Open, Closed, or In Between: Relationship Configuration and Condom Use Among Men Who Use the Internet to Seek Sex with Men
- First Online:
- Cite this article as:
- Brady, S.S., Iantaffi, A., Galos, D.L. et al. AIDS Behav (2013) 17: 1499. doi:10.1007/s10461-012-0316-9
- 353 Downloads
Nearly 70 % of HIV+ men who have sex with men (MSM) are estimated to have contracted HIV from a main partner. We examine whether condom use varies by relationship configuration, including open relationships with and without cheating. 656 MSM in committed relationships were recruited through a sexually explicit social networking website. Of the 55 % of MSM who had anal sex with a non-main partner in the past 90 days, two-thirds did not use a condom. Adjusting for covariates, MSM in relationships characterized as open with cheating versus monogamous were more likely to have unprotected anal sex with both main and non-main partners. MSM who perceived that their partner played around or cheated were more likely to have unprotected anal sex with a non-main partner. Prevention messages should attempt to reduce cheating and increase personal responsibility for protecting partners from HIV. Messages should be tailored to reflect open and monogamous relationships.