Intimacy, monogamy, and condom problems drive unprotected sex among young men in serious relationships with other men

A mixed methods dyadic study

George J. Greene, Rebecca Andrews, Laura Kuper, Brian Mustanski

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

This mixed methods study aimed to examine partner and relationship characteristics associated with HIV risk among young men who have sex with men (YMSM). A sub-sample of YMSM (18-25 years) who were involved in serious relationships with other men were recruited from two on-going longitudinal studies, Project Q2 and Crew450 (N = 20 couples). The mean age of the dyadic sample was 22.5 years (SD = 5.33, range 18-46 years) and participants were racially and ethnically diverse, with the largest percentage of the sample identifying as African American (47.5 %), followed by Hispanic (20 %). Participants completed individual self-report measures using computer-assisted self-interview technology and engaged in couples-based interviews. Mixed methods analyses indicated three global reasons for unprotected sex among YMSM in serious relationships: (1) the desire to achieve emotional intimacy; (2) the perception of being in a monogamous relationship; and (3) the difficulties associated with accessing and/or using condoms. Couples' decision-making processes, including decisions made "in the heat of the moment," have implications for HIV prevention interventions.

Original languageEnglish (US)
Pages (from-to)73-87
Number of pages15
JournalArchives of Sexual Behavior
Volume43
Issue number1
DOIs
StatePublished - Jan 1 2014

Fingerprint

Unsafe Sex
Condoms
HIV
Interviews
Hispanic Americans
African Americans
Self Report
Longitudinal Studies
Decision Making
Hot Temperature
Technology
Drive
Intimacy
Mixed Methods
AIDS/HIV

Keywords

  • HIV prevention
  • HIV risk
  • Mixed methods research
  • Sexual behavior
  • Sexual orientation
  • Young men who have sex with men (YMSM)

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Psychology(all)

Cite this

Intimacy, monogamy, and condom problems drive unprotected sex among young men in serious relationships with other men : A mixed methods dyadic study. / Greene, George J.; Andrews, Rebecca; Kuper, Laura; Mustanski, Brian.

In: Archives of Sexual Behavior, Vol. 43, No. 1, 01.01.2014, p. 73-87.

Research output: Contribution to journalArticle

@article{a258873d377944f5bf1d9e70fb3162de,
title = "Intimacy, monogamy, and condom problems drive unprotected sex among young men in serious relationships with other men: A mixed methods dyadic study",
abstract = "This mixed methods study aimed to examine partner and relationship characteristics associated with HIV risk among young men who have sex with men (YMSM). A sub-sample of YMSM (18-25 years) who were involved in serious relationships with other men were recruited from two on-going longitudinal studies, Project Q2 and Crew450 (N = 20 couples). The mean age of the dyadic sample was 22.5 years (SD = 5.33, range 18-46 years) and participants were racially and ethnically diverse, with the largest percentage of the sample identifying as African American (47.5 {\%}), followed by Hispanic (20 {\%}). Participants completed individual self-report measures using computer-assisted self-interview technology and engaged in couples-based interviews. Mixed methods analyses indicated three global reasons for unprotected sex among YMSM in serious relationships: (1) the desire to achieve emotional intimacy; (2) the perception of being in a monogamous relationship; and (3) the difficulties associated with accessing and/or using condoms. Couples' decision-making processes, including decisions made {"}in the heat of the moment,{"} have implications for HIV prevention interventions.",
keywords = "HIV prevention, HIV risk, Mixed methods research, Sexual behavior, Sexual orientation, Young men who have sex with men (YMSM)",
author = "Greene, {George J.} and Rebecca Andrews and Laura Kuper and Brian Mustanski",
year = "2014",
month = "1",
day = "1",
doi = "10.1007/s10508-013-0210-1",
language = "English (US)",
volume = "43",
pages = "73--87",
journal = "Archives of Sexual Behavior",
issn = "0004-0002",
publisher = "Springer New York",
number = "1",

}

TY - JOUR

T1 - Intimacy, monogamy, and condom problems drive unprotected sex among young men in serious relationships with other men

T2 - A mixed methods dyadic study

AU - Greene, George J.

AU - Andrews, Rebecca

AU - Kuper, Laura

AU - Mustanski, Brian

PY - 2014/1/1

Y1 - 2014/1/1

N2 - This mixed methods study aimed to examine partner and relationship characteristics associated with HIV risk among young men who have sex with men (YMSM). A sub-sample of YMSM (18-25 years) who were involved in serious relationships with other men were recruited from two on-going longitudinal studies, Project Q2 and Crew450 (N = 20 couples). The mean age of the dyadic sample was 22.5 years (SD = 5.33, range 18-46 years) and participants were racially and ethnically diverse, with the largest percentage of the sample identifying as African American (47.5 %), followed by Hispanic (20 %). Participants completed individual self-report measures using computer-assisted self-interview technology and engaged in couples-based interviews. Mixed methods analyses indicated three global reasons for unprotected sex among YMSM in serious relationships: (1) the desire to achieve emotional intimacy; (2) the perception of being in a monogamous relationship; and (3) the difficulties associated with accessing and/or using condoms. Couples' decision-making processes, including decisions made "in the heat of the moment," have implications for HIV prevention interventions.

AB - This mixed methods study aimed to examine partner and relationship characteristics associated with HIV risk among young men who have sex with men (YMSM). A sub-sample of YMSM (18-25 years) who were involved in serious relationships with other men were recruited from two on-going longitudinal studies, Project Q2 and Crew450 (N = 20 couples). The mean age of the dyadic sample was 22.5 years (SD = 5.33, range 18-46 years) and participants were racially and ethnically diverse, with the largest percentage of the sample identifying as African American (47.5 %), followed by Hispanic (20 %). Participants completed individual self-report measures using computer-assisted self-interview technology and engaged in couples-based interviews. Mixed methods analyses indicated three global reasons for unprotected sex among YMSM in serious relationships: (1) the desire to achieve emotional intimacy; (2) the perception of being in a monogamous relationship; and (3) the difficulties associated with accessing and/or using condoms. Couples' decision-making processes, including decisions made "in the heat of the moment," have implications for HIV prevention interventions.

KW - HIV prevention

KW - HIV risk

KW - Mixed methods research

KW - Sexual behavior

KW - Sexual orientation

KW - Young men who have sex with men (YMSM)

UR - http://www.scopus.com/inward/record.url?scp=84892670477&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84892670477&partnerID=8YFLogxK

U2 - 10.1007/s10508-013-0210-1

DO - 10.1007/s10508-013-0210-1

M3 - Article

VL - 43

SP - 73

EP - 87

JO - Archives of Sexual Behavior

JF - Archives of Sexual Behavior

SN - 0004-0002

IS - 1

ER -