The proposed longitudinal study (i.e, the Longitudinal Couples Study or LCS) will provide important and novel data about relationship dynamics and sexual risk taking behavior by tracking change over time. It builds on the """"""""Gay Couples Study"""""""" (GCS) by following a cross-sectional sample of N = 450 gay male couples longitudinally for 3 years in 6-month intervals. The proposed study will focus on the interplay of changing relationship dynamics and changes in sexual risk over time. Specifically, the aims are to: 1. Examine longitudinally the role of within and between couple differences in relationship dynamics (i.e., intimacy, communication, commitment, relationship quality, trust, agreement quality, and perception of risk) n predicting sexual risk-taking among couples. 2. Examine longitudinally the influence each partners' level of intimacy, communication, commitment, relationship quality, trust, agreement quality, and perception of risk, has on his own and his partner's sexual risk-taking behavior. 3. Examine longitudinally differences in sexual risk-taking and relationship dynamics associated with couple serostatus. 4. Examine the timing and relationship circumstances associated with broken agreements. 5. Describe the context of changing relationship dynamics and how they influence sexual risk over time. Quantitative and qualitative methods will be used to more thoroughly understand relationship dynamics associated with sexual risk over time, to closely track the context of change, how change occurs within the same relationship and how these changes influence sexual risk among couples, over time. The proposed study addresses a gap in HIV prevention that is long overdue, given there are no longitudinal studies examining HIV risk among couples. Findings from this study will be used to develop a future HIV prevention intervention trial uniquely tailored to gay couples. ? ? ?

National Institute of Health (NIH)
National Institute of Mental Health (NIMH)
Research Project (R01)
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Study Section
Behavioral and Social Consequences of HIV/AIDS Study Section (BSCH)
Program Officer
Forsyth, Andrew D
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University of California San Francisco
Internal Medicine/Medicine
Schools of Medicine
San Francisco
United States
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Hoff, Colleen C; Chakravarty, Deepalika; Darbes, Lynae et al. (2018) Studying the Motivations Behind Sexual Agreements: A First Look at the Motivations Behind Agreement (MBA) Scale for Male Couples. J Sex Res :1-10
Beougher, Sean C; Bircher, Anja E; Chakravarty, Deepalika et al. (2015) Motivations to test for HIV among partners in concordant HIV-negative and HIV-discordant gay male couples. Arch Sex Behav 44:499-508
Darbes, Lynne A; Chakravarty, Deepalika; Neilands, Torsten B et al. (2014) Sexual risk for HIV among gay male couples: a longitudinal study of the impact of relationship dynamics. Arch Sex Behav 43:47-60
Beougher, Sean C; Mandic, Carmen Gómez; Darbes, Lynae A et al. (2013) Past present: Relationship dynamics may differ among discordant gay male couples depending on HIV infection history. J Gay Lesbian Soc Serv 25:
Darbes, Lynae A; Chakravarty, Deepalika; Beougher, Sean C et al. (2012) Partner-provided social support influences choice of risk reduction strategies in gay male couples. AIDS Behav 16:159-67
Gomez, Anu Manchikanti; Beougher, Sean C; Chakravarty, Deepalika et al. (2012) Relationship dynamics as predictors of broken agreements about outside sexual partners: implications for HIV prevention among gay couples. AIDS Behav 16:1584-8
Chakravarty, Deepalika; Hoff, Colleen C; Neilands, Torsten B et al. (2012) Rates of testing for HIV in the presence of serodiscordant UAI among HIV-negative gay men in committed relationships. AIDS Behav 16:1944-8
Beougher, Sean C; Chakravarty, Deepalika; Garcia, Carla C et al. (2012) Risks worth taking: safety agreements among discordant gay couples. AIDS Care 24:1071-7
Hoff, Colleen C; Chakravarty, Deepalika; Beougher, Sean C et al. (2012) Relationship characteristics associated with sexual risk behavior among MSM in committed relationships. AIDS Patient Care STDS 26:738-45
Beougher, Sean C; Gomez, Walter; Hoff, Colleen C (2011) The couple as context: Latino gay male couples and HIV. Cult Health Sex 13:299-312

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