Hoff Colleen C, Chakravarty Deepalika, Beougher Sean C, Darbes Lynae A, Dadasovich Rand, Neilands Torsten B
Center for Research on Gender and Sexuality, San Francisco State University, 835 Market Street, Suite 517, San Francisco, CA 94103, USA.
AIDS Educ Prev. 2009 Feb;21(1):25-38. doi: 10.1521/aeap.2009.21.1.25.
This article 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.
本文描述了男同性恋伴侣就关系外性行为所达成的协议，以及达成这些协议的过程及其感知质量如何因伴侣的血清学状态而异。数据包括2004年6月至12月在旧金山湾区招募的191对伴侣。在血清学结果一致为阴性的参与者中，56%报告了实行一夫一妻制协议；血清学结果一致为阳性的参与者中，这一比例为47%；血清学结果不一致的参与者中，这一比例为36%。其余参与者报告达成了允许以某种形式与关系外伴侣发生性行为的协议。血清学结果不一致的伴侣中，男性对协议的满意度最低。总体而言，很少有参与者（30%）报告违反协议；其中只有一半人报告向伴侣披露了这些违约行为。尽管在三种伴侣血清学状态组之间发现了协议类型、质量和满意度的差异，但违约率及其披露情况在各组之间没有显著差异。未来针对伴侣的艾滋病预防工作必须兼顾伴侣的血清学状态和基于关系的问题。
