Male same-sex couple dynamics and received social support for HIV medication adherence

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Abstract
This qualitative study examines received social support by analyzing relationship dynamics concerning antiretroviral therapy adherence among HIV+ seroconcordant and serodiscordant male couples. Using narrative data from 40 participants (20 couples interviewed separately), we describe patterns of relationship dynamics and support preferences. One group viewed adherence as a Personal Responsibility. A second group viewed adherence as a Couple Responsibility and integrated support for medication adherence into the relationship. A third group was in the process of ending their relationships and adherence support was one-sided or withdrawn altogether. Examining support exchange contexts at cultural, situational, relational, and personal levels illuminated adherence processes. Qualitative methods provided a framework for investigating these complex relationships and their associations with HIV treatment adherence.

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