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首页> 外文期刊>AIDS care. >Aspects of gay male couples' sexual agreements vary by their relationship length
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Aspects of gay male couples' sexual agreements vary by their relationship length

机译：男女同性恋者性协议的各个方面因其关系长短而异

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Few HIV-preventing interventions exist for gay male couples in the USA, yet estimates indicate that between one-and two-thirds of US men who have sex with men acquire HIV while in a primary relationship (e.g., gay male couples). In response to these statistics, research has been conducted to better understand gay male couples' relationships, including their sexual agreements. Many gay male couples in the USA establish a sexual agreement, which is an explicit mutual understanding between two main partners about what sexual and other behaviors they agree to engage in and with whom while in the relationship. Although some research about sexual agreements has been conducted, little is known on whether aspects of gay male couples' sexual agreements (e.g., establishment, type, and adherence) vary as a function of their relationship length. The present study aimed to fulfill this gap of knowledge, which may lead to a better understanding of how agreements can be used for developing HIV/sexually transmitted infection (STI) prevention interventions. A national, cross-sectional, Internet-based study was used to collect dyadic data from 361 US gay male couples. Men in each couple completed the questionnaire independently. All analyses were employed at the couple level. Our findings showed that the longer the couples had been in their relationship, the more likely they would concur about having a sexual agreement. As relationship length increased, the proportion of couples who disagreed about their current agreement type increased. No direct trend was found for recent adherence to an agreement; however, the likelihood of ever breaking an agreement increased as relationship length increased. Findings from this study indicate there is a need to help gay male couples' establish and maintain their agreements, particularly for those who are in their early formative stages, as well as, for those who are experiencing challenges and/or changes in their relationships.
机译：在美国，很少有针对男同性恋者的艾滋病毒预防干预措施，但据估计，与美国发生性关系的美国男性中，有三分之一至三分之二的人是在有基本恋爱关系的人中感染艾滋病毒（例如，男同性恋者）。针对这些统计数据，已经进行了研究，以更好地理解男同性恋者的关​​系，包括他们的性协议。在美国，许多男同性恋者建立了性协议，这是两个主要伴侣之间明确的相互了解，即他们同意从事何种性行为和其他行为，以及在关系中与谁在一起。尽管已经进行了一些有关性协议的研究，但关于同性恋夫妇的性协议的各个方面（例如，建立，类型和依从性）是否随关系长度的变化而知之甚少。本研究旨在弥补这一知识鸿沟，这可能导致人们更好地了解如何将协议用于制定艾滋病毒/性传播感染（STI）预防干预措施。一项基于互联网的全国性横断面研究被用来收集来自361名美国男同性恋夫妇的二元数据。每对夫妇中的男人均独立完成问卷。所有分析均在夫妻级别进行。我们的研究结果表明，夫妻之间的恋爱时间越长，他们同意性协议的可能性就越大。随着关系长度的增加，不同意当前协议类型的夫妇比例也会增加。没有发现最近遵守协议的直接趋势;但是，随着关系长度的增加，达成协议的可能性也会增加。这项研究的结果表明，有必要帮助男同性恋者建立和维持他们的协议，特别是对于处于早期形成阶段的人，以及正在经历挑战和/或关系变化的人。

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