One- to two-thirds of new HIV infections among sexual minority men occur within the context of main partnerships. This has led to increasing attention to the rules and boundaries male couples form around sex with outside partners as a mechanism to manage HIV risk. These rules and boundaries have generally been operationalized either as a sexual agreement—the decisions couples make together about their sexual boundaries with outside partners—or a sexual arrangement—how couples handle sex outside the relationship, which may or may not involve an implicit or explicit consensus between partners. The goal of the current study was to examine the correspondence of these two approaches to the operationalization of rules and boundaries. Additionally, the study tested whether agreements and arrangements were differentially associated with dyadic communication and sexual behavior with casual partners. Results indicated a high level of correspondence between assessment methods. Similarly, patterns of sexual behaviors with casual partners were consistent across both sexual agreements and sexual arrangements. In contrast, patterns of communication varied as a function of assessment type. Specifically, constructive, avoidant, and sexual communication varied across sexual agreement types, whereas sexual arrangement types only differed with respect to constructive communication. These findings suggest that there is substantial overlap between arrangements and agreements. Findings particularly related to associations with sexual behavior may largely generalize across these methods of operationalization. In contrast, survey-reported sexual agreements were a more sensitive correlate of dyadic communication.
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Catania, J. A. (1998). Dyadic sexual communication scale. In T. D. Fisher, C. M. Davis, W. L. Yarber, & S. L. Davis (Eds.), Handbook of sexuality-related measures (3rd ed., pp. 129–130). Thousand Oaks, CA: SAGE Publications Inc.
Centers for Disease Control and Prevention. (2019). HIV in the United States and Dependent Areas. Retrieved from https://www.cdc.gov/hiv/pdf/statistics/overview/cdc-hiv-us-ataglance.pdf
Christensen, C., & Shenk, J. L. (1991). Communication, conflict, and psychological distance in nondistressed, clinic, and divorcing couples. Journal of Consulting and Clinical Psychology, 59(3), 458–463.
Cohen, M. S., Chen, Y. Q., McCauley, M., Gamble, T., Hosseinipour, M. C., Kumarasamy, N., … Pilotto, J. H. (2016). Antiretroviral therapy for the prevention of HIV-1 transmission. New England Journal of Medicine, 375(9), 830–839.
Cuervo, M., & Whyte, J. (2015). The effect of relationship characteristics on HIV risk behaviors and prevention strategies in young gay and bisexual men. Journal of the Association of Nurses in AIDS Care, 26(4), 399–410.
Feinstein, B. A., Dellucci, T. V., Sullivan, P. S., & Mustanski, B. M. (2018). Characterizing sexual agreements with one’s most recent sexual partner among young men who have sex with men. AIDS Education and Prevention, 30(4), 335–349.
Gass, K., Hoff, C. C., Stephenson, R., & Sullivan, P. S. (2012). Sexual agreements in the partnerships of Internet-using men who have sex with men. AIDS Care, 24(10), 1255–1263.
Goldenberg, T., Finneran, C., Andes, K. L., & Stephenson, R. (2015). “Sometimes people let love conquer them”: How love, intimacy, and trust in relationships between men who have sex with men influence perceptions of sexual risk and sexual decision-making. Culture, Health & Sexuality, 17(5), 607–622. https://doi.org/10.1080/13691058.2014.979884.
Goodreau, S. M., Carnegie, N. B., Vittinghoff, E., Lama, J. R., Sanchez, J., Grinsztejn, B., … Buchbinder, S. P. (2013). What drives the US and Peruvian HIV epidemics in men who have sex with men (MSM)? PLoS ONE, 7(11), e50522. https://doi.org/10.1371/journal.pone.0050522.
Grov, C., Starks, T. J., Rendina, H. J., & Parsons, J. T. (2014). Rules about casual sex partners, relationship satisfaction, and HIV risk in partnered gay and bisexual men. Journal of Sex and Marital Therapy, 40(2), 105–122.
Hoff, C. C., & Beougher, S. C. (2010). Sexual agreements among gay male couples. Archives of Sexual Behavior, 39(3), 774–787. https://doi.org/10.1007/s10508-008-9393-2.
Hoff, C. C., Beougher, S. C., Chakravarty, D., Darbes, L. A., & Neilands, T. B. (2010). Relationship characteristics and motivations behind agreements among gay male couples: Differences by agreement type and couple serostatus. AIDS Care, 22(7), 827–835.
Hoff, C. C., Campbell, C. K., Chakravarty, D., & Darbes, L. A. (2016). Relationship-based predictors of sexual risk for HIV among MSM couples: A systematic review of the literature. AIDS and Behavior, 20(12), 2873–2892.
Hoff, C. C., Chakravarty, D., Beougher, S. C., Darbes, L. A., Dadasovich, R., & Neilands, T. B. (2009). Serostatus differences and agreements about sex with outside partners among gay male couples. AIDS Education and Prevention, 21(1), 25–38.
Hoff, C. C., Chakravarty, D., Beougher, S. C., Neilands, T. B., & Darbes, L. A. (2012). Relationship characteristics associated with sexual risk behavior among MSM in committed relationships. AIDS Patient Care and STDs, 26(12), 738–745. https://doi.org/10.1089/apc.2012.0198.
Kenny, D. A., Kashy, D. A., & Cook, W. L. (2006). Dyadic data analysis. New York: Guilford Press.
LaSala, M. C. (2005). Monogamy of the heart: Extradyadic sex and gay male couples. Journal of Gay & Lesbian Social Services, 17(3), 1–24.
Lewis, M. A., Gladstone, E., Schmal, S., & Darbes, L. A. (2006). Health-related social control and relationship interdependence among gay couples. Health Education Research, 21(4), 488–500. https://doi.org/10.1093/her/cyh075.
Mitchell, J. W. (2012). Understanding the agreements and behaviors of men who have sex with men who are dating or married to women: Unexpected implications for a universal HIV/STI testing protocol. International Public Health Journal, 4(4), 393.
Mitchell, J. W. (2014a). Aspects of gay male couples’ sexual agreements vary by their relationship length. AIDS Care, 26(9), 1164–1170.
Mitchell, J. W. (2014b). Characteristics and allowed behaviors of gay male couples’ sexual agreements. Journal of Sex Research, 51(3), 316–328. https://doi.org/10.1080/00224499.2012.727915.
Mitchell, J. W., Champeau, D., & Harvey, S. M. (2013). Actor-partner effects of demographic and relationship factors associated with HIV risk within gay male couples. Archives of Sexual Behavior, 42(7), 1337–1345.
Mitchell, J. W., Harvey, S. M., Champeau, D., Moskowitz, D. A., & Seal, D. W. (2012a). Relationship factors associated with gay male couples’ concordance on aspects of their sexual agreements: Establishment, type, and adherence. AIDS and Behavior, 16(6), 1560–1569. https://doi.org/10.1007/s10461-011-0064-2.
Mitchell, J. W., Harvey, S. M., Champeau, D., & Seal, D. W. (2012b). Relationship factors associated with HIV risk among a sample of gay male couples. AIDS and Behavior, 16(2), 404–411.
Mitchell, J. W., & Petroll, A. E. (2013). Factors associated with men in HIV-negative gay couples who practiced UAI within and outside of their relationship. AIDS and Behavior, 17(4), 1329–1337. https://doi.org/10.1007/s10461-012-0255-5.
Neilands, T. B., Chakravarty, D., Darbes, L. A., Beougher, S. C., & Hoff, C. C. (2009). Development and validation of the Sexual Agreement Investment Scale. Journal of Sex Research, 47(1), 24–37. https://doi.org/10.1080/00224490902916017.
Newcomb, M. E., Macapagal, K. R., Feinstein, B. A., Bettin, E., Swann, G., & Whitton, S. W. (2017). Integrating HIV prevention and relationship education for young same-sex male couples: A pilot trial for the 2GETHER intervention. AIDS and Behavior, 21(8), 2464–2478. https://doi.org/10.1007/s10461-017-1674-0.
Parsons, J. T., & Starks, T. J. (2014). Drug use and sexual arrangements among gay couples: Frequency, interdependence and associations with sexual risk. Archives of Sexual Behavior, 43(1), 89–98. https://doi.org/10.1007/s10508-013-0237-3.
Parsons, J. T., Starks, T. J., Dubois, S., Grov, C., & Golub, S. A. (2013). Alternatives to monogamy among gay male couples in a community survey: Implications for mental health and sexual risk. Archives of Sexual Behavior, 42(2), 303–312. https://doi.org/10.1007/s10508-011-9885-3.
Parsons, J. T., Starks, T. J., Gamarel, K. E., & Grov, C. (2012). (Non)monogamy and sexual relationship quality among same-sex male couples. Journal of Family Psychology, 26(5), 669–677. https://doi.org/10.1037/a0029561.
Rios-Spicer, R., Darbes, L., Hoff, C., Sullivan, P. S., & Stephenson, R. (2019). Sexual agreements: A scoping review of measurement, prevalence and links to health outcomes. AIDS and Behavior, 23(1), 259–271. https://doi.org/10.1007/s10461-018-2212-4.
Rusbult, C. E., & Van Lange, P. A. M. (2003). Interdependence, interaction, and relationships. Annual Review of Psychology, 54(1), 351–375. https://doi.org/10.1146/annurev.psych.54.101601.145059.
Rusbult, C. E., Verette, J., Whitney, G. A., Slovik, L. F., & Lipkus, I. (1991). Accommodation processes in close relationships: Theory and preliminary empirical evidence. Journal of Personality and Social Psychology, 60(1), 53–78. https://doi.org/10.1037/0022-35188.8.131.52.
Shernoff, M. (2006). Negotiationed nonmonogamy and male couples. Family Process, 45(4), 407–418.
Starks, T. J., Dellucci, T. V., Gupta, S., Robles, G., Stephenson, R., Sullivan, P., & Parsons, J. T. (2019a). A pilot randomized trial of intervention components addressing drug use in Couples HIV Testing and Counseling (CHTC) with male couples. AIDS and Behavior, 23, 2407–2420. https://doi.org/10.1007/s10461-019-02455-2.
Starks, T. J., Millar, B. M., & Parsons, J. T. (2015). Correlates of individual versus joint participation in online survey research with same-sex male couples. AIDS and Behavior, 19(6), 963–969. https://doi.org/10.1007/s10461-014-0962-1.
Starks, T. J., Robles, G., Bosco, S. C., Dellucci, T. V., Grov, C., & Parsons, J. T. (2019b). The prevalence and correlates of sexual arrangements in a National Cohort of HIV-negative gay and bisexual men in the United States. Archives of Sexual Behavior, 48(1), 369–382.
Stephenson, R., White, D., & Mitchell, J. W. (2015). Sexual agreements and perception of HIV prevalence among an online sample of partnered men who have sex with men. Archives of Sexual Behavior, 44(7), 1813–1819. https://doi.org/10.1007/s10508-015-0532-2.
Sullivan, P. S., Salazar, L., Buchbinder, S., & Sanchez, T. H. (2009). Estimating the proportion of HIV transmissions from main sex partners among men who have sex with men in five US cities. AIDS, 23(9), 1153–1162. https://doi.org/10.1097/qad.0b013e32832baa34.
Yovetich, N. A., & Rusbult, C. E. (1994). Accommodative behavior in close relationships: Exploring transformation of motivation. Journal of Experimental Social Psychology, 30(2), 138–164. https://doi.org/10.1006/jesp.1994.1007.
Collection of these data was supported by a National Institute on Drug Abuse Grant (R34 DA036419; PI Starks). The analyses of these data were supported by a National Institute on Drug Abuse Grant (R34 DA043422; PI Starks). The authors acknowledge the contributions of the We Test Project Team, particularly Jeffrey Parsons, Patrick Sullivan, Robert Stephenson, Nahuel Smith Becerra, Mark Pawson, Andrew Cortopassi, Chris Hietikko, and Scott Jones. We also thank Rich Jenkins for his support of the project as well as PRIDE Research Consortium staff, recruiters, interns and our participants who volunteered their time.
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Dellucci, T.V., Carmichael, C. & Starks, T.J. Arrangements versus Agreements: Evaluating Two Approaches to Measuring Male Couples’ Rules and Understandings Around Sex with Outside Sex Partners. Arch Sex Behav 50, 1689–1700 (2021). https://doi.org/10.1007/s10508-019-01621-w
- Sexual agreements
- Sexual arrangements
- Gay male couples
- Dyadic communication
- Relationship functioning
- Sexual orientation