Relationship dynamics as predictors of broken agreements about outside sexual partners: implications for HIV prevention among gay couples.
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.
Center for Research on Gender and Sexuality, San Francisco State University, CA 94103, USA. anugomez@sfsu.edu
Anu Manchikanti
AM
Gomez
Sean C
SC
Beougher
Deepalika
D
Chakravarty
Torsten B
TB
Neilands
Carmen Gomez
CG
Mandic
Lynae A
LA
Darbes
Colleen C
CC
Hoff
D000328:Adult; D003142:Communication; D005191:Family Characteristics; D005500:Follow-Up Studies; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology* / Q000635:transmission; D018023:HIV Seronegativity; D006679:HIV Seropositivity / Q000523:psychology; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D007398:Interpersonal Relations; D007407:Interviews as Topic; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D017008:Negotiating; D012495:San Francisco; D012747:Sexual Partners / Q000523:psychology*; D012944:Social Support; D035502:Trust; D055815:Young Adult