Intimacy, Monogamy, and Condom Problems Drive Unprotected Sex Among Young Men in Serious Relationships with Other Men: A Mixed Methods ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2013-11-08

AUTHORS

George J. Greene, Rebecca Andrews, Laura Kuper, Brian Mustanski

ABSTRACT

This mixed methods study aimed to examine partner and relationship characteristics associated with HIV risk among young men who have sex with men (YMSM). A sub-sample of YMSM (18–25 years) who were involved in serious relationships with other men were recruited from two on-going longitudinal studies, Project Q2 and Crew450 (N = 20 couples). The mean age of the dyadic sample was 22.5 years (SD = 5.33, range 18–46 years) and participants were racially and ethnically diverse, with the largest percentage of the sample identifying as African American (47.5 %), followed by Hispanic (20 %). Participants completed individual self-report measures using computer-assisted self-interview technology and engaged in couples-based interviews. Mixed methods analyses indicated three global reasons for unprotected sex among YMSM in serious relationships: (1) the desire to achieve emotional intimacy; (2) the perception of being in a monogamous relationship; and (3) the difficulties associated with accessing and/or using condoms. Couples’ decision-making processes, including decisions made “in the heat of the moment,” have implications for HIV prevention interventions. More... »

PAGES

73-87

References to SciGraph publications

  • 2008-01-11. Trends in Agreements Between Regular Partners Among Gay Men in Sydney, Melbourne and Brisbane, Australia in AIDS AND BEHAVIOR
  • 2004-09. Intimacy and Sexual Behavior Among HIV-Positive Men-Who-Have-Sex-With-Men in Primary Relationships in AIDS AND BEHAVIOR
  • 2010-02-25. Internet Use and Sexual Health of Young Men Who Have Sex with Men: A Mixed-Methods Study in ARCHIVES OF SEXUAL BEHAVIOR
  • 2011-12-21. Alternatives to Monogamy Among Gay Male Couples in a Community Survey: Implications for Mental Health and Sexual Risk in ARCHIVES OF SEXUAL BEHAVIOR
  • 2011-02-19. Attitudes Towards Couples-Based HIV Testing Among MSM in Three US Cities in AIDS AND BEHAVIOR
  • 2010-09-10. Sex, Condoms and Sexually Transmissible Infections: A Qualitative Study of Sexual Health in Young Australian Men in ARCHIVES OF SEXUAL BEHAVIOR
  • 1997-12. The Association of Idealization and Intimacy Factors with Condom Use in Gay Male Couples in JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS
  • 2011-03-05. Sexual Pleasure and Intimacy Among Men Who Engage in “Bareback Sex” in AIDS AND BEHAVIOR
  • 2013-11-12. The Effects of Sexual Partnership and Relationship Characteristics on Three Sexual Risk Variables in Young Men Who Have Sex with Men in ARCHIVES OF SEXUAL BEHAVIOR
  • 2012-11-06. Perceived Likelihood of Using HIV Pre-exposure Prophylaxis Medications Among Young Men Who Have Sex with Men in AIDS AND BEHAVIOR
  • 2010-12-10. Condom-Related Problems Among a Racially Diverse Sample of Young Men Who Have Sex with Men in AIDS AND BEHAVIOR
  • 2011-02-03. Age-Concordant and Age-Discordant Sexual Behavior Among Gay and Bisexual Male Adolescents in ARCHIVES OF SEXUAL BEHAVIOR
  • 2011-06-01. The Critical Role of Intimacy in the Sexual Risk Behaviors of Gay and Bisexual Men in AIDS AND BEHAVIOR
  • 2011-10-20. Relationship Factors Associated with Gay Male Couples’ Concordance on Aspects of Their Sexual Agreements: Establishment, Type, and Adherence in AIDS AND BEHAVIOR
  • 2008-08-07. Sexual Agreements Among Gay Male Couples in ARCHIVES OF SEXUAL BEHAVIOR
  • 2008-02-08. The Relationship-Oriented Information-Motivation-Behavioral Skills Model: A Multilevel Structural Equation Model among Dyads in AIDS AND BEHAVIOR
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s10508-013-0210-1

    DOI

    http://dx.doi.org/10.1007/s10508-013-0210-1

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1029230053

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/24202113


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    44 schema:description This mixed methods study aimed to examine partner and relationship characteristics associated with HIV risk among young men who have sex with men (YMSM). A sub-sample of YMSM (18–25 years) who were involved in serious relationships with other men were recruited from two on-going longitudinal studies, Project Q2 and Crew450 (N = 20 couples). The mean age of the dyadic sample was 22.5 years (SD = 5.33, range 18–46 years) and participants were racially and ethnically diverse, with the largest percentage of the sample identifying as African American (47.5 %), followed by Hispanic (20 %). Participants completed individual self-report measures using computer-assisted self-interview technology and engaged in couples-based interviews. Mixed methods analyses indicated three global reasons for unprotected sex among YMSM in serious relationships: (1) the desire to achieve emotional intimacy; (2) the perception of being in a monogamous relationship; and (3) the difficulties associated with accessing and/or using condoms. Couples’ decision-making processes, including decisions made “in the heat of the moment,” have implications for HIV prevention interventions.
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