUESTIONNAIRES; RISK-TAKING; SEXUAL BEHAVIOR; SEXUAL PARTNERS; SOCIAL IDENTIFICATION; SOCIAL SUPPORT; SOCIOECONOMIC FACTORS; URBAN POPULATION; YOUNG ADULT;

EID: 70350549865     PISSN: 10901981     EISSN: 15526127     Source Type: Journal    
DOI: 10.1177/1090198108319891     Document Type: Article

References (38)

1. Appleby, P.R., Miller, L.C., & Rothspan, S. (1999). The paradox of trust for male couples: When risking is a part of loving. Personal Relationships, 6(1), 81-93.
2. Bronfenbrenner, U. (1977). Toward an experimental ecology of human development. American Psychologist, 7, 513-531.
3. Campbell, L., & Kashy, D.A. (2002). Estimating actor, partner, and interaction effects for dyadic data using PROC MIXED and HLM: A user-friendly guide. Personal Relationships, 9, 327-342.
4. Catania, J.A., Gibson, D.R., Chitwood, D.D., & Coates, T.J. (1990). Methodological problems in AIDS behavioral research: Influences on measurement error and participation bias in studies of sexual behavior. Psychological Bulletin, 108(3), 339-362.
5. Chng, C.L., & Geliga-Vargas, J. (2000). Ethnic identity, gay identity, sexual sensation seeking and HIV risk taking among multiethnic men who have sex with men. AIDS Education and Prevention, 12(4), 326-339.
6. Cohen, S., Underwood, L.G., & Gottlieb, B.H. (2000). Social support measurement and intervention: A guide for health and social scientists. New York: Oxford University Press.
7. Crawford, J.M., Rodden, P., Kippax, S., & Van de Ven, P. (2001). Negotiated safety and other agreements between men in relationships: Risk practice redefined. International Journal of STD & AIDS, 12(3), 164-170.
8. Cutrona, C.E., & Russell, D.W. (1987). The provisions of social relationships and adaptation to stress. Advances in Personal Relationships, 1, 37-67.
9. Darbes, L.A., & Lewis, M.A. (2005). HIV-specific social support predicts less sexual risk behavior in gay male couples. Health Psychology, 24(6), 617-622.
10. Davidovich, U., De Wit, J.B.F., & Stroebe, W. (2004). Behavioral and cognitive barriers to safer sex between men in steady relationships: Implications for prevention strategies. AIDS Education and Prevention, 16(4), 304-314.
11. Duncan, S., Kanki, B.S., Mokros, H., & Fiske, D.W. (1984). Pseudounilaterality, simple-rate variables, and other ills to which interaction research is heir. Journal of Personality and Social Relationships, 46, 1335-1348.
12. Duncan, T.E., Duncan, S.C., & McAuley, E. (1993). The role of domain and gender-specific provisions of social relations in adherence to a prescribed exercise regimen. Journal of Sport and Exercise Psychology, 15, 220-231.
13. Fergus, S., Lewis, M.A., Darbes, L.A., & Butterfield, R.M. (2005). HIV risk and protection among gay male couples: The role of gay community integration. Health Education & Behavior, 32(2), 151-171.
14. Gold, R.S., Skinner, M.J., & Rosenthal, D.A. (1997). Links with the gay community and the maintenance of safer sex. Medical Journal of Australia, 160, 591-592.
15. Hays, R.B., Kegeles, S.M., & Coates, T.J. (1997). Unprotected sex and HIV risk taking among young gay men within boyfriend relationships. AIDS Education and Prevention, 9(4), 314-329.
16. Heaney, C.A., & Israel, B.A. (2002). Social networks and social support. In K. Glanz, B. K. Rimer, & F. M. Lewis (Eds.), Health behavior and health education: Theory, research, and practice (3rd ed., pp. 185-209). San Francisco: Jossey-Bass.
17. Julien, D., Chartrand, E., & Begin, J. (1996). Male couples' dyadic adjustment and the use of safer sex within and outside of primary relationships. Journal of Family Psychology, 10(1), 89-96.
18. Kenny, D.A. (1996). Models of non-independence in dyadic research. Journal of Social and Personal Relationships, 13(2), 279-294.
19. Kenny, D.A., Kashy, D.A., & Cook, W.L. (2006). Dyadic data analysis. New York: Guilford.
20. Kimberly, J.A., & Serovich, J.M. (1999). The role of family and friend social support in reducing risk behaviors among HIV-positive gay men. AIDS Education and Prevention, 11(6), 465-475.
21. Kippax, S., Connell, R.W., Dowsett, G.W., & Crawford, J. (1993). Sustaining safe sex: Gay communities respond to AIDS. London: Falmer Press.
22. LaSala, M.C. (2004). Extradyadic sex and gay male couples: Comparing monogamous and nonmonogamous relationships. Families in Society: The Journal of Contemporary Social Services, 85(3), 405-412.
23. Meyer, I.H., & Dean, L. (1995). Patterns of sexual behavior and risk taking among young New York City gay men. AIDS Education and Prevention, 7, 13-23.
24. Moreau-Gruet, F., Jeannin, A., Dubois-Arber, F., & Spencer, B. (2001). Management of the risk of HIV infection in male homosexual couples. AIDS, 15(8), 1025-1035.
25. O'Brien, K., Wortman, C.B., Kessler, R.C., & Joseph, J.G. (1993). Social relationships of men at risk for AIDS. Social Science and Medicine, 36, 1161-1167.
26. Peplau, L.A., & Spalding, L.R. (2003). The close relationships of lesbians, gay men, and bisexuals. In L. D. Garnets & D. C. Kimmel (Eds.), Psychological perspectives on lesbian, gay, and bisexual experiences (pp. 449-474). New York: Columbia University Press.
27. Prestage, G., Mao, L., McGuigan, D., Crawford, J., Kippax, S., Kaldor, J.,et al.(2006). HIV risk and communication between regular partners in a cohort of HIV-negative gay men. AIDS Care, 18(2), 166-172.
28. Remien, R.H., Carballo-Dieguez, A., & Wagner, G. (1995). Intimacy and sexual risk behaviour in serodiscordant male couples. AIDS Care, 7(4), 429-438.
29. Rosario, M., Hunter, J., Maguen, S., Gwadz, M., & Smith, R. (2001). The coming-out process and its adaptational and health-related associations among gay, lesbian, and bisexual youths: Stipulation and exploration of a model. American Journal of Community Psychology, 29, 133-160.
30. Siegel, K., Raveis, V.H., & Karus, D. (1994). Psychological well-being of gay men with AIDS: Contribution of positive and negative illness-related network interactions to depressive mood. Social Science & Medicine, 39(11), 1555-1563.
31. Simmons, T., & O'Connell, M. (2003). Married-couple and unmarried-partner households: 2000. Retrieved February 26, 2008, from http://www.census.gov/prod/2003pubs/censr-5.pdf.
32. Smith, R.B., & Brown, R.A. (1997). The impact of social support on gay male couples. Journal of Homosexuality, 33(2), 39-61.
33. Stokols, D., Allen, J., & Bellingham, R.L. (1996). The social ecology of health promotion: Implications for research and practice. American Journal of Health Promotion, 10(4), 247-251.
34. Sumartojo, E. (2000). Structural factors in HIV prevention: Concepts, examples, and implications for research. AIDS, 14(Suppl. 1), S3-S10.
35. Wagner, G.J., Remien, R.H., & Carballo-Dieguez, A. (1998). Extramarital sex: Is there an increased risk for HIV transmission? A study of male couples of mixed HIV status. AIDS Education and Prevention, 10(3), 245-256.
36. Wagner, G.J., Remien, R.H., & Carballo-Dieguez, A. (2000). Prevalence of extradyadic sex in male couples of mixed HIV status and its relationship to psychological distress and relationship quality. Journal of Homosexuality, 39(2), 31-46.
37. Waldo, C.R., & Coates, T.J. (2000). Multiple levels of analysis and intervention in HIV prevention science: Exemplars and directions for new research. AIDS, 14(Suppl. 2), S18-S26.
38. Witte, S.S., El-Bassel, N., Gilbert, L., Wu, E., Chang, M., & Hill, J. (2006). Promoting female condom use to heterosexual couples: Findings from a randomized clinical trial. Perspectives on Sexual and Reproductive Health, 38(3), 148-154.