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Drug Use and Sexual Arrangements Among Gay Couples: Frequency, Interdependence, and Associations with Sexual Risk

  • Special Section: Sexual Health in Gay and Bisexual Male Couples
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Abstract

Rates of drug use among gay men are higher than their heterosexual counterparts and drug use is a prominent risk factor for HIV transmission. Studies using heterosexual samples have found that being partnered reduces the risk of drug use and individuals in a relationship tend to have similar use patterns. Studies among gay men suggest that sexual agreements may be an important predictor of drug use. Data from 322 partnered gay men were collected and the 161 matched couples were categorized as monogamous (52.8 %), monogamish (14.9 %), open (13.0 %), and discrepant (19.3 %). Patterns of significance and significant trends suggested that monogamous men reported lower rates of marijuana and other drug use compared to open and monogamish men. Men in discrepant relationships did not differ from any other group. Partners’ marijuana and other drug use was significantly interdependent in the overall sample; however, substantial variation in the magnitude and significance of interdependence was observed across sexual arrangement categories. Sexual arrangement and the use of drugs during sex both contributed to the prediction of UAI with casual partners among non-monogamous men. Implications for substance use treatment and HIV prevention are discussed.

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Acknowledgments

The Sex and Love v3.0 Project was supported by the Hunter College Center for HIV/AIDS Educational Studies and Training (CHEST), under the direction of Jeffrey T. Parsons. The authors acknowledge the contributions of Catherine Jones, Brett Millar, and other members of the Sex and Love v3.0 Research Team: David S. Bimbi, Anthony Bamonte, Lauren DiMaria, Gideon Feldstein, Chris Hietikko, Catherine Holder, James P. Kelleher, Brian C. Kelly, Juline Koken, Julia Tomassilli, Brooke Wells, and the DIVAS (Drag Initiative to Vanquish AIDS).

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Authors and Affiliations

  1. Department of Psychology, Hunter College of the City University of New York (CUNY), 695 Park Ave., New York, NY, 10065, USA

    Jeffrey T. Parsons

  2. Health Psychology and Basic and Applied Social Psychology Doctoral Programs, The Graduate Center of CUNY, New York, NY, USA

    Jeffrey T. Parsons

  3. Center for HIV/AIDS Educational Studies and Training (CHEST), New York, NY, USA

    Jeffrey T. Parsons & Tyrel J. Starks

  4. CUNY School of Public Health at Hunter College of CUNY, New York, NY, USA

    Jeffrey T. Parsons

  5. Department of Psychology, Pace University, New York, NY, USA

    Tyrel J. Starks

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  1. Jeffrey T. Parsons
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Correspondence to Jeffrey T. Parsons.

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Parsons, J.T., Starks, T.J. Drug Use and Sexual Arrangements Among Gay Couples: Frequency, Interdependence, and Associations with Sexual Risk. Arch Sex Behav 43, 89–98 (2014). https://doi.org/10.1007/s10508-013-0237-3

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