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

Amrita Ayer; Amaya Perez-Brumer; Eddy R. Segura; Susan Chavez-Gomez; Rosario Fernandez; Cecilia Arroyo; Alex Barrantes; Jordan E. Lake; Robinson Cabello; Jesse L. Clark

doi:10.1007/s10461-020-03144-1

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

Amrita Ayer, Amaya Perez-Brumer, Eddy R. Segura, Susan Chavez-Gomez, Rosario Fernandez, Cecilia Arroyo, Alex Barrantes, Jordan E. Lake, Robinson Cabello, Jesse L. Clark

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Sexual communication with partners informs risk assessment and sexual practices. We evaluated participant, partner, and network factors associated with communication about condom use and HIV serostatus and explored their relationships with condomless anal intercourse (CAI) among 446 men who have sex with men (MSM) and 122 transgender women (TW) in Lima, Peru. Generalized estimating equations assessed contextual influences on communication and practices with recent sexual partners. More frequent HIV communication was reported by MSM who: identified as heterosexual, compared to bisexual or gay; characterized partnerships as stable, compared to casual, anonymous, or commercial; or discussed HIV/STIs with close social contacts (p < 0.05). TW in concurrent partnerships discussed condom use more frequently than those in monogamous relationships (p < 0.05). Condom use discussions and alcohol use among MSM were associated with CAI (p < 0.05). Findings highlight complexity in sexual decision-making and call for further study of conversation content and practices to inform HIV prevention messaging.

Original language	English
Pages (from-to)	2139-2153
Number of pages	15
Journal	AIDS and Behavior
Volume	25
Issue number	7
DOIs	https://doi.org/10.1007/s10461-020-03144-1
State	Published - Jul 2021
Externally published	Yes

Keywords

Condom negotiation
HIV serostatus communication
Men who have sex with men
Peru
Transgender women

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1007/s10461-020-03144-1

Cite this

Ayer, A., Perez-Brumer, A., Segura, E. R., Chavez-Gomez, S., Fernandez, R., Arroyo, C., Barrantes, A., Lake, J. E., Cabello, R., & Clark, J. L. (2021). 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. AIDS and Behavior, 25(7), 2139-2153. https://doi.org/10.1007/s10461-020-03144-1

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abstract = "Sexual communication with partners informs risk assessment and sexual practices. We evaluated participant, partner, and network factors associated with communication about condom use and HIV serostatus and explored their relationships with condomless anal intercourse (CAI) among 446 men who have sex with men (MSM) and 122 transgender women (TW) in Lima, Peru. Generalized estimating equations assessed contextual influences on communication and practices with recent sexual partners. More frequent HIV communication was reported by MSM who: identified as heterosexual, compared to bisexual or gay; characterized partnerships as stable, compared to casual, anonymous, or commercial; or discussed HIV/STIs with close social contacts (p < 0.05). TW in concurrent partnerships discussed condom use more frequently than those in monogamous relationships (p < 0.05). Condom use discussions and alcohol use among MSM were associated with CAI (p < 0.05). Findings highlight complexity in sexual decision-making and call for further study of conversation content and practices to inform HIV prevention messaging.",

keywords = "Condom negotiation, HIV serostatus communication, Men who have sex with men, Peru, Transgender women",

author = "Amrita Ayer and Amaya Perez-Brumer and Segura, {Eddy R.} and Susan Chavez-Gomez and Rosario Fernandez and Cecilia Arroyo and Alex Barrantes and Lake, {Jordan E.} and Robinson Cabello and Clark, {Jesse L.}",

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Ayer, A, Perez-Brumer, A, Segura, ER, Chavez-Gomez, S, Fernandez, R, Arroyo, C, Barrantes, A, Lake, JE, Cabello, R & Clark, JL 2021, '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', AIDS and Behavior, vol. 25, no. 7, pp. 2139-2153. https://doi.org/10.1007/s10461-020-03144-1

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. et al.

In: AIDS and Behavior, Vol. 25, No. 7, 07.2021, p. 2139-2153.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

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T2 - 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

AU - Ayer, Amrita

AU - Perez-Brumer, Amaya

AU - Segura, Eddy R.

AU - Chavez-Gomez, Susan

AU - Fernandez, Rosario

AU - Arroyo, Cecilia

AU - Barrantes, Alex

AU - Lake, Jordan E.

AU - Cabello, Robinson

AU - Clark, Jesse L.

PY - 2021/7

Y1 - 2021/7

N2 - Sexual communication with partners informs risk assessment and sexual practices. We evaluated participant, partner, and network factors associated with communication about condom use and HIV serostatus and explored their relationships with condomless anal intercourse (CAI) among 446 men who have sex with men (MSM) and 122 transgender women (TW) in Lima, Peru. Generalized estimating equations assessed contextual influences on communication and practices with recent sexual partners. More frequent HIV communication was reported by MSM who: identified as heterosexual, compared to bisexual or gay; characterized partnerships as stable, compared to casual, anonymous, or commercial; or discussed HIV/STIs with close social contacts (p < 0.05). TW in concurrent partnerships discussed condom use more frequently than those in monogamous relationships (p < 0.05). Condom use discussions and alcohol use among MSM were associated with CAI (p < 0.05). Findings highlight complexity in sexual decision-making and call for further study of conversation content and practices to inform HIV prevention messaging.

AB - Sexual communication with partners informs risk assessment and sexual practices. We evaluated participant, partner, and network factors associated with communication about condom use and HIV serostatus and explored their relationships with condomless anal intercourse (CAI) among 446 men who have sex with men (MSM) and 122 transgender women (TW) in Lima, Peru. Generalized estimating equations assessed contextual influences on communication and practices with recent sexual partners. More frequent HIV communication was reported by MSM who: identified as heterosexual, compared to bisexual or gay; characterized partnerships as stable, compared to casual, anonymous, or commercial; or discussed HIV/STIs with close social contacts (p < 0.05). TW in concurrent partnerships discussed condom use more frequently than those in monogamous relationships (p < 0.05). Condom use discussions and alcohol use among MSM were associated with CAI (p < 0.05). Findings highlight complexity in sexual decision-making and call for further study of conversation content and practices to inform HIV prevention messaging.

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KW - Peru

KW - Transgender women

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DO - 10.1007/s10461-020-03144-1

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AN - SCOPUS:85099083214

SN - 1090-7165

VL - 25

SP - 2139

EP - 2153

JO - AIDS and Behavior

JF - AIDS and Behavior

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ER -

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

Abstract

Keywords

UN SDGs

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