Relationship characteristics and motivations behind agreements among gay male couples: differences by agreement type and couple serostatus.
Relationship characteristics and motivations behind agreements among gay male couples: differences by agreement type and couple serostatus.
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DOI：
10.1080/09540120903443384
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发表时间：
2010-07
期刊：
影响因子：
1.7
通讯作者：
Neilands TB
中科院分区：
文献类型：
--
作者：
Hoff CC;Beougher SC;Chakravarty D;Darbes LA;Neilands TB
有恋情的男同性恋者在预防艾滋病毒的努力中往往被忽视，但许多人从事性行为，增加了他们感染艾滋病毒的风险，一些人因此转换了血清。虽然同性恋男性关系的不同方面已经被研究过，如性协议、关系特征和夫妇血清状态，但很少有研究将这些因素结合在一起来检查这一人群的艾滋病毒风险。本研究从旧金山湾区招募了566对男同性恋伴侣，研究他们的性行为协议、达成协议背后的动机以及其他关系特征，如协议投资、关系满意度、亲密关系和沟通。参与者用一系列达成协议的理由对他们的同意程度进行了评分。他们还使用标准工具对关系特征进行了测量。按协议类型(一夫一妻制、开放、不一致)和夫妻血清状态(一致阴性、一致阳性、不一致)进行分析。大多数人报告明确讨论了他们的协议，几乎相同数量的人报告说他们处于一夫一妻制和开放的关系中。一小部分人(8%)报告了不一致的协议。在所有协议类型和血清状态组中，艾滋病毒预防作为协议的激励因素落后于每一个面向基于关系的因素的激励因素。只有和睦的消极夫妇支持艾滋病毒和性传播疾病的预防，这是他们达成协议的主要动机。在几个人际关系特征上的平均得分差异很大。一夫一妻制的夫妻在大多数关系特征上得分更高，尽管一夫一妻制和开放式协议的夫妻在关系满意度上没有差异。与和谐、消极和不和谐的夫妇相比，和谐积极的夫妇得分明显较低。协议、协议背后的动机以及与协议相关的关系特征是男同性恋关系的重要组成部分。当按协议类型和夫妻血清状态进行检查时，出现了重要的差异，必须考虑这些差异，以提高未来同性恋夫妇艾滋病毒预防工作的有效性。
Gay men in relationships are often overlooked in HIV prevention efforts, yet many engage in sexual behaviors that increase their HIV risk and some seroconvert as a result. While different aspects of gay male relationships have been studied, such as sexual agreements, relationship characteristics, and couple serostatus, little research combines these elements to examine HIV risk for this population. The present study recruited 566 gay male couples from the San Francisco Bay Area to study their sexual agreements, motivations behind making agreements, and other relationship characteristics, such as agreement investment, relationship satisfaction, intimacy, and communication. Participants rated their level of concurrence with a set of reasons for making their agreements. They were also measured on relationship characteristics using standard instruments. Analyses were conducted by agreement type (monogamous, open, discrepant) and couple serostatus (concordant negative, concordant positive, discordant). A majority reported explicitly discussing their agreements and nearly equal numbers reported being in monogamous and open relationships. A small number (8%) reported discrepant agreements. Across all agreement type and serostatus groups, HIV prevention as a motivator for agreements fell behind every motivator oriented toward relationship-based factors. Only concordant negative couples endorsed HIV and STD prevention among their top motivators for making an agreement. Mean scores on several relationship characteristics varied significantly. Couples with monogamous agreements had higher scores on most relationship characteristics, although there was no difference in relationship satisfaction between couples with monogamous and open agreements. Scores for concordant positive couples were distinctly lower compared to concordant negative and discordant couples. Agreements, the motivations behind them, and the relationship characteristics associated with them are an important part of gay male relationships. When examined by agreement type and couple serostatus, important differences emerge that must be taken into account to improve the effectiveness of future HIV prevention efforts with gay couples.
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影响因子：
1.4
作者：
Crawford, JM;Rodden, P;Van de Ven, P
通讯作者：
Van de Ven, P
影响因子：
1.4
作者：
Díaz, RM;Morales, ES;Rodríguez, RA
通讯作者：
Rodríguez, RA
DOI：
10.1521/aeap.2009.21.1.25
发表时间：
2009-02
期刊：
AIDS education and prevention : official publication of the International Society for AIDS Education
影响因子：
--
作者：
Hoff CC;Chakravarty D;Beougher SC;Darbes LA;Dadasovich R;Neilands TB
通讯作者：
Neilands TB
DOI：
10.2307/350547
发表时间：
1976-01-01
期刊：
JOURNAL OF MARRIAGE AND THE FAMILY
影响因子：
--
作者：
SPANIER, GB
通讯作者：
SPANIER, GB
影响因子：
5.9
作者：
CHRISTENSEN, A;SHENK, JL
通讯作者：
SHENK, JL