August 22, 2012
Among men who have sex with men (MSM), the majority of HIV transmission results from sex with a main partner, recent studies have shown. The authors noted that one factor likely to influence the risk of transmission is the type of agreements the couple has regarding sexual behavior both within the relationship and outside it.
In the current study, Facebook banner ads were used to recruit 732 MSM who use the Internet. The men completed an online questionnaire regarding demographic characteristics of the respondent, his main partner, their sexual behavior, whether they had a sexual agreement, "and the strength of investment in that agreement."
The association between sexual agreements (categorized as open, closed or none) and the predictive variables was assessed using the Pearson chi-square test. The sexual agreement investment scale (a composite score of 0 to 52) was used to assess respondents' investment in their sexual agreement.
"This study offers further evidence of the important role that sexual agreements play in male couples," the authors concluded. "The overwhelming prevalence of sexual agreements and their association with relationship happiness and risky sexual behaviors has important implications for future HIV prevention and control strategies, including the implementation of couples voluntary counseling and testing."
10.2012; Vol. 24; No. 10: P. 1255-1263; Katherine Gass, and others
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