A Dyadic Perspective on Sexual Agreements Among Same-Sex Male Couples in the United States.


Journal

AIDS and behavior
ISSN: 1573-3254
Titre abrégé: AIDS Behav
Pays: United States
ID NLM: 9712133

Informations de publication

Date de publication:
Nov 2020
Historique:
pubmed: 18 4 2020
medline: 30 9 2020
entrez: 18 4 2020
Statut: ppublish

Résumé

Sexual agreements are an important HIV risk reduction strategy enacted by men in male-male partnerships. Greater levels of relationship quality have been associated with sexual agreement formation and adherence. However, current evidence supporting the associations between relationship quality and sexual agreements for male dyads is based primarily on the responses of just one partner. Understanding that relationship quality and decisions about sexual agreements are inherently influenced by both partners, the present analysis uses dyadic-level data to examine the sexual agreements among 199 HIV serodiscordant and seroconcordant male dyads (n = 398 individuals). Specifically, the analysis examines measures of love, trust, and conflict style as they relate to (1) the type of agreement established, (2) concordance in agreement reporting, (3) satisfaction with the agreement, and (4) broken agreements. A discrepancy in love between partners was associated with the type of agreement established, whether they reported the same agreement type, and whether one of the partners reported a broken agreement, but it was not associated with either partner's satisfaction with the agreement. A discrepancy in trust was associated with agreement concordance and agreement breaks, but it was not associated with the type of agreement established or satisfaction with the agreement. Lastly, a discrepancy in conflict style was associated with each of the agreement outcomes. Future research and intervention efforts should focus on understanding the behavioral and communication skills necessary for couples to make successful sexual agreements.

Identifiants

pubmed: 32300992
doi: 10.1007/s10461-020-02865-7
pii: 10.1007/s10461-020-02865-7
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

3107-3123

Subventions

Organisme : Eunice Kennedy Shriver National Institute of Child Health and Human Development
ID : R01HD075655

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Auteurs

Erin Rogers (E)

Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Center for Sexuality and Health Disparities, University of Michigan, Ann Arbor, MI, USA.

Matthew J Mimiaga (MJ)

Center for Health Equity Research, Brown University, Providence, RI, USA.
Departments of Behavioral and Social Health Sciences and Epidemiology, Brown University School of Public Health, Providence, RI, USA.
Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, RI, USA.
The Fenway Institute, Fenway Health, Boston, MA, USA.

Robert Garofalo (R)

Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Department of Pediatrics, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.

Emily Brown (E)

The Fenway Institute, Fenway Health, Boston, MA, USA.

Anna Bratcher (A)

Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.

Taylor Wimbly (T)

Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.

Marco A Hidalgo (MA)

Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Department of Pediatrics, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.

Sam Hoehnle (S)

Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Department of Pediatrics, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.

Jennie Thai (J)

Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.

Erin Kahle (E)

Center for Sexuality and Health Disparities, University of Michigan, Ann Arbor, MI, USA.
Department of Health Behavior and Biological Sciences, University of Michigan School of Nursing, 400 N Ingalls St, An Arbor, MI, 48109, USA.

Patrick S Sullivan (PS)

Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.

Rob Stephenson (R)

Center for Sexuality and Health Disparities, University of Michigan, Ann Arbor, MI, USA. rbsteph@umich.edu.
Department of Health Behavior and Biological Sciences, University of Michigan School of Nursing, 400 N Ingalls St, An Arbor, MI, 48109, USA. rbsteph@umich.edu.

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