Sexual behaviour related to psycho-social factors in a population of Danish homosexual and bisexual men

Schmidt, Kjeld; Fouchard, J; Krasnik, Allan; Zoffmann, H; Jacobsen, Henrik Loft; Kreiner, Svend

doi:10.1016/0277-9536(92)90285-x

Cited by 15 publications

(4 citation statements)

References 29 publications

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“…c Significant difference (P < 0.025) between rates of risk behavior in participants in enhanced vs. standard intervention, after controlling for city and baseline value of risk behavior. Race, 2003;Martin et al, 1989;McKusick et al, 1990;Schmidt et al, 1992;Stall et al, 1990;Valdiserri et al, 1988). In fact, an analysis of SUMIT baseline data, which included an additional 357 men who did not participate in the trial, reported higher rates of unprotected sex with main partners than nonmain partners .…”

Section: Discussionmentioning

confidence: 89%

Examining the role of partner status in an HIV prevention trial targeting HIV-positive gay and bisexual men: the seropositive urban men’s intervention trial (SUMIT)

et al. 2006

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The goal of this analysis was to examine whether partner status impacted behavioral outcomes from the Seropositive Urban Men's Intervention Trial (SUMIT). We contrasted sample characteristics of HIV-positive gay and bisexual men with and without main partners and then examined differences in sexual behaviors among men participating in an enhanced HIV prevention intervention compared to those in a standard condition. Logistic regression analyses were performed to differentiate characteristics of men with and without main partners and mixed-model logistic regression analyses were performed to test for intervention effects. Men with main partners showed a greater likelihood of having unprotected anal sex with any partner, although the number of male sexual partners was higher for men without a main partner. SUMIT generally produced few differences in sexual risk behaviors and did not affect several potential mediator variables of the relationship between the intervention and sexual behaviors with main and nonmain partners.

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Section: Discussionmentioning

confidence: 89%

Examining the role of partner status in an HIV prevention trial targeting HIV-positive gay and bisexual men: the seropositive urban men’s intervention trial (SUMIT)

et al. 2006

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“…Another study reported that 27% of a sample of people with HIV in the Midwest (the majority of whom were men who have sex with men) attributed their seroconversion to sex with their primary partner (Rosser et al, 1999). One possible explanation, as consistently reported by behavioral studies, may be that gay men in relationships engage in substantially higher rates of unprotected anal intercourse (UAI) with their primary partners than do single men with their casual partners (Cáceres & Rosasco, 1997; Ekstrand, Stall, Paul, Osmond, & Coates, 1999; Elford, Bolding, Maguire, & Sherr, 1999; Fitzpatrick, McLean, Dawson, Boulton, & Hart, 1990; Hays, Kegeles, & Coates, 1990, 1997; Hoff, Coates, Barrett, Collette, & Ekstrand, 1996; Hoff et al, 1997; Hope & MacArthur, 1998; Kippax, Crawford, Davis, Rodden, & Dowsett, 1993; Schmidt, Fouchard, Krasnik, & Zoffmann, 1992). Recent studies confirm high rates of unprotected sex among gay couples (Crawford et al, 2006; Davidovich et al, 2001; Stolte, Dukers, Geskus, Coutinho, & de Wit, 2004; Xiridou, Geskus, De Wit, Coutinho, & Kretzschmar, 2003).…”

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confidence: 93%

Serostatus Differences and Agreements About Sex With Outside Partners Among Gay Male Couples

Hoff

Chakravarty

Beougher

et al. 2009

AIDS Education and Prevention

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This paper describes agreements gay male couples make about sex outside the relationship and how the process of making those agreements, and their perceived quality, varies depending on couple serostatus. Data include 191 couples recruited in the San Francisco Bay Area from June to December, 2004. Monogamous agreements were reported by 56% of participants in concordant negative, 47% in concordant positive, and 36% in discordant relationships. The remaining participants reported agreements allowing sex with outside partners in some form. Agreement quality was lowest among men in discordant relationships. Overall, few (30%) reported breaking their agreements; only half of whom reported disclosing those breaks to their partners. Although differences in agreement type, quality, and satisfaction were found among the three couple serostatus groups, rates of breaks and their disclosure did not vary significantly by group. Future HIV prevention efforts aimed at couples must integrate both couple serostatus and relationship-based issues. Keywordsgay male couples; HIV prevention; sexual agreements; relationship factors Over the past two decades gay men in the U.S. have been decimated by the AIDS epidemic. New infections continue to occur among gay men in San Francisco and nationally (MMWR, 2008,). For example, estimated HIV prevalence in San Francisco increased from 19.6% in 1997 to 26.8% in 2002(Osmond, Pollack, Paul, & Catania, 2007 suggesting that current HIV prevention efforts fall one step behind the pace of the HIV epidemic. As the epidemic continues, the scope of prevention efforts needs to expand to address important interpersonal issues that may contribute to HIV risk among gay men. To address this gap, we investigated the types of agreements that gay male couples make about sex with each other, whether or not they allow sex with outside partners, and how these agreements vary by couple serostatus. We also examined the quality of these agreements, and whether or not they were broken. Understanding that many gay men make sexual decisions in the context of a relationship is necessary to inform future prevention efforts with gay men.Throughout the epidemic, the majority of HIV prevention efforts targeting gay men have focused on the individual. These efforts have been guided by several theories of behavior change including: the health belief model (Becker, 1974;Janz & Becker, 1984), the AIDS Risk Reduction Model (Catania, Kegeles, & Coates, 1990) Harlow, Rossi, & Velicer, 1994), and the Theory of Reasoned Action (Fishbein & Ajzen, 1975). Prevention approaches guided by individual-focused theories of behavior change have successfully reduced HIV risk (Kalichman et al., 2001;Kelly & Kalichman, 2002;Stall, Hays, Waldo, Ekstrand, & McFarland, 2000).However, while most prevention efforts were based on the individual's levels of change, the proportion of HIV infections attributed to primary partners rose from 15% in the mid-1980s to 67% in the late 1990s (Davidovich et al., 2001). Another study reported that 27%...

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“…Specifically, compared to sexually active single gay men, gay men in relationships reported substantially higher rates of UAI with their primary partners, particularly when their partner was of the same serostatus (Bosga et al 1995; Cáceres and Rosasco 1997; Connell et al, 1989; Crawford et al, 2006; Davidovich et al, 2001; Ekstrand, Stall, Paul, Osmond, & Coates, 1999; Elford, Bolding, Maguire, & Sherr 1999; Fitzpatrick, McLean, Dawson, Boulton, & Hart, 1990; Hays, Kegeles, & Coates, 1990, 1997; Hoff, Coates, Barrett, Collette, & Ekstrand, 1996; Hoff et al 1997; Hope and MacArthur, 1998; Kippax, Crawford, Davis, Rodden, & Dowsett, 1993; Martin, Dean, Garcia, & Hall, 1989; McKusick, Coates, Morin, Pollack, & Hoff, 1990; Schmidt, Fouchard, Krasnik, & Zoffman, 1992; Stall, Ekstrand, Pollack, McKusick, & Coates, 1990; Stolte, Dukers, Geskus, Coutinho, & de Wit, 2004; Valdiserri et al, 1988; Xiridou et al, 2003). …”

Section: Introductionmentioning

confidence: 99%

Development and Validation of the Sexual Agreement Investment Scale

Neilands

Chakravarty

Darbes

et al. 2010

Journal of Sex Research

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Sexual behaviour related to psycho-social factors in a population of Danish homosexual and bisexual men

Cited by 15 publications

References 29 publications

Examining the role of partner status in an HIV prevention trial targeting HIV-positive gay and bisexual men: the seropositive urban men’s intervention trial (SUMIT)

Examining the role of partner status in an HIV prevention trial targeting HIV-positive gay and bisexual men: the seropositive urban men’s intervention trial (SUMIT)

Serostatus Differences and Agreements About Sex With Outside Partners Among Gay Male Couples

Development and Validation of the Sexual Agreement Investment Scale

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