Intimate partner violence and condom negotiation efficacy among gay and bisexual men in Atlanta

Background:

The experience of intimate partner violence (IPV) has been shown to decrease condom negotiation efficacy among women; however, studies of this association among gay and bisexual men (GBM) are lacking.

Methods:

A venue-recruited sample of 745 GBM was recruited in Atlanta, GA, USA in 2012-13. Participants self-completed a survey including questions on recent (previous 12 month) experience and perpetration of IPV using the IPV-GBM Scale. Multivariate regression analysis examined the association between reporting low condom negotiation efficacy with the respondent's most recent sex partner (19.2% of respondents) and recent experience of IPV with the same or another partner.

Results:

Nearly half the sample (49.1%) reported recent receipt of IPV, although prevalence varied considerably across the forms of IPV. GBM who reported recent IPV experience were significantly less likely to report having felt able to negotiate condom use.

Conclusions:

These findings suggest that IPV may be a significant risk factor for HIV acquisition and transmission among GBM.

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By:  Rob Stephenson A B D, Ryan Freeland B and Catherine Finneran C 

A Department of Health Behavior and Biological Sciences, School of Nursing, University of Michigan, 400 North Ingalls, Ann Arbor, MI 48104, USA. B The Center for Sexuality and Health Disparities, University of Michigan, Ann Arbor, MI 48104, USA. C Hubert Department of Global Health, Rollins School of Public Health, Atlanta, GA 30322, USA. D Corresponding author. Email: rbsteph@umich.edu 

Sex Health. 2016 Apr 28. doi: 10.1071/SH15212. 

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