Open, closed, or in between: relationship configuration and condom use among men who use the internet to seek sex with men

AIDS Behav. 2013 May;17(4):1499-514. doi: 10.1007/s10461-012-0316-9.

Abstract

Nearly 70 % of HIV+ men who have sex with men (MSM) are estimated to have contracted HIV from a main partner. We examine whether condom use varies by relationship configuration, including open relationships with and without cheating. 656 MSM in committed relationships were recruited through a sexually explicit social networking website. Of the 55 % of MSM who had anal sex with a non-main partner in the past 90 days, two-thirds did not use a condom. Adjusting for covariates, MSM in relationships characterized as open with cheating versus monogamous were more likely to have unprotected anal sex with both main and non-main partners. MSM who perceived that their partner played around or cheated were more likely to have unprotected anal sex with a non-main partner. Prevention messages should attempt to reduce cheating and increase personal responsibility for protecting partners from HIV. Messages should be tailored to reflect open and monogamous relationships.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Condoms / statistics & numerical data*
  • Health Surveys
  • Homosexuality, Male / psychology*
  • Humans
  • Internet / statistics & numerical data*
  • Interpersonal Relations
  • Logistic Models
  • Male
  • Risk-Taking*
  • Sexual Behavior / statistics & numerical data
  • Sexual Partners*
  • Social Networking
  • Socioeconomic Factors
  • Trust
  • United States
  • Unsafe Sex / statistics & numerical data
  • Urban Population
  • Young Adult