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Young Adulthood and Serodiscordant Couples 

Young Adulthood and Serodiscordant Couples
Chapter:
Young Adulthood and Serodiscordant Couples
Author(s):

Marshall Forstein

, Farah Ahmad-Stout

, and Gaddy Noy

DOI:
10.1093/med/9780199392742.003.0034
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date: 23 October 2019

Advances in HIV medical care and antiretroviral therapy transformed AIDS from a rapidly devastating fatal illness into a chronic illness for persons with access to care, leading to vast changes in the health of individuals, couples, their children, extended families, and social networks. In addition, adherence to antiretroviral therapy and viral suppression have reduced the likelihood of transmission of HIV, and the use of pre-exposure prophylaxis (PrEP) in an HIV-negative partner offers an additional option to prevent seroconversion. Significant biopsychosocial challenges remain, however, for couples who are dissimilar (serodiscordant) in HIV serological status and young adults with HIV. Many young adults and serodiscordant couples who are engaged in care and virally suppressed need support as they plan to have children or re-enter careers and social networks. There are few studies of couples with similar (seroconcordant) or serodiscordant HIV serological status. This chapter focuses on the impact of HIV on serodiscordant couples in which only one member is infected. After reviewing some of the literature, clinical issues that emerge in evaluating and treating couples are presented.

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