ArticleArchives of sexual behavior2019
The Prevalence and Correlates of Sexual Arrangements in a National Cohort of HIV-Negative Gay and Bisexual Men in the United States.
Article in Archives of sexual behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed.
- Testing the Effectiveness of a Motivational Interviewing Intervention to Reduce HIV Risk and Drug Use in Young Sexual Minority Men in a Community-Based Organization Setting.AIDS and behavior · 2024Trial
- Pilot Randomized Controlled Trial of Motivational Interviewing with Sexual Minority Male Couples to Reduce Drug Use and Sexual Risk: The Couples Health Project.AIDS and behavior · 2022Trial
- A full-factorial randomized controlled trial of adjunct couples HIV testing and counseling components addressing drug use and communication skills among sexual minority male couples.BMC public health · 2021Trial
- The Impact of Pleasure and Pain on Frequent Substance Use During Receptive Anal Intercourse.Journal of sex research · 2025Article
- Substance use agreements: An exploratory study of dyadic coping processes related to substance use among male couples in the US.Couple & family psychology · 2025Article
- A Narrative Study of Sexual Agreements and HIV Prevention Strategies Among Emerging Adult Sexual Minority Men.Prevention science : the official journal of the Society for Prevention Research · 2025Article
- Similarities and distinctions in the drug use and sexual behavior of transfeminine and nonbinary adults assigned male at birth in the United States.Psychology of sexual orientation and gender diversity · 2025Article
- Drug use and condomless sex among sexual minority men in relationships: Whether relationship quality is a risk or protective factor depends upon what they believe their partners do.Social science & medicine (1982) · 2024Article
- Main Partner Relationships and the HIV Care Cascade: Examining the Predictive Utility of Sexual Agreements, Partner Concordance, and Drug Use Among Sexual Minority Men Living With HIV in the USA.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2024Article
- Comparing Repeated (Annual) Couples HIV Testing and Counseling to Individual HIV Testing and Counseling Among Male Couples at High Risk of HIV Infection: Protocol for a Randomized Control Trial.JMIR research protocols · 2024Article
- Substance Use, Sexual Agreements, and Sexual Risk Behaviors Among Adolescent Sexual Minority Males (Aged 13-17) in the United States.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023Article
- Agreements, Behaviour, and Change: Sex Outside the Relationship in Male HIV-negative Partners in HIV Serodiscordant Relationships in Australia, Brazil, and Thailand.AIDS and behavior · 2023Article
- Client Responses to Video-Based Communication Skills Training Involving PrEP for HIV: Tailoring an Individual Sexual Health Intervention for Sexual Minority Men in Relationships.AIDS and behavior · 2023Article
- Intersecting Communities and PrEP Uptake among US-based Latinx Sexual Minority Men.Journal of racial and ethnic health disparities · 2022Article
- Self-Reported Combination HIV Prevention Strategies Enacted by a Prospective Cohort of Midlife and Older Men Who Have Sex with Men in the United States: A Latent Class Analysis.AIDS patient care and STDs · 2022Article
- Heterosexual Cisgender Men Partnered with Transgender Women Exhibit Higher HIV/STI Sexual Risk than Their Gay, Bisexual, and Queer Counterparts: Findings from a U.S.-Based Convenience Sample Recruited Online.AIDS and behavior · 2021Article
- Day-level associations between drug use and sexual behavior in male couples: Actor partner interdependence modeling of timeline follow-back data.Drug and alcohol dependence · 2021Article
- Consensual Non-Monogamy Relationship Rules Among Young Gay and Bisexual Men: A Dyadic Qualitative Analysis.Archives of sexual behavior · 2021Article
- Testing the drug use and condomless anal sex link among sexual minority men: The predictive utility of marijuana and interactions with relationship status.Drug and alcohol dependence · 2020Article
- Romantic Involvement and Mental Health in Sexual and Gender Minority Emerging Adults Assigned Female at Birth.Journal of social and personal relationships · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Sexual agreements have received considerable attention as an aspect of dyadic functioning associated with HIV risk. To date, this research has primarily utilized convenience samples which overrepresented men from large urban areas and with higher HIV risk. The current study utilized a national cohort of 1061 HIV-negative gay and bisexual men recruited to be geographically diverse within the U.S. The sample included 531 (50.0%) men who identified as single. Of the 530 partnered men, 240 (45.3%) were monogamous; 238 (44.9%) were in open relationships (where sex with outside partners was permitted); and 52 (9.8%) were in monogamish relationships (where sex with outside partners was limited to instances where both primary partners were present). Regardless of urban (vs. non-urban) residence, men in monogamous relationships engaged in less anal sex generally and condomless anal sex (CAS) specifically with casual partners. Single men reported significantly more frequent anal sex with casual partners compared to open and monogamish men; however, there were no significant differences among these three groups with respect to CAS with casual partners. In multivariable models, monogamish men reported significantly more frequent marijuana use and alcohol consumption compared to all other groups. Urban (vs. non-urban) residence moderated associations between sexual arrangements and depression as well as the use of illicit drugs other than marijuana. These findings point to the need to better examine the potentially unique mechanisms which confer risk and resilience for gay male couples in urban versus non-urban settings. The observed association between sexual arrangements and substance use suggests interventions which facilitate the negotiation of sexual agreements may present an opportunity to engage in dyadic substance use intervention.
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