The Prevalence and Correlates of Sexual Arrangements in a National Cohort of HIV-Negative Gay and Bisexual Men in the United ... View Full Text


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Article Info

DATE

2018-11-21

AUTHORS

Tyrel J. Starks, Gabriel Robles, Stephen C. Bosco, Trey V. Dellucci, Christian Grov, Jeffrey T. Parsons

ABSTRACT

Sexual agreements have received considerable attention as an aspect of dyadic functioning associated with HIV risk. To date, this research has primarily utilized convenience samples which overrepresented men from large urban areas and with higher HIV risk. The current study utilized a national cohort of 1061 HIV-negative gay and bisexual men recruited to be geographically diverse within the U.S. The sample included 531 (50.0%) men who identified as single. Of the 530 partnered men, 240 (45.3%) were monogamous; 238 (44.9%) were in open relationships (where sex with outside partners was permitted); and 52 (9.8%) were in monogamish relationships (where sex with outside partners was limited to instances where both primary partners were present). Regardless of urban (vs. non-urban) residence, men in monogamous relationships engaged in less anal sex generally and condomless anal sex (CAS) specifically with casual partners. Single men reported significantly more frequent anal sex with casual partners compared to open and monogamish men; however, there were no significant differences among these three groups with respect to CAS with casual partners. In multivariable models, monogamish men reported significantly more frequent marijuana use and alcohol consumption compared to all other groups. Urban (vs. non-urban) residence moderated associations between sexual arrangements and depression as well as the use of illicit drugs other than marijuana. These findings point to the need to better examine the potentially unique mechanisms which confer risk and resilience for gay male couples in urban versus non-urban settings. The observed association between sexual arrangements and substance use suggests interventions which facilitate the negotiation of sexual agreements may present an opportunity to engage in dyadic substance use intervention. More... »

PAGES

369-382

References to SciGraph publications

  • 2013-11-16. Relationship Characteristics and HIV Transmission Risk in Same-Sex Male Couples in HIV Serodiscordant Relationships in ARCHIVES OF SEXUAL BEHAVIOR
  • 2017-06-20. Should I Convince My Partner to Go on Pre-Exposure Prophylaxis (PrEP)? The Role of Personal and Relationship Factors on PrEP-Related Social Control among Gay and Bisexual Men in AIDS AND BEHAVIOR
  • 2015-11-12. Recruiting a US National Sample of HIV-Negative Gay and Bisexual Men to Complete at-Home Self-Administered HIV/STI Testing and Surveys: Challenges and Opportunities in SEXUALITY RESEARCH AND SOCIAL POLICY
  • 2014-08-02. HIV Testing Behaviors and Perceptions of Risk of HIV Infection Among MSM with Main Partners in AIDS AND BEHAVIOR
  • 2014-03-01. A Cause for Concern: Male Couples’ Sexual Agreements and Their Use of Substances with Sex in AIDS AND BEHAVIOR
  • 2011-02-19. Attitudes Towards Couples-Based HIV Testing Among MSM in Three US Cities in AIDS AND BEHAVIOR
  • 2013-12-10. Drug Use and Sexual Arrangements Among Gay Couples: Frequency, Interdependence, and Associations with Sexual Risk in ARCHIVES OF SEXUAL BEHAVIOR
  • 2008-08-07. Sexual Agreements Among Gay Male Couples in ARCHIVES OF SEXUAL BEHAVIOR
  • 2011-03-16. Sexual Orientation, Partnership Formation, and Substance Use in the Transition to Adulthood in JOURNAL OF YOUTH AND ADOLESCENCE
  • 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
  • 2012-07-13. Factors Associated with Men in HIV-Negative Gay Couples Who Practiced UAI Within and Outside of Their Relationship in AIDS AND BEHAVIOR
  • 2016-08-10. Decisions About Testing for HIV While in a Relationship: Perspectives From an Urban, Convenience Sample of HIV-Negative Male Couples Who Have a Sexual Agreement in ARCHIVES OF SEXUAL BEHAVIOR
  • 2015-06-06. Sexual Agreements and Perception of HIV Prevalence Among an Online Sample of Partnered Men Who Have Sex with Men in ARCHIVES OF SEXUAL 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
  • 2016-04-05. Relationship-Based Predictors of Sexual Risk for HIV Among MSM Couples: A Systematic Review of the Literature in AIDS AND BEHAVIOR
  • 2016-07-30. Sexual Risk-Taking in HIV-Negative Gay and Bisexual Men Increases with Depression: Results from a U.S. National Study in AIDS AND BEHAVIOR
  • 2015-11-09. Linking Syndemic Stress and Behavioral Indicators of Main Partner HIV Transmission Risk in Gay Male Couples in AIDS AND BEHAVIOR
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s10508-018-1282-8

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    DIMENSIONS

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    PUBMED

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    33 schema:description Sexual agreements have received considerable attention as an aspect of dyadic functioning associated with HIV risk. To date, this research has primarily utilized convenience samples which overrepresented men from large urban areas and with higher HIV risk. The current study utilized a national cohort of 1061 HIV-negative gay and bisexual men recruited to be geographically diverse within the U.S. The sample included 531 (50.0%) men who identified as single. Of the 530 partnered men, 240 (45.3%) were monogamous; 238 (44.9%) were in open relationships (where sex with outside partners was permitted); and 52 (9.8%) were in monogamish relationships (where sex with outside partners was limited to instances where both primary partners were present). Regardless of urban (vs. non-urban) residence, men in monogamous relationships engaged in less anal sex generally and condomless anal sex (CAS) specifically with casual partners. Single men reported significantly more frequent anal sex with casual partners compared to open and monogamish men; however, there were no significant differences among these three groups with respect to CAS with casual partners. In multivariable models, monogamish men reported significantly more frequent marijuana use and alcohol consumption compared to all other groups. Urban (vs. non-urban) residence moderated associations between sexual arrangements and depression as well as the use of illicit drugs other than marijuana. These findings point to the need to better examine the potentially unique mechanisms which confer risk and resilience for gay male couples in urban versus non-urban settings. The observed association between sexual arrangements and substance use suggests interventions which facilitate the negotiation of sexual agreements may present an opportunity to engage in dyadic substance use intervention.
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