Mitchell, J. W., Harvey, S.M., Champeau, D., Seal, D. W. (2012b). Relationship factors related to HIV risk in a sample of same-sex couples. AIDS and Behaviour,16 (2), 404-411. Lasala, M.C. Monogamy of the heart: extradydic sex and same-sex couples. Journal of Gay – Lesbian Social Services,17(3), 1-24. Gomez, A.M., Beougher, S.C., Chakravarty, D., Neilands, T.B., Mandic, C.G., Darbes, L.A., Hoff, C.C.
(2012). Relationship dynamics as preachers of broken agreements on external sexual partners: implications for HIV prevention in same-sex couples. AIDS and Behavior, 16 (6), 1584-1588. The motivations for the agreements were similar in the three groups of the couple erstatus, but only the consistent negative couples were in favour of HIV or DSH prevention among their three main motivators (see Table 4). Among these men, the most frequently supported motivations for reaching an agreement were: being honest in the relationship (85%), building trust in the relationship (81%) and protect partners or themselves from HIV (79%). For matching positive couples, the main motivations were the desire to be honest in the relationship (77%), to build trust in the relationship (74%), and to strengthen the relationship (68%). Men in ambiguous relationships most often supported the desire to be honest in the relationship (79%), to build trust in the relationship (76%), and to protect the relationship (73%). Epidemiological studies suggest unprotected relationships (IUUs) with primary partners as a significant source of many HIV infections (Davidovich et al., 2001). Moreau-Gruet, Jeannin, Dubois-Arber, Spencer, 2001; Sullivan, Salazar, Buchbinder, Sanchez, 2009). Behavioural studies indicate that gay men in engaged relationships with their primary partners have higher rates of IAU than single gay men with their casual partners, which may increase the risk for some (Ekstrand, Stall, Paul, Osmond, Coates, 1999; Elford, Bolding, Maguire, Sherr, 1999; Hoff et al., 1997) and others do not change their level of risk at all (Jin et al. 2009).
As a result, there is more recent and growing recognition of the need to study other factors that work in same-sex couples to explain the high rates of HIV infection for this population (Harawa et al., 2004). Despite this, the pace of research involving same-sex couples and the relational characteristics that may influence risk have not kept pace with the epidemic. That`s why we`ve tried to study aspects of male same-sex relationships – sexual agreements, couple status and relationship characteristics – that can help to understand the dyadic context in which HIV risks appear. The reasons for collusion were similar in all three types of contracts, with differences in frequency of approval (see Table 3). In the case of couples with monogamous agreements, the most frequently supported motivations were to build trust in the relationship (86%), to be honest in the relationship (84%), and to protect the relationship (83%).