Sexual goals and perceptions of goal congruence in individuals' PrEP adoption decisions : A mixed-methods study of gay and bisexual men who are in primary relationships
© Society of Behavioral Medicine 2019. All rights reserved. For permissions, please e-mail: journals.permissionsoup.com..
BACKGROUND: Although health goals are recognized as a central feature of health behavior theories, the relational context through which goals are conceptualized is often overlooked. Interdependence theory represents a valuable framework for understanding goals in the adoption of health behaviors, such as pre-exposure prophylaxis (PrEP), among gay and bisexual men in primary relationships.
PURPOSE: We examined the content and focus of men's sexual health goals, as well as whether goal content, goal focus, or perceptions of goal congruence with a primary partner were related to PrEP adoption among gay and bisexual men in primary relationships.
METHODS: Mixed-methods data were collected from a PrEP demonstration project from 145 HIV-negative gay and bisexual men in primary relationships. Participants reported their sexual health goals and completed measures of perceptions of goal congruence, relationship factors, and sociodemographic factors.
RESULTS: Three main goal content categories were identified: prevention, satisfaction, and intimacy. In expressing these goals, participants framed them with either a self-focus or a relationship-focus. Men in serodiscordant relationships reported more intimacy goals and greater perceptions of goal congruence. There were no differences in goal content or focus by sexual agreement. In the multivariable logistic regression model, perceived goal congruence was associated with PrEP adoption, over and above covariates.
CONCLUSIONS: Intimate relationships play a significant role in the formation of health-related goals. Goal content, focus, and perceived congruence with partners may represent important targets for HIV prevention interventions for gay and bisexual men in primary relationships, especially in the context of PrEP.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:54 |
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| Enthalten in: |
Annals of behavioral medicine : a publication of the Society of Behavioral Medicine - 54(2020), 4 vom: 24. März, Seite 237-248 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Gamarel, Kristi E [VerfasserIn] |
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| Links: |
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| Themen: |
Gay and bisexual men |
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| Anmerkungen: |
Date Completed 20.05.2021 Date Revised 27.10.2023 published: Print Citation Status MEDLINE |
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| doi: |
10.1093/abm/kaz043 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM302311718 |
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| 100 | 1 | |a Gamarel, Kristi E |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Sexual goals and perceptions of goal congruence in individuals' PrEP adoption decisions |b A mixed-methods study of gay and bisexual men who are in primary relationships |
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| 500 | |a Date Completed 20.05.2021 | ||
| 500 | |a Date Revised 27.10.2023 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © Society of Behavioral Medicine 2019. All rights reserved. For permissions, please e-mail: journals.permissionsoup.com. | ||
| 520 | |a BACKGROUND: Although health goals are recognized as a central feature of health behavior theories, the relational context through which goals are conceptualized is often overlooked. Interdependence theory represents a valuable framework for understanding goals in the adoption of health behaviors, such as pre-exposure prophylaxis (PrEP), among gay and bisexual men in primary relationships | ||
| 520 | |a PURPOSE: We examined the content and focus of men's sexual health goals, as well as whether goal content, goal focus, or perceptions of goal congruence with a primary partner were related to PrEP adoption among gay and bisexual men in primary relationships | ||
| 520 | |a METHODS: Mixed-methods data were collected from a PrEP demonstration project from 145 HIV-negative gay and bisexual men in primary relationships. Participants reported their sexual health goals and completed measures of perceptions of goal congruence, relationship factors, and sociodemographic factors | ||
| 520 | |a RESULTS: Three main goal content categories were identified: prevention, satisfaction, and intimacy. In expressing these goals, participants framed them with either a self-focus or a relationship-focus. Men in serodiscordant relationships reported more intimacy goals and greater perceptions of goal congruence. There were no differences in goal content or focus by sexual agreement. In the multivariable logistic regression model, perceived goal congruence was associated with PrEP adoption, over and above covariates | ||
| 520 | |a CONCLUSIONS: Intimate relationships play a significant role in the formation of health-related goals. Goal content, focus, and perceived congruence with partners may represent important targets for HIV prevention interventions for gay and bisexual men in primary relationships, especially in the context of PrEP | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, N.I.H., Extramural | |
| 650 | 4 | |a HIV prevention | |
| 650 | 4 | |a gay and bisexual men | |
| 650 | 4 | |a goal congruence | |
| 650 | 4 | |a pre-exposure prophylaxis | |
| 650 | 4 | |a relationships | |
| 700 | 1 | |a Golub, Sarit A |e verfasserin |4 aut | |
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