238507 Adherence to a Sexual Agreement Reduces HIV Risk among HIV-negative Seroconcordant Gay Male Couples

Tuesday, November 1, 2011: 12:30 PM

Jason Mitchell, PhD, MPH , Medical College of Wisconsin, Center for AIDS Intervention Research (CAIR), Milwaukee, WI
Some HIV-negative seroconcordant gay male couples have established a sexual agreement (SA) to allow unprotected anal intercourse (UAI) while reducing their risk for HIV. The effectiveness of SAs as a HIV prevention strategy has been debated. In the U.S., limited research with this population exists to quantitatively support that adherence to a SA would reduce HIV risk, especially when UAI is practiced within the relationship, and sex may occur with secondary sex partners. The present study quantitatively assessed whether a gay male who adhered to his SA would be less likely to have had UAI with a secondary sex partner when UAI was practiced with his main partner. In this cross-sectional study, dyadic data were collected through an anonymous electronic questionnaire from couples in Portland, OR and Seattle, WA to provide a convenience sample of 144 dyads. Relationship factors, UAI, and characteristics of SAs were examined among a sub-sample of 58 couples who were concordant about their type of SA. Odds ratios and their associated 95% confidence intervals (CI) were calculated by using a multilevel logistic random-intercept regression model. Results indicated that men who adhered to their SA with their main partner were significantly less likely to have had UAI with a secondary sex partner (OR = 0.06, 95% CI 0.01 0.54). Other results, including factors that increase the likelihood of adherence to a SA will be presented and implications about SAs as a HIV prevention strategy for gay male couples will be discussed.

Learning Areas:
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. Define the components or rules that a gay male couple may want to consider when establishing a sexual agreement. 2. Discuss how adherence to a sexual agreement may reduce HIV risk among HIV-negative seroconcordant gay male couples in the U.S.

Keywords: Gay Men, Sexual Risk Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a NRSA postdoctoral research fellow who has expertise in conducting HIV prevention research with gay male couples. My professional and education credentials reflect my qualifications to conduct research and present findings.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.