Abstract
Agreements about sex with outside partners are common among gay couples, and breaks in these agreements can be indicative of HIV risk. Using longitudinal survey data from both partners in 263 HIV-negative and -discordant gay couples, we investigate whether relationship dynamics are associated with broken agreements. Twenty-three percent of respondents reported broken agreements. Partners with higher levels of trust, communication, commitment, and social support were significantly less likely to report breaking their agreement. Promoting positive relationship dynamics as part of HIV prevention interventions for gay couples provides the opportunity to minimize the occurrence of broken agreements and, ultimately, reduce HIV risk.
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References
Centers for Disease Control and Prevention. Diagnoses of HIV infection and AIDS in the United States and dependent areas, 2009. Atlanta: U.S. Department of Health and Human Services, 2011.
Mustanski B, Newcomb ME, Clerkin EM. Relationship characteristics and sexual risk-taking in young men who have sex with men. Health Psychol. 2011;30(5):597–605.
Sullivan PS, Salazar L, Buchbinder S, Sanchez TH. Estimating the proportion of HIV transmissions from main sex partners among men who have sex with men in five US cities. AIDS. 2009;23(9):1153–62.
Kippax S, Slavin S, Ellard J, Hendry O, Richters J, Grulich A, et al. Seroconversion in context. AIDS Care. 2003;15(6):839–52.
Appleby PR, Miller LC, Rothspan S. The paradox of trust for male couples: when risking is part of loving. Pers Relat. 1999;6(1):81–93.
Hoff CC, Beougher SC. Sexual agreements among gay male couples. Arch Sex Behav. 2010;39(3):774–87.
Hoff C, Beougher SC, Chakravarty D, Darbes L, Neilands T. Relationship characteristics and motivations behind agreements among gay male couples: differences by agreement type and couple serostatus. AIDS Care. 2010;22(7):827–35.
Crawford JM, Rodden P, Kippax S, Van de Ven P. Negotiated safety and other agreements between men in relationships: risk practice redefined. Int J STD AIDS. 2001;12(3):164–70.
Sternberg RJ. Triangulating love. In: Sternberg RJ, Barnes ML, editors. The psychology of love. New Haven: Yale University Press; 1988. p. 119–38.
Cutrona CE, Russell D. The provisions of social relationships and adaptation to stress. In: Jones WH, Perlman D, editors. Advances in personal relationships. Greenwich: JAI Press; 1987. p. 37–67.
Rempel JK, Holmes JG, Zanna MP. Trust in close relationships. J Pers Soc Psychol. 1985;49(1):95–112.
Christensen A, Shenk JL. Communication, conflict, and psychological distance in nondistressed, clinic, and divorcing couples. J Consult Clin Psychol. 1991;59(3):458–63.
Acknowledgments
The authors extend their thanks to the study participants for their time and effort. This research was supported by Grant R01 MH 75598 from the National Institute of Mental Health.
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Gomez, A.M., Beougher, S.C., Chakravarty, D. et al. Relationship Dynamics as Predictors of Broken Agreements About Outside Sexual Partners: Implications for HIV Prevention Among Gay Couples. AIDS Behav 16, 1584–1588 (2012). https://doi.org/10.1007/s10461-011-0074-0
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DOI: https://doi.org/10.1007/s10461-011-0074-0