. Future studies should look at the inter-relationship in mental health status between MSMRP and their RP and should integrate mental health support with HIV prevention. Modifications of perceptions related to condom use such as enhancing positive attitudes, creating a new supportive subjective norm, and increasing perceived behavioral control over condom use, are also suggested to be integrated in HIV interventions targeting MSMRP, a highly vulnerable but under-served population. A randomized control study to test feasibility and efficacy of the suggested integrated couple-based intervention is warranted.