title: Men, multiple sexual partners, and young adults' sexual relationships: understanding the role of gender in the study of risk.
abstract: Heterosexual transmission of HIV and other sexually transmitted infections has become a primary health concern worldwide. Gender roles for heterosexual interactions appear to sanction men's sexual risk-taking, especially the pursuit of multiple sexual partners. Using measures developed in this study, the current study assessed the associations between men's and women's relationship attitudes and experiences and their sexual risk encounters. Participants were 104 men and 103 women (18-24 years) from a large, urban college located in a high HIV risk neighborhood of New York City. All completed a survey assessing HIV risk and the battery of relationship measures assessing traditional sexual roles, sexual conflicts, significance of sex, relationship investment, need for relationship, and unwanted sex. For men, greater sexual conflict in their primary relationships was associated with more sexual partners and fewer unprotected vaginal intercourse encounters with a primary partner and across sex partners overall. In addition, men's endorsement of more traditional sexual roles and lower relationship investment were associated with higher numbers of sexual partners. Among women, compliance with men to engage in unwanted sex was associated with higher levels of participation in unprotected sex. For both men and women, greater significance given to sex in a relationship was associated with fewer extradyadic partners. This study demonstrates the utility of measures of relationship attitudes and experiences to characterize sexual risk, especially among men. Findings are discussed in terms of implications for prevention program targeting young urban adults.
authors.affiliation: Department of Family and Social Medicine, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Mazer 100, Bronx, NY 10461, USA. losulliv@aecom.yu.edu
authors.forename: Lucia F
authors.initials: LF
authors.lastname: O'Sullivan
authors.forename: Susie
authors.initials: S
authors.lastname: Hoffman
authors.forename: Abigail
authors.initials: A
authors.lastname: Harrison
authors.forename: Curtis
authors.initials: C
authors.lastname: Dolezal
mesh_terms: D000293:Adolescent; D000328:Adult; D001290:Attitude; D005260:Female; D005783:Gender Identity; D015658:HIV Infections / Q000635:transmission; D006801:Humans; D008297:Male; D009519:New York City; D018570:Risk Assessment; D012725:Sexual Behavior; D012747:Sexual Partners