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Archives of Sexual Behavior

, Volume 48, Issue 4, pp 1203–1216 | Cite as

Do Male Couples Agree on Their Sexual Agreements? An Analysis of Dyadic Data

  • Akshay SharmaEmail author
  • Robert Garofalo
  • Marco A. Hidalgo
  • Samuel Hoehnle
  • Matthew J. Mimiaga
  • Emily Brown
  • Jennie Thai
  • Anna Bratcher
  • Taylor Wimbly
  • Patrick S. Sullivan
  • Rob Stephenson
Original Paper

Abstract

Male couples often formulate sexual agreements, but little is known about the extent to which partners concur about their exact terms. Disagreements, particularly with respect to sex outside the relationship, may induce stress and potentially increase the risk of HIV and other sexually transmitted infections. Our study sought to describe concordance between male partners on several aspects of their sexual agreements, overall, as well as stratified by dyadic HIV serostatus and relationship duration. Between July 2014 and May 2016, we collected bidirectional data from 160 male couples residing in Atlanta, Boston, and Chicago. Overall, we observed weak concordance for whether or not couples had a mutual agreement about sex with outside partners. Even among 110 couples in which both partners reported having an agreement, there was weak-to-moderate concordance for general rules that might apply to having sex outside the relationship (e.g., forming emotional relationships is not allowed, outside sexual activities must be disclosed), and for specific sexual behaviors allowed or disallowed (e.g., topping without a condom, bottoming without a condom). Concordance for the type of sexual agreement was higher within HIV seroconcordant negative partnerships compared to HIV serodiscordant partnerships, and lower within relationships ≥ 5 years and 1 to < 5 years compared to those < 1 year. Dyadic interventions for male couples (e.g., couples HIV testing and counseling, relationship education programs) can offer unique opportunities for skills building around negotiating sexual agreements and might especially benefit HIV serodiscordant partnerships, and those in the formative stages of their relationships.

Keywords

Sexual and gender minorities Sexual behavior Sexual partners HIV infections Sexually transmitted diseases Sexual orientation 

Notes

Acknowledgements

This publication was supported by the Eunice Kennedy Shriver National Institute of Child Health & Human Development of the National Institutes of Health under Award Number R01HD075655 (mPIs: Garofalo, Mimiaga, and Stephenson). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Additional support was provided by the Boston University Peter T. Paul Career Development Professorship and the MAC AIDS Fund.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Akshay Sharma
    • 1
    • 2
    Email author
  • Robert Garofalo
    • 3
    • 4
  • Marco A. Hidalgo
    • 5
    • 6
  • Samuel Hoehnle
    • 3
  • Matthew J. Mimiaga
    • 7
    • 8
  • Emily Brown
    • 7
  • Jennie Thai
    • 3
  • Anna Bratcher
    • 9
  • Taylor Wimbly
    • 9
  • Patrick S. Sullivan
    • 9
  • Rob Stephenson
    • 1
    • 2
  1. 1.Center for Sexuality and Health DisparitiesUniversity of MichiganAnn ArborUSA
  2. 2.School of NursingUniversity of MichiganAnn ArborUSA
  3. 3.Ann and Robert H. Lurie Children’s Hospital of ChicagoChicagoUSA
  4. 4.Feinberg School of MedicineNorthwestern UniversityChicagoUSA
  5. 5.Children’s Hospital Los AngelesLos AngelesUSA
  6. 6.Keck School of MedicineUniversity of Southern CaliforniaLos AngelesUSA
  7. 7.The Fenway InstituteFenway HealthBostonUSA
  8. 8.School of Public HealthBrown UniversityProvidenceUSA
  9. 9.Rollins School of Public HealthEmory UniversityAtlantaUSA

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