Sociology Department, Temple University, 717 Gladfelter Hall, 1115 W Polett Walk, Philadelphia, PA, 19122, USA.
Applied Health Science, Indiana University-Bloomington, Bloomington, IN, USA.
Arch Sex Behav. 2018 Jul;47(5):1439-1450. doi: 10.1007/s10508-018-1178-7. Epub 2018 Apr 25.
People in open and other consensually nonmonogamous partnerships have been historically underserved by researchers and providers. Many studies group such partnerships together with nonconsensual nonmonogamy (NCNM) under the banner of "concurrent sexual partnerships." Discrimination from service providers poses a substantial barrier to care. Responding to such concerns, this investigation explored sociodemographic correlates with open relationships and associations between relationship structure and sexual risk, HIV/STI testing, and relationship satisfaction in a nationally representative probability sample. Data were drawn from the 2012 National Survey of Sexual Health and Behavior (n = 2270). We used multinomial logistic regression to identify correlates with relationship structure, and linear and logistic regression to investigate associations between relationship structure and testing, condom use, and relationship satisfaction. Eighty-nine percent of participants reported monogamy, 4% reported open relationships, and 8% reported NCNM. Males, gay/lesbian individuals, bisexual individuals, and those who identified as "Other, Non-Hispanic" were more likely to report open relationships. Bisexual individuals and Black, Non-Hispanic participants were more likely to report NCNM; older participants were less likely to do so. Participants in open relationships reported more frequent condom use for anal intercourse and lower relationship satisfaction than monogamous participants. NCNM participants reported more HIV testing and lower satisfaction. Identities, experiences, and behaviors within open and other consensually nonmonogamous populations should be regarded as unique and diverse, rather than conflated with those common to other relationship structures. There is a need for greater awareness of diverse relationship structures among researchers and providers, and incorporation of related content into educational programming.
在历史上，开放和其他双方同意的非一夫一妻制关系中的人一直被研究人员和提供者所忽视。许多研究将这种伴侣关系与非自愿的非一夫一妻制（NCNM）一起归类为“同时发生的性伴侣关系”。来自服务提供者的歧视对护理构成了重大障碍。为了回应这些担忧，本研究在全国代表性的概率样本中，探讨了与开放关系相关的社会人口统计学因素，以及关系结构与性风险、HIV/性传播感染（STI）检测和关系满意度之间的关联。数据来自 2012 年全国性健康和性行为调查（n=2270）。我们使用多项逻辑回归来确定与关系结构相关的因素，并使用线性和逻辑回归来调查关系结构与检测、避孕套使用和关系满意度之间的关联。89%的参与者报告了一夫一妻制，4%报告了开放关系，8%报告了 NCNM。男性、男同性恋者、双性恋者和那些自称为“其他，非西班牙裔”的人更有可能报告开放关系。双性恋者和黑人、非西班牙裔参与者更有可能报告 NCNM；年龄较大的参与者则不太可能这样做。与一夫一妻制参与者相比，报告开放关系的参与者更频繁地报告肛交时使用避孕套，关系满意度也较低。NCNM 参与者报告了更多的 HIV 检测和较低的满意度。开放和其他双方同意的非一夫一妻制人群中的身份、经历和行为应被视为独特和多样化的，而不是与其他关系结构共有的。研究人员和提供者需要更加了解不同的关系结构，并将相关内容纳入教育计划。
