Characterizing Sexual Agreements With One's Most Recent Sexual Partner Among Young Men Who Have Sex With Men

Author:

Feinstein Brian A.1,Dellucci Trey V.2,Sullivan Patrick S.3,Mustanski Brian4

Affiliation:

1. Northwestern University Institute for Sexual and Gender Minority Health and Wellbeing, Chicago, Illinois.

2. Center for HIV Educational Studies and Training, Hunter College of the City University of New York, and the Health Psychology and Clinical Science Doctoral Training Program, Graduate Center of the City University of New York.

3. Rollins School of Public Health, Emory University, Atlanta, Georgia.

4. Northwestern University Institute for Sexual and Gender Minority Health and Wellbeing, and the Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine.

Abstract

Men who have sex with men (MSM) often create sexual agreements with their partners, but little is known about agreements with serious versus causal partners. We used data from 472 young MSM to examine agreements with one's most recent partner, individual differences across types of partnerships and agreements, and predictors of condomless anal sex (CAS). Two-thirds of participants did not have agreements. Monogamous agreements were most common among those who were seriously dating their partner, but also present among those who were casually dating their partner and those who were not dating their partner. Participants who were seriously dating their partner reported the most frequent sexual health communication. Participants without agreements reported the lowest frequency of and comfort with sexual health communication. Participants who were seriously dating their partner and those with monogamous agreements were most likely to report CAS. HIV prevention should address communication with serious and casual partners.

Publisher

Guilford Publications

Subject

Infectious Diseases,Public Health, Environmental and Occupational Health,Health (social science)

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