What you don’t know can hurt you: Perceptions of sex-partner concurrency and partner-reported behavior

Lenoir, Chavonne D.; Adler, Nancy E.; Borzekowski, Dina L. G.; Tschann, Jeanne M.; Ellen, Jonathan M.

doi:10.1016/j.jadohealth.2005.01.012

Cited by 75 publications

(63 citation statements)

References 25 publications

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“…One recent study of concurrency among 90 adolescent African-American heterosexual couples found that 16–37% of individuals who perceived that their partners were sexually exclusive were involved with partners who were not exclusive when interviewed separately [50]. In this study, elements of the relationship predicted accuracy.…”

Section: A Dyadic Framework For Hiv-preventionmentioning

confidence: 61%

“…In this study, elements of the relationship predicted accuracy. Partners in relationships longer than 6 months and partners reporting more closeness were more likely to report each other’s concurrent activities accurately [50]. Thus, intervention strategies that increase trust and improve communication may put partners in a better position to acknowledge each other’s concurrent partners and take appropriate precautions, even if they do not target concurrency explicitly.…”

Section: A Dyadic Framework For Hiv-preventionmentioning

confidence: 99%

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A Framework for Incorporating Dyads in Models of HIV-Prevention

et al. 2010

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Although HIV is contracted by individuals, it is typically transmitted in dyads. Most efforts to promote safer sex practices, however, focus exclusively on individuals. The goal of this paper is to provide a theoretical framework that specifies how models of dyadic processes and relationships can inform models of HIV-prevention. At the center of the framework is the proposition that safer sex between two people requires a dyadic capacity for successful coordination. According to this framework, relational, individual, and structural variables that affect the enactment of safer sex do so through their direct and indirect effects on that dyadic capacity. This dyadic perspective does not require an ongoing relationship between two individuals; rather, it offers a way of distinguishing between dyads along a continuum from anonymous strangers (with minimal coordination of behavior) to long-term partners (with much greater coordination). Acknowledging the dyadic context of HIV-prevention offers new targets for interventions and suggests new approaches to tailoring interventions to specific populations.

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Section: A Dyadic Framework For Hiv-preventionmentioning

confidence: 61%

Section: A Dyadic Framework For Hiv-preventionmentioning

confidence: 99%

A Framework for Incorporating Dyads in Models of HIV-Prevention

et al. 2010

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“…Yet for many people, even that definition is highly suspect (Lenoir, Adler, Borzekowski, Tschann, & Ellen, 2006). For example, across studies of unmarried young adults in ''monogamous'' relationships, infidelity rates seem to average about 33%, with a range of 20% to 57% (Eyre, Flythe, Hoffman & Fraser, 2012;Netting & Burnett, 2004;Vail-Smith, Whetstone, & Knox, 2010;Warren et al, 2012).…”

Section: Monogamymentioning

confidence: 99%

Monogamy, the Protective Fallacy: Sexual versus Emotional Exclusivity and the Implication for Sexual Health Risk

Swan

Thompson

2015

The Journal of Sex Research

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The authors examined the hypothesis that many individuals define monogamy based on emotional rather than sexual fidelity. Participants, 373 heterosexual college students and 282 gay men, read three vignettes of decreasing mitigation in which they imagined committing an act of infidelity against a hypothetical partner and where half the participants were cued to their emotional attachment toward the partner. Despite the infidelity, relationships in the emotional attachment-cued vignettes were rated as monogamous to a greater degree than relationships in the vignettes where emotional attachment was not cued. In addition, over one-third of the participants in our study reported infidelity in their current self-defined monogamous relationships yet also reported feeling more protected from sexual health risks and reported less condom use than individuals who defined their relationship as nonmonogamous. The implications for monogamy as a protective fallacy are discussed.

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“…Questions similar to the ones we propose have been asked previously in couples' surveys in the US (e.g., [58]) and in sub-Saharan settings [53, 59, 60]. They have however only been used to investigate whether individuals are aware of their partners' sexual networks [58, 61] or assess whether partners agree on reports of couple-level risk behaviors, e.g., date of last sex or condom use [53, 59, 62, 63]. They have not been used to improve the measurement of CPs and inferences about the effects of CPs on HIV outcomes.…”

Section: Introductionmentioning

confidence: 99%

A New Approach to Measuring Partnership Concurrency and its Association with HIV Risk in Couples

2014

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Empirical estimates of the association between concurrent partnerships (CP) and HIV risk are affected by non-sampling errors in survey data on CPs, e.g., because respondents misreport the extent of their CPs. We propose a new approach to measuring CPs in couples, which permits assessing how respondent errors affect estimates of the association between CPs and HIV risk. Each couple member is asked (1) to report whether s/he has engaged in CPs and (2) to assess whether his/her partner has engaged in CPs, since their couple started. Cross-tabulating these data yields multiple classifications (with varying combinations of sensitivity/specificity) of the CPs of each couple member. We then measure the association between CPs and HIV outcomes according to each classification. The resulting range of estimates is an indicator of the uncertainty associated with respondent errors. We tested this approach using data on 520 matched couples drawn from the Likoma Network Study. Results suggest that existing tests of the concurrency hypothesis are affected by significant uncertainty.

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What you don’t know can hurt you: Perceptions of sex-partner concurrency and partner-reported behavior

Cited by 75 publications

References 25 publications

A Framework for Incorporating Dyads in Models of HIV-Prevention

A Framework for Incorporating Dyads in Models of HIV-Prevention

Monogamy, the Protective Fallacy: Sexual versus Emotional Exclusivity and the Implication for Sexual Health Risk

A New Approach to Measuring Partnership Concurrency and its Association with HIV Risk in Couples

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