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AIDS and Behavior
Published in: AIDS and Behavior 7/2014

01-07-2014 | Original Paper

A Cause for Concern: Male Couples’ Sexual Agreements and Their Use of Substances with Sex

Authors: Jason W. Mitchell, Carol Boyd, Sean McCabe, Rob Stephenson

Published in: AIDS and Behavior | Issue 7/2014

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Abstract

Substance use is strongly associated with HIV risk among gay men. Many gay couples establish sexual agreements. However, little is known about gay couples’ use of substances with sex, and whether substance use is associated with couples’ agreements. The present study assessed whether gay couples’ use of substances with sex was associated with their establishment of, type of, and adherence to, a sexual agreement. Dyadic data from 275 HIV-negative US gay couples were collected online in a nation-wide, cross-sectional study, and analyzed at the couple-level. Findings revealed that couples with an established agreement, and a recently broken agreement, were more likely to have used amyl nitrates and marijuana with sex within their relationship. This same trend was also noted, but for alcohol use with sex outside of couples’ relationships. Further research is urgently needed to examine the fluidity of HIV-negative gay male couples’ sexual agreements and substance use with sex.
Literature
1.
2.
Goodreau SM, Carnegie NB, Vittinghoff E, et al. What drives the US and Peruvian epidemics in men who have sex with men (MSM)? PLoS ONE. 2012;7(11):e50522.PubMedCentralPubMedCrossRef
3.
Sullivan PS, Salazar L, Buchbinder S, Sanchez TH. Estimating the proportion of HIV transmissions from main sex partners among men who have sex with men in five US cities. AIDS. 2009;23:1153–62.PubMedCrossRef
4.
5.
6.
Kippax S, Crawford J, Davis M, Rodden P, Dowsett G. Sustaining safer sex: a longitudinal study of a sample of homosexual men. AIDS. 1993;7:257–63.PubMedCrossRef
7.
Kippax S, Nobel J, Prestage G, et al. Sexual negotiation in the AIDS era: negotiated safety revisited. AIDS. 1997;11:191–7.PubMedCrossRef
8.
Jin F, Crawford J, Prestage GP, et al. HIV risk reductions behaviors on gay men: unprotected anal intercourse, risk reduction behaviours, and subsequent HIV infection in a cohort of homosexual men. AIDS. 2009;23(2):243–52.PubMedCentralPubMedCrossRef
9.
Gass K, Hoff CC, Stephenson R, Sullivan PS. Sexual agreements in the partnerships of Internet-using men who have sex with men. AIDS Care. 2012;24(10):1255–63.PubMedCentralPubMedCrossRef
10.
Gomez AM, Beougher SC, Chakravarty D, et al. Relationship dynamics as predictors of broken agreements about outside sexual partners: implications for HIV prevention among gay couples. AIDS Behav. 2012;16(6):1584–8.PubMedCrossRef
11.
Hoff CC, Beougher SC, Chakravarty D, Darbes LA, Neilands TB. Relationship characteristics and motivations behind agreements among gay male couples: differences by agreement types and couples serostatus. AIDS Care. 2010;22(7):827–35.PubMedCentralPubMedCrossRef
12.
Hoff CC, Chakravarty D, Beougher SC, Neilands TB, Darbes LA. Relationship characteristics associated with sexual risk behavior among MSM in committed relationships. AIDS Patient Care STDS. 2012;26(12):738–45.PubMedCentralPubMedCrossRef
13.
Hoff CC, Chakravarty D, Beougher SC, et al. Serostatus differences and agreements about sex with outside partners among gay male couples. AIDS Educ Prev. 2009;21(1):25–38.PubMedCentralPubMedCrossRef
14.
LaSala MC. Extradyadic sex and gay male couples: comparing monogamous and nonmonogamous relationships. Fam Soc. 2004;85(3):405–12.CrossRef
15.
LaSala MC. Monogamy of the heart: extradyadic sex and gay male couples. J Gay Lesbian Soc Serv. 2004;17(3):1–24.CrossRef
16.
Mitchell JW, Harvey SM, Champeau D, Moskowitz DA, Seal DW. Relationship factors associated with gay male couples’ concordance on aspects of their sexual agreements: establishment, type, and adherence. AIDS Behav. 2012;16(6):1560–9.PubMedCrossRef
17.
Mitchell JW, Harvey SM, Champeau D, Seal DW. Relationship factors associated with HIV risk among a sample of gay male couples. AIDS Behav. 2012;16(2):404–11.PubMedCrossRef
18.
Mitchell JW, Petroll AE. Factors associated with men in HIV-negative gay couples who practiced UAI within and outside of their relationship. AIDS Behav. 2012;17(4):1329–37.CrossRef
19.
Parsons JT, Starks TJ, DuBois S, Grov C, Golub SA. Alternatives to monogamy among gay male couples in a community survey: implications for mental health and sexual risk. Arch Sex Behav. 2013;42(2):303–12.PubMedCrossRef
20.
Parsons JT, Starks TJ, Gamarel KE, Grov C. Non-monogamy and sexual relationship quality among same-sex male couples. J Fam Psychol. 2012;26(5):669–77.PubMedCrossRef
21.
Wheldon CW, Pathak EB. Masculinity and relationship agreements among male same-sex couples. J Sex Res. 2010;47(5):460–70.PubMedCrossRef
22.
Carey JW, Mejia R, Bingham T, et al. Drug use, high-risk sex behaviors, and increased risk for recent HIV infection among men who have sex with men in Chicago and Los Angeles. AIDS Behav. 2009;13(6):1084–96.PubMedCrossRef
23.
Dirks H, Esser S, Borgmann R, et al. Substance use and sexual risk behavior among HIV-positive men who have sex with men in specialized out-patient clinics. HIV Med. 2012;13(9):533–40.PubMed
24.
Heath J, Lanoye A, Maisto SA. The role of alcohol and substance use in risky sexual behavior among older men who have sex with men: a review and critique of the current literature. AIDS Behav. 2012;16(3):578–89.PubMedCentralPubMedCrossRef
25.
Hirschfield A, Remien RH, Humberstone M, Walavalkar I, Chiasson MA. Substance use and high-risk sex among men who have sex with men: a national online study in the USA. AIDS Care. 2004;16(8):1036–47.CrossRef
26.
Mansergh G, Colfax GN, Marks G, Rader M, Guzman R, Buchbinder S. The Circuit Party Men’s Health Survey: findings and implications for gay and bisexual men. Am J Public Health. 2001;91(6):953–8.PubMedCentralPubMed
27.
Mansergh G, Flores SA, Koblin B, Hudson SM, McKirnan DJ, Colfax GN. Alcohol and drug use in the context of anal sex and other factors associated with sexually transmitted infections: results from a multi-city study of high-risk men who have sex with men in the USA. Sex Transm Infect. 2008;84(6):509–11.PubMedCrossRef
28.
Prestage G, Grierson J, Bradley J, Hurley M, Hudson J. The role of drugs during group sex among gay men in Australia. Sex Health. 2009;6(4):310–7.PubMedCrossRef
29.
Prestage G, Jin F, Kippax S, Zablotska I, Imrie J, Grulich A. Use of illicit drugs and erectile dysfunction medications and subsequent HIV infection among gay men in Sydney, Australia. J Sex Med. 2009;6(8):2311–20.PubMedCrossRef
30.
Stall R, Paul JP, Greenwood G, et al. Alcohol use, drug use and alcohol-related problems among men who have sex with men: the Urban Men’s Health Study. Addiction. 2001;96(11):1589–601.PubMedCrossRef
31.
Prestage G, Degenhardt L, Jin F, et al. Predictors of frequent use of amphetamine type stimulants among HIV-negative gay men in Sydney, Australia. Drug Alcohol Depend. 2007;91(2–3):260–8.PubMedCentralPubMedCrossRef
32.
Aguinaldo JP, Myers T, Ryder K, Haubrich DJ, Calzavara L. Accounts of HIV seroconversion among substance-using gay and bisexual men. Qual Health Res. 2009;19(10):1395–406.PubMedCrossRef
33.
Koblin BA, Husnik MJ, Colfax G, et al. Risk factors for HIV infection among men who have sex with men. AIDS. 2006;20(5):731–9.PubMedCrossRef
34.
Ostrow DG, Plankey MW, Cox C, et al. Specific sex drug combinations contribute to the majority of recent HIV seroconversions among MSM in the MACS. J Acquir Immune Defic Syndr. 2009;51(3):349–55.PubMedCentralPubMedCrossRef
35.
Ostrow DG, Stall R. Alcohol, tobacco, and drug use among gay and bisexual men. In: Wolitski RJ, Stall R, Valdiserri RO, editors. Unequal opportunity. Oxford: Oxford University Press; 2008.
36.
Santos GM, Das M, Colfax GN. Interventions for non-injection substance use among US men who have sex with men: what is needed? AIDS Behav. 2001;15(Suppl 1):S51–6.
37.
38.
39.
Mitchell JW, Horvath K. Factors associated with regular HIV testing among a sample of US MSM with HIV-negative main partners. J Acquir Immune Defic Syndr. 2013;64(4):417–23.PubMedCrossRef
40.
Mitchell JW. Gay male couples’ attitudes toward using couples-based voluntary HIV counseling and testing. Arch Sex Behav. 2014;43(1):161–71.PubMedCrossRef
41.
Mitchell JW. HIV-negative and HIV-discordant gay male couples’ use of HIV risk-reduction strategies: differences by partner type and couples’ HIV-status. AIDS Behav. 2013;17(4):1557–69.PubMedCrossRef
42.
Higa DH, Crepz N, Marshall KL. A systematic review to identify challenges of demonstrating efficacy of HIV behavioral interventions for gay, bisexual, and other men who have sex with men. AIDS Behav. 2013;17(4):1231–44.PubMedCrossRef
43.
Jenkins RA. Recruiting substance-using men who have sex with men into HIV prevention research: current status and future directions. AIDS Behav. 2013;16(6):1411–9.CrossRef
44.
Knight KR, Das M, DeMicco E, et al. A roadmap for adapting an evidence-based HIV prevention intervention: personal cognitive counseling (PCC) for episodic substance-using men who have sex with men. Prev Sci. 2013. doi:10.​1007/​s11121-013-0364-z.
45.
Kurtz SP, Stall RD, Buttram ME, Surratt HL, Chen M. A randomized trial of a behavioral intervention for high risk substance-using MSM. AIDS Behav. 2013;17(9):2914–26.PubMedCrossRef
46.
Mansergh G, Koblin BA, McKirnan DJ, et al. An intervention to reduce HIV risk behavior of substance-using men who have sex with men: a two-group randomized trial with a nonrandomized third group. PLoS Med. 2010;7(8):e1000329.PubMedCentralPubMedCrossRef
47.
Vosburgh HW, Mansergh G, Sullivan PS, Purcell DW. A review of the literature on event-level substance use and sexual risk behavior among men who have sex with men. AIDS Behav. 2012;16(6):1394–410.PubMedCrossRef
48.
Zuckerman M. Behavioral expressions and biosocial bases of sensation seeking. Cambridge: Cambridge University Press; 1994.
49.
Newcomb ME, Clerkin EM, Mustanski B. Sensation seeking moderates the effects of alcohol and drug use prior to sex on sexual risk in young men who have sex with men. AIDS Behav. 2011;15(3):565–75.PubMedCrossRef
50.
Burton J, Darbes LA, Operario D. Couples-focused behavioral interventions for prevention of HIV: systematic review of the state of evidence. AIDS Behav. 2010;14(1):1–10.PubMedCentralPubMedCrossRef
51.
El-Bassel N, Gilbert L, Witte S, et al. Couples-based HIV prevention in the United States: advantages, gaps and future directions. J Acquir Immune Defic Syndr. 2010;55(2):S98–101.PubMedCrossRef
52.
Herbst JH, Beeker C, Mathew A, et al. The effectiveness of individual-, group-, and community-level HIV behavioral risk-reduction interventions for adult men who have sex with men. Am J Prev Med. 2007;32:38–67.CrossRef
Metadata
Title
A Cause for Concern: Male Couples’ Sexual Agreements and Their Use of Substances with Sex
Authors
Jason W. Mitchell
Carol Boyd
Sean McCabe
Rob Stephenson
Publication date
01-07-2014
Publisher
Springer US
Published in
AIDS and Behavior / Issue 7/2014
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-014-0736-9

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