Sexual Agreements Among Gay Male Couples
Sexual Agreements Among Gay Male Couples
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DOI：
10.1007/s10508-008-9393-2
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发表时间：
2010-06-01
影响因子：
3.8
通讯作者：
Beougher, Sean C.
中科院分区：
文献类型：
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作者：
Hoff, Colleen C.;Beougher, Sean C.
许多男同性恋伴侣就是否允许与外部伴侣发生性关系达成协议，但人们对这些协议的发展和维持、对关系的影响以及它们是否是有效的艾滋病毒预防策略知之甚少。使用半结构化，定性访谈，39男同性恋伴侣被问及他们的性协议和其他关系动态，可能会影响他们的协议。分析表明，协议类型范围广泛，所有这些都是沿着一个连续的，而不是作为离散的类别。对于有公开协议的夫妇，大多数人都制定了规则或条件，限制何时，何地，多久，以及与谁发生性关系。尽管达成协议的动机各不相同，但预防艾滋病毒并不是任何夫妇的首要因素。大多数夫妇有一致的协议，但是，少数报告的差异，可能会增加艾滋病毒传播的风险。夫妻双方如何处理协议的破裂也各不相同，这取决于什么条件被打破，是否被披露，以及伴侣的反应。其他结果包括协议类型和动机的差异，有一个协议的基础上夫妇血清状态。总的来说，协议通过为关系提供边界，支持非异性恋身份，满足夫妇的性需求而使夫妇受益。未来涉及同性恋伴侣的预防工作必须解决协议类型的范围以及伴侣赋予它们的含义，此外还必须将安全信息与对同性恋伴侣很重要并面临的关系问题相结合。
Many gay male couples make agreements about whether or not to permit sex with outside partners, yet little is known about the development and maintenance of these agreements, their impact on relationships, and whether they are an effective HIV prevention strategy. Using semi-structured, qualitative interviews, 39 gay male couples were asked about their sexual agreements and about other relationship dynamics that might affect their agreements. Analysis revealed a wide range of agreement types, all of which are presented along a continuum rather than as discrete categories. For couples with open agreements, most placed rules or conditions limiting when, where, how often, and with whom outside sex was permitted. Although motivations for having agreements varied, HIV prevention did not rank as a primary factor for any couple. Most couples had congruous agreements; however, a small number reported discrepancies which may increase HIV transmission risk. How couples handled breaks in their agreements also varied, depending on what condition was broken, whether it was disclosed, and the partner's reaction. Additional results include differences in agreement type and motivations for having an agreement based on couple serostatus. Overall, agreements benefited couples by providing boundaries for the relationship, supporting a non-heteronormative identity, and fulfilling the sexual needs of the couple. Future prevention efforts involving gay couples must address the range of agreement types and the meanings couples ascribe to them, in addition to tempering safety messages with the relationship issues that are important to and faced by gay couples.