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Perceived Challenges and Rewards of Forming a Sexual Agreement Among HIV-Negative Male Couples

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Abstract

Sexual agreements, explicit mutual understandings made between two partners about which sexual and related behaviors they agree to engage in within and/or outside of their relationship, are common among male couples. However, little is known about the perceived rewards and challenges partnered men face in the process of forming a sexual agreement. Such knowledge may be useful for the development of future HIV preventive and sexual health programs that encourage male couples to establish a sexual agreement in their relationship. By using qualitative dyadic data from a sample of 29 self-reported concordant HIV-negative male couples who had a sexual agreement, the present qualitative study sought to assess partnered men’s perceived rewards and challenges of forming a sexual agreement in their relationship and examine whether both men in the couple concurred about their perceived rewards and challenges of forming a sexual agreement. Themes for perceived rewards were (1) being honest, (2) improving communication, (3) increasing understanding about expectations and permitted behaviors, (4) enhancing intimacy and relational bond, and (5) building trust. Themes for perceived challenges were: (1) stigma about having an open agreement; (2) awkwardness about the topic and talking about it; (3) jealousy; and (4) no perceived challenges. Few couples had both partners concur about their perceived rewards or challenges toward establishing a sexual agreement. The variety of perceived rewards and challenges highlight the need for tailoring given that a variety of factors may influence partnered men’s establishment of a sexual agreement in their relationship.

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References

  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101.

    Article  Google Scholar 

  • Centers for Disease Control and Prevention [CDC]. (2011). Gay and bisexual men’s health: Stigma and discrimination. Accessed October 16, 2015 from: http://www.cdc.gov/msmhealth/stigma-and-discrimination.htm.

  • Centers for Disease Control and Prevention [CDC]. (2015a). PEP. Accessed June 17, 2014 from http://www.cdc.gov/hiv/basics/pep.html.

  • Centers for Disease Control and Prevention [CDC]. (2015b). HIV/AIDS: Testing. Accessed October 16, 2015 from: http://www.cdc.gov/hiv/basics/testing.html.

  • Crawford, J., Rodden, P., Kippax, S., & Van de Ven, P. (2001). Negotiated safety and other agreements between men in relationships: Risk practiced redefined. International Journal of STD and AIDS, 12, 164–170.

    Article  PubMed  Google Scholar 

  • Darbes, L., Chakravarty, D., Neilands, T., Beougher, S., & Hoff, C. (2014). Sexual risk for HIV among gay male couples: A longitudinal study of the impact of relationship dynamics. Archives of Sexual Behavior, 43, 47–60.

    Article  PubMed  PubMed Central  Google Scholar 

  • Frost, D., McClelland, S., Clark, J., & Boylan, E. (2014). Phenomenological research methods in the psychological study of sexuality. In D. Tolman & L. Diamond (Eds.), APA handbook of sexuality and psychology (pp. 121–141). Washington, DC: American Psychological Association.

    Google Scholar 

  • Gass, K., Hoff, C., Stephenson, R., & Sullivan, P. (2012). Sexual agreements in the partnerships of internet-using men who have sex with men. AIDS Care, 24, 1255–1263.

    Article  PubMed  PubMed Central  Google Scholar 

  • Goodreau, S., Carnegie, N., Vittinghoff, E., Lama, J., Sanchez, J., Grinsztejn, B., … Buchbinder, S. (2012). What drives the US and Peruvian HIV epidemics in men who have sex with men (MSM) PLoS ONE, 7:11:e50522.

  • Grant, R., Lama, J., Anderson, P., McMahan, V., Liu, A., Vargas, L., … iPrEx Study Team. (2010). Preexposure chemoprophylaxis for HIV prevention in men who have sex with men. New England Journal of Medicine, 27, 2587–2599.

  • Hoff, C., & Beougher, S. (2010). Sexual agreements among gay male couples. Archives of Sexual Behavior, 39, 774–787.

    Article  PubMed  Google Scholar 

  • Hoff, C., Beougher, S., Chakravarty, D., Darbes, L., & Neilands, T. (2010). Relationship characteristics and motivations behind agreements among gay male couples: Differences by agreement type and couple serostatus. AIDS Care, 27, 827–835.

    Article  Google Scholar 

  • Hoff, C., Chakravarty, D., Beougher, S., Darbes, L., Dadasovich, R., & Neilands, T. (2009). Serostatus differences and agreements about sex with outside partners among gay male couples. AIDS Education and Prevention, 21, 25–38.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hosking, W. (2013). Satisfaction with open sexual agreements in Australian gay men’s relationships: The role of perceived discrepancies in benefit. Archives of Sexual Behavior, 42, 1309–1317.

    Article  PubMed  Google Scholar 

  • Hosking, W. (2014). Australian gay men’s satisfaction with sexual agreements: The roles of relationship quality, jealousy, and monogamy attitudes. Archives of Sexual Behavior, 43, 823–832.

    Article  PubMed  Google Scholar 

  • Kelley, H., & Thibaut, J. (1978). Interpersonal relations: A theory of interdependence. New York: Wiley.

    Google Scholar 

  • Kippax, S., Noble, J., Prestage, G., Crawford, J., Campbell, D., Baxter, D., & Cooper, D. (1997). Sexual negotiation in the AIDS era: Negotiated safety revisited. AIDS, 11, 191–197.

    Article  PubMed  Google Scholar 

  • LaSala, M. (2004). Monogamy of the heart: Extradyadic sex and gay male couples. Journal of Gay & Lesbian Social Services, 17, 1–24.

    Article  Google Scholar 

  • Mitchell, J. (2014). Characteristics and allowed behaviors of gay male couples’ sexual agreements. Journal of Sex Research, 51, 316–328.

    Article  PubMed  Google Scholar 

  • Mitchell, J. (2015). The use of technology to advance HIV prevention for couples. Current HIV/AIDS Reports, 12, 516–522.

    Article  PubMed  Google Scholar 

  • Mitchell, J., Champeau, D., & Harvey, S. (2013). Actor-partner effects of demographic and relationship factors associated with HIV risk within gay male couples. Archives of Sexual Behavior, 42, 1337–1345.

    Article  PubMed  Google Scholar 

  • Mitchell, J., Harvey, S., Champeau, D., Moskowitz, D., & Seal, D. (2012a). Relationship factors associated with gay male couples’ concordance on aspects of their sexual agreements: Establishment, type, and adherence. AIDS and Behavior, 16, 1560–1569.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mitchell, J., Harvey, S., Champeau, D., & Seal, D. (2012b). Relationship factors associated with HIV risk among a sample of gay male couples. AIDS and Behavior, 16, 404–411.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mitchell, J., & Petroll, A. (2013). Factors associated with men in HIV-negative gay couples who practiced UAI within and outside of their relationship. AIDS and Behavior, 17, 1329–1337.

    Article  PubMed  PubMed Central  Google Scholar 

  • Parsons, J., Starks, T., DuBois, S., Grov, C., & Golub, S. (2013). Alternatives to monogamy among gay male couples in a community survey: Implications for mental health and sexual risk. Archives of Sexual Behavior, 42, 303–312.

    Article  PubMed  Google Scholar 

  • Prestage, G., Jin, F., Zablotska, I., Grulich, A., Irmie, J., Kaldor, J., … Kippax, S. (2008). Trends in agreements between regular partners among gay men in Sydney, Melbourne and Brisbane, Australia. AIDS and Behavior, 12, 513–520.

  • Stephenson, R., Sullivan, P., Salazar, L., Gratzer, B., Allen, S., & Seelbach, E. (2011). Attitudes toward couples-based HIV testing among MSM in three US cities. AIDS and Behavior, 15, S80–S87.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sullivan, P., Salazar, L., Buchbinder, S., & Sanchez, T. (2009). Estimating the proportion of HIV transmissions from main sex partners among men who have sex with men in five US cities. AIDS, 23, 1153–1162.

    Article  PubMed  Google Scholar 

  • Sullivan, P., Stephenson, R., Grazter, B., Wingood, G., Diclemente, R., … Grabbe, K. (2014). Adaptation of the African couples HIV testing and counseling model for men who have sex with men in the United States: An application of the ADAPT-ITT framework. Springerplus, 3:249. doi: 10.1186/2193-1801-3-249.

  • Wagenaar, B., Christiansen-Lindquist, L., Khosropour, C., Salazar, L., F., Benhow, N., Prachand, N., … Sullivan, P. (2012). Willingness of US men who have sex with men (MSM) to participante in couples HIV voluntary counseling and testing (CVCT). PLoS One, 7(8):e42953.

  • Women and Gender Advocacy Center [WGAC]. (2015). Sex positivity. Accessed October 15, 2015 from: http://www.wgac.colostate.edu/sex-positivity.

Download references

Acknowledgments

This work was supported by the National Institute of Mental Health under Grant R34MH102098 (PI Mitchell, J.). The authors declare that they have no conflict of interest. Special thanks are extended to the participants for their time and effort.

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Correspondence to Jason W. Mitchell.

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Mitchell, J.W., Lee, JY., Woodyatt, C. et al. Perceived Challenges and Rewards of Forming a Sexual Agreement Among HIV-Negative Male Couples. Arch Sex Behav 45, 1525–1534 (2016). https://doi.org/10.1007/s10508-016-0701-y

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  • DOI: https://doi.org/10.1007/s10508-016-0701-y

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