title: Relationship characteristics and sexual risk-taking in young men who have sex with men.
abstract: OBJECTIVE
  Young men who have sex with men (MSM), particularly young men of color, are experiencing the largest increase in HIV incidence of any risk group in the United States Epidemiological research suggests that the majority of transmissions among MSM are occurring in the context of primary partnerships, but little research has been done on the processes within these dyads that increase HIV risk behaviors. The aim of this study was to use longitudinal partnership-level data to explore the effects of partner and relationship characteristics on the frequency of unprotected sex within young MSM relationships.
  
  
  METHODS
  One hundred twenty-two young MSM (age 16-20 at baseline) were assessed at three time-points six months apart, with 91% retention at the 12-month follow-up wave. Over 80% were racial/ethnic minorities. At each wave, participants reported on characteristics of the relationships and partners for up to three sexual partners. Hierarchical linear modeling was used for analyses.
  
  
  RESULTS
  The largest effect was for considering the relationship to be serious, which was associated with nearly an eightfold increase in the rate of unprotected sex. Other factors that increased risk behaviors included older partners, drug use prior to sex, physical violence, forced sex, and partnership lasting more than six months. Partners met online were not associated with significantly more sexual risk.
  
  
  CONCLUSIONS
  These data provide insight into the relationship processes that should be addressed in prevention programs targeted at young MSM. Relationships may serve as a promising unit for HIV prevention interventions, although more formative research will be required to address potential logistical obstacles to implementing such interventions. The partner-by-partner analytic approach (i.e., evaluating situational variables associated with several partners for a given participant) holds promise for future HIV behavioral research.
authors: Department of Psychiatry, University of Illinois, USA. brian@impactprogram.org
authors: Brian
authors: B
authors: Mustanski
authors: Michael E
authors: ME
authors: Newcomb
authors: Elise M
authors: EM
authors: Clerkin
references: Am J Public Health. 2004 Jul;94(7):1122-4
references: 15226130
references: J Sex Res. 2011 Mar;48(2-3):218-53
references: 21409715
references: J Pers Soc Psychol. 2010 Feb;98(2):319-41
references: 20085403
references: Am J Public Health. 2003 Nov;93(11):1915-21
references: 14600066
references: AIDS. 2009 Jun 1;23(9):1153-62
references: 19417579
references: J Sex Res. 2007 Aug;44(3):278-89
references: 17879171
references: J Acquir Immune Defic Syndr. 2010 Jun;54(2):185-90
references: 20057320
references: AIDS Care. 2007 Jul;19(6):822-7
references: 17573604
references: Health Educ Behav. 2009 Oct;36(5):878-94
references: 18784350
references: AIDS Care. 2006 Nov;18(8):961-7
references: 17012086
references: AIDS. 2007 Oct 1;21(15):2083-91
references: 17885299
references: Sex Transm Dis. 2005 Jan;32(1):7-12
references: 15614115
references: J Acquir Immune Defic Syndr. 2007 Feb 1;44(2):235-43
references: 17179769
references: AIDS Educ Prev. 2004 Aug;16(4):304-14
references: 15342333
references: AIDS Behav. 2011 Apr;15(3):565-75
references: 20960048
references: AIDS Educ Prev. 2002 Dec;14(6):472-81
references: 12512848
references: J Am Acad Child Adolesc Psychiatry. 2001 Jun;40(6):642-53
references: 11392341
references: J Consult Clin Psychol. 1999 Oct;67(5):746-54
references: 10535241
references: J Black Psychol. 2004;30(1):78-105
references: 20041036
references: Ann Behav Med. 2007 Aug;34(1):37-45
references: 17688395
references: AIDS Behav. 2004 Sep;8(3):321-31
references: 15475679
references: Arch Sex Behav. 2011 Aug;40(4):673-86
references: 21528402
references: AIDS. 2005 Jun 10;19(9):961-8
references: 15905678
references: Qual Quant. 2009 May;43(3):333-349
references: 20046840
references: Am J Public Health. 2010 Jan;100(1):159-64
references: 19910348
references: MMWR Morb Mortal Wkly Rep. 2008 Jun 27;57(25):681-6
references: 18583954
references: Arch Sex Behav. 2002 Apr;31(2):177-83
references: 11974643
references: Am J Public Health. 2010 Dec;100(12):2426-32
references: 20966378
references: AIDS Educ Prev. 2003 Feb;15(1 Suppl A):39-52
references: 12630598
references: Arch Sex Behav. 2008 Oct;37(5):683-96
references: 18512140
references: Arch Sex Behav. 2011 Apr;40(2):289-300
references: 20182787
references: Sex Transm Dis. 2006 Apr;33(4):265-71
references: 16434886
references: Subst Use Misuse. 2006;41(10-12):1551-601
references: 17002993
references: AIDS Educ Prev. 2002 Dec;14(6):482-95
references: 12512849
references: AIDS Care. 2006 Oct;18(7):681-9
references: 16971275
references: AIDS Educ Prev. 1995;7(5 Suppl):24-35
references: 8664095
references: AIDS Behav. 2010 Dec;14(Suppl 2):189-203
references: 20838872
references: J Urban Health. 2003 Dec;80(4 Suppl 3):iii15-25
references: 14713668
references: J Acquir Immune Defic Syndr. 2004 Apr 15;35(5):526-36
references: 15021318
references: AIDS Behav. 2009 Aug;13(4):700-15
references: 19030982
references: J Acquir Immune Defic Syndr. 2006 Nov 1;43(3):344-50
references: 16980913