Background. Rates of common bacterial sexually transmitted infections (STIs) are at an all-timereported high in the United States, while rates of new human immunodeficiency virus (HIV)
infections are declining. Among HIV-negative men and transgender women who have sex with
men, whom are theoretically at risk for both HIV and bacterial...
Agency is a broad orientation aimed to advance the self and one’s own abilities, whereas communion is a broad orientation aimed to interact with others and connect to people in a larger social context. In Chapter 1, I introduce a new framework to conceptualize the constructs of agency and communion....