Feinstein Brian A, Dellucci Trey V, Sullivan Patrick S, Mustanski Brian
Northwestern University Institute for Sexual and Gender Minority Health and Wellbeing, Chicago, Illinois.
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.
AIDS Educ Prev. 2018 Aug;30(4):335-349. doi: 10.1521/aeap.2018.30.4.335.
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.
与男性发生性关系的男性（男男性行为者）常常会与伴侣达成性协议，但对于与认真交往的伴侣和随意交往的伴侣所达成的协议，我们却知之甚少。我们利用来自472名年轻男男性行为者的数据，来研究与最近一位伴侣达成的协议、不同类型伴侣关系和协议中的个体差异，以及无保护肛交（CAS）的预测因素。三分之二的参与者没有达成协议。一夫一妻制协议在那些与伴侣认真约会的人中最为常见，但在那些与伴侣随意约会的人和那些没有与伴侣约会的人中也存在。与伴侣认真约会的参与者报告说性健康交流最为频繁。没有达成协议的参与者报告说性健康交流的频率最低，且交流时最不自在。与伴侣认真约会的参与者和达成一夫一妻制协议的参与者最有可能报告无保护肛交。艾滋病预防应涉及与认真交往和随意交往的伴侣的交流。
