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JAIDS Journal of Acquired Immune Deficiency Syndromes:
doi: 10.1097/QAI.0000000000000148
Brief Report: Clinical Science

An Omitted Level: An Examination of Relational Orientations and Viral Suppression Among HIV Serodiscordant Male Couples

Gamarel, Kristi E. EdM*,†; Neilands, Torsten B. PhD; Golub, Sarit A. PhD*,†; Johnson, Mallory O. PhD

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Abstract

Abstract: Couples' adopting a relational orientation, when partners regard themselves as a collective unit, is associated with optimal health. HIV-positive men and their HIV-negative partners (N = 116 serodiscordant male couples) were surveyed. Logistic regression showed greater relational orientations of HIV-positive [adjusted odds ratio (aOR) = 7.87; 95% confidence interval (CI): 1.63 to 38.05] and HIV-negative partners (aOR = 6.16; 95% CI: 1.43 to 26.59) and HIV-positive partners' higher income (aOR = 2.95; 95% CI: 1.13 to 7.70) and lower depression (aOR = 0.39; 95% CI: 0.15 to 0.97) were associated with viral suppression with no evidence of mediation by adherence. Incorporating relationship dynamics into biomedical strategies is a promising avenue for research and intervention.

© 2014 by Lippincott Williams & Wilkins

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