Partnership agreements less likely among young gay and bisexual men in Australia – data from a national online survey of gay and bisexual men’s relationships
Johann Kolstee A E , Steven Philpot A , Jeffrey Grierson B , Benjamin R. Bavinton A , Duane Duncan C D and Garrett Prestage A DA Kirby Institute, University of New South Wales Australia, Sydney, NSW 2052, Australia.
B Anglia Ruskin University, Cambridge Campus, East Road, Cambridge CB1 1PT, UK.
C University of New England, Armidale, NSW 2351, Australia.
D La Trobe University, Plenty Road & Kingsbury Drive, Melbourne, Vic. 3086, Australia.
E Corresponding author. Email: jkolstee@kirby.unsw.edu.au
Sexual Health 14(4) 355-362 https://doi.org/10.1071/SH16054
Submitted: 4 April 2016 Accepted: 27 March 2017 Published: 30 May 2017
Abstract
Background: How gay and bisexual men (GBM) establish partnership agreements may be affected by several factors, including age. The ability to communicate with a partner about sexual agreements has important sexual health implications for GBM. Objective: To assess differences in partnership agreements among GBM. Methods: We surveyed GBM about their partnerships using a national, anonymous online survey in 2013–14. We compared men who had monogamous partnerships with men who had non-monogamous partnerships, according to age and other factors. Results: Regarding the nature of their partnership with their primary regular partner (PRP), younger men were less likely to have an agreement of any sort and were less likely to have discussed it. Younger men were more likely to report having a monogamous partnership, but they were also less likely to report condomless anal intercourse with their PRP. In multivariate analysis of partnership arrangements, having a non-monogamous partnership with their PRP was associated with being older (adjusted odds ratio = 1.03; 95% confidence interval = 1.02–1.04; P < 0.001). Nearly two-thirds (62.9%) of men with monogamous partnerships had a clear spoken agreement with their PRP about whether they could have sex with other men, largely regardless of age. Although slightly fewer than half the men with self-described open partnerships (46.0%) actually described it as a ‘relationship’, younger men were particularly less likely to do so. Conclusions: Due to less communication with partners about sexual agreements, when young GBM engage in sexual risk behaviour they may be at an increased risk of HIV and other sexually transmissible infections.
References
[1] Kubicek K, Carpineto J, Mcdavitt B, Weiss G, Iverson EF, Au CW, Kerrone D, Martinez M, Kipke MD. Integrating professional and folk models of HIV risk: YMSM’s perceptions of high-risk sex. AIDS Educ Prev 2008; 20 220–38.| Integrating professional and folk models of HIV risk: YMSM’s perceptions of high-risk sex.Crossref | GoogleScholarGoogle Scholar |
[2] Mustanski BS, Newcomb ME, Du Bois SN, Garcia SC, Grov C. HIV in young men who have sex with men: a review of epidemiology, risk and protective factors, and interventions. J Sex Res 2011; 48 218–53.
| HIV in young men who have sex with men: a review of epidemiology, risk and protective factors, and interventions.Crossref | GoogleScholarGoogle Scholar |
[3] Sullivan PS, Salazar L, Buchbinder S, Sanchez TH. Estimating the proportion of HIV transmissions from main sex partners among men who have sex with men in five US cities. AIDS 2009; 23 1153–62.
| Estimating the proportion of HIV transmissions from main sex partners among men who have sex with men in five US cities.Crossref | GoogleScholarGoogle Scholar |
[4] Mitchell J. Aspects of gay male couples’ sexual agreements vary by their relationship length. AIDS Care 2014; 26 1164–70.
| Aspects of gay male couples’ sexual agreements vary by their relationship length.Crossref | GoogleScholarGoogle Scholar |
[5] Jin F, Grulich AE, Mao L, Zablotska I, O’Dwyer M, Poynten M, Prestage GP. Sexual partner’s age as a risk factor for HIV seroconversion in a cohort of HIV-negative homosexual men in Sydney. AIDS Behav 2013; 17 2426–9.
| Sexual partner’s age as a risk factor for HIV seroconversion in a cohort of HIV-negative homosexual men in Sydney.Crossref | GoogleScholarGoogle Scholar |
[6] Volk JE, Prestage G, Jin F, Kaldor J, Ellard J, Kippax S, Grulich AE. Risk factors for HIV seroconversion in homosexual men in Australia. Sex Health 2006; 3 45–51.
| Risk factors for HIV seroconversion in homosexual men in Australia.Crossref | GoogleScholarGoogle Scholar |
[7] Jin F, Prestage GP, Mao L, Poynten IM, Templeton DJ, Grulich AE, Zablotska I. “Any condomless anal intercourse” is no longer an accurate measure of HIV sexual risk behavior in gay and other men who have sex with men. Front Immunol 2015; 6 86
| “Any condomless anal intercourse” is no longer an accurate measure of HIV sexual risk behavior in gay and other men who have sex with men.Crossref | GoogleScholarGoogle Scholar |
[8] Kinder P. A new prevention education strategy for gay men: responding to the impact of AIDS on gay men’s lives.WeC442, XI International AIDS Conference; 1996 7-12 July, Vancouver, Canada.
[9] Jin F, Crawford J, Prestage GP, Zablotska I, Imrie J, Kippax SC, Kaldor JM, Grulich AE. Unprotected anal intercourse, risk reduction behaviours, and subsequent HIV infection in a cohort of homosexual men. AIDS 2009; 23 243–52.
| Unprotected anal intercourse, risk reduction behaviours, and subsequent HIV infection in a cohort of homosexual men.Crossref | GoogleScholarGoogle Scholar |
[10] Prestage G, Mao L, McGuigan D, Crawford J, Kippax S, Kaldor J, Grulich AE. HIV risk and communication between regular partners in a cohort of HIV-negative gay men. AIDS Care 2006; 18 166–72.
| HIV risk and communication between regular partners in a cohort of HIV-negative gay men.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD28%2FpvV2huw%3D%3D&md5=20b6c2fff40bdcf42d99da5fca7f9673CAS |
[11] Kippax S, Noble J, Prestage G, Crawford JM, Campbell D, Baxter D, Cooper D. Sexual negotiation in the AIDS era: negotiated safety revisited. AIDS 1997; 11 191–7.
| Sexual negotiation in the AIDS era: negotiated safety revisited.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK2s7ot1ehtA%3D%3D&md5=c8d3153186bd7857407e185a71af83fdCAS |
[12] Green AI. Until death do us part? The impact of differential access to marriage on a sample of urban men. Sociol Perspect 2006; 49 163–89.
| Until death do us part? The impact of differential access to marriage on a sample of urban men.Crossref | GoogleScholarGoogle Scholar |
[13] Duncan D, Prestage G, Grierson J. Trust, commitment, love and sex: HIV, monogamy, and gay men. J Sex Marital Ther 2015; 41 345–60.
| Trust, commitment, love and sex: HIV, monogamy, and gay men.Crossref | GoogleScholarGoogle Scholar |
[14] Hull P, Mao L, Kolstee J, Duck T, Prestage G, Zablotska I, de Wit J, Holt M. Gay community periodic survey: Sydney 2015. Sydney: Centre for Social Research in Health, UNSW Australia; 2015.
[15] Crawford JM, Kippax SC, Mao L, Van de Ven PG, Prestage GP, Grulich AE, Kaldor J. Number of risk acts by relationship status and partner serostatus: findings from the HIM cohort of homosexually active men in Sydney, Australia. AIDS Behav 2006; 10 325–31.
| Number of risk acts by relationship status and partner serostatus: findings from the HIM cohort of homosexually active men in Sydney, Australia.Crossref | GoogleScholarGoogle Scholar |
[16] Prestage G, Jin F, Zablotska I, Grulich A, Imrie J, Kaldor J, Honnor G, Kippax S. Trends in agreements between regular partners among gay men in Sydney, Melbourne and Brisbane, Australia. AIDS Behav 2008; 12 513–20.
| Trends in agreements between regular partners among gay men in Sydney, Melbourne and Brisbane, Australia.Crossref | GoogleScholarGoogle Scholar |
[17] Prestage G, Kippax S, Jin F, Frankland A, Imrie J, Grulich AE, Zablotska I. Does age affect sexual behaviour among gay men in Sydney, Melbourne and Brisbane, Australia? AIDS Care 2009; 21 1098–105.
| Does age affect sexual behaviour among gay men in Sydney, Melbourne and Brisbane, Australia?Crossref | GoogleScholarGoogle Scholar |
[18] Mustanski B, Newcomb ME, Clerkin EM. Relationship characteristics and sexual risk-taking in young gay men who have sex with men. Health Psychol 2011; 30 597–605.
| Relationship characteristics and sexual risk-taking in young gay men who have sex with men.Crossref | GoogleScholarGoogle Scholar |
[19] Prestage G, Bavinton B, Grierson J, Down I, Keen P, Bradley J, Duncan D. Online dating among Australian gay and bisexual men: romance or hooking up? AIDS Behav 2015; 19 1905–13.
| Online dating among Australian gay and bisexual men: romance or hooking up?Crossref | GoogleScholarGoogle Scholar |
[20] Zablotska IB, Holt M, Prestage GP. Changes in gay men’s participation in gay community life: implications for HIV surveillance and research. AIDS Behav 2012; 16 669–75.
| Changes in gay men’s participation in gay community life: implications for HIV surveillance and research.Crossref | GoogleScholarGoogle Scholar |
[21] Duncan D, Prestage G, Grierson J. ‘I’d much rather have sexual intimacy as opposed to sex’: young Australian gay men, sex, relationships and monogamy. Sexualities 2015; 18 798–816.
| ‘I’d much rather have sexual intimacy as opposed to sex’: young Australian gay men, sex, relationships and monogamy.Crossref | GoogleScholarGoogle Scholar |
[22] Grant RM, Lama JR, Anderson PL, et al Preexposure chemoprophylaxis for HIV prevention in men who have sex with men. N Engl J Med 2010; 363 2587–99.
| Preexposure chemoprophylaxis for HIV prevention in men who have sex with men.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC3MXit1ansg%3D%3D&md5=0341ee2cfaa1dd3a056b90f732e92218CAS |
[23] Grinsztejn B, Hosseinipour MC, Ribaudo HJ, Swindells S, Eron J, Chen YQ, et al Effects of early versus delayed initiation of antiretroviral treatment on clinical outcomes in HIV-1 infection: results of from the phase 3 HPTN 052 randomised controlled trial. Lancet Infect Dis 2014; 14 281–90.
| Effects of early versus delayed initiation of antiretroviral treatment on clinical outcomes in HIV-1 infection: results of from the phase 3 HPTN 052 randomised controlled trial.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC2cXjvFSltL0%3D&md5=a8f586012bcdbed58c39739d874c817bCAS |
[24] Philpot SP, Ellard J, Duncan D, Dowsett GW, Bavinton BR, Down I, Keen P, Hammoud MA, Prestage G. Gay and bisexual men’s interest in marriage: an Australian perspective. Cult Health Sex 2016; 18 1347–62.
| Gay and bisexual men’s interest in marriage: an Australian perspective.Crossref | GoogleScholarGoogle Scholar |
[25] Klesse C. The spectre of promiscuity: gay male and bisexual non-monogamies and polyamouries. Farnham: Ashgate; 2007.
[26] Warner M. The trouble with normal: sex, politics and the ethics of queer life. New York: The Free Press; 1999.
