Relationship Dynamics as Predictors of Broken Agreements About Outside Sexual Partners: Implications for HIV Prevention Among Gay Couples
Relationship Dynamics as Predictors of Broken Agreements About Outside Sexual Partners: Implications for HIV Prevention Among Gay Couples
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DOI：
10.1007/s10461-011-0074-0
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发表时间：
2012-08-01
影响因子：
4.4
通讯作者：
Hoff, Colleen C.
中科院分区：
文献类型：
--
作者：
Gomez, Anu Manchikanti;Beougher, Sean C.;Hoff, Colleen C.
与外部伴侣达成性协议在同性恋伴侣中很常见，违反这些协议可能表明存在艾滋病毒风险。我们使用 263 名 HIV 阴性且不一致的同性恋伴侣的纵向调查数据，调查了关系动态是否与协议破裂有关。 23% 的受访者表示协议被破坏。信任、沟通、承诺和社会支持水平较高的合作伙伴报告违反协议的可能性要小得多。作为同性恋伴侣艾滋病毒预防干预措施的一部分，促进积极的关系动态可以最大限度地减少协议破裂的发生，并最终降低艾滋病毒风险。
Agreements about sex with outside partners are common among gay couples, and breaks in these agreements can be indicative of HIV risk. Using longitudinal survey data from both partners in 263 HIV-negative and -discordant gay couples, we investigate whether relationship dynamics are associated with broken agreements. Twenty-three percent of respondents reported broken agreements. Partners with higher levels of trust, communication, commitment, and social support were significantly less likely to report breaking their agreement. Promoting positive relationship dynamics as part of HIV prevention interventions for gay couples provides the opportunity to minimize the occurrence of broken agreements and, ultimately, reduce HIV risk.