caa a22 4500 606231331 CHVBK 20210128101219.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s10508-015-0532-2 doi (NATIONALLICENCE)springer-10.1007/s10508-015-0532-2 Sexual Agreements and Perception of HIV Prevalence Among an Online Sample of Partnered Men Who Have Sex with Men [Elektronische Daten] [Rob Stephenson, Darcy White, Jason Mitchell] Stemming from recent evidence that between one- and two-thirds of new HIV transmissions among men who have sex with men (MSM) occur within main partnerships, research and programmatic efforts have begun to recognize the role of the male-male dyad in shaping HIV risk. Central to this new focus has been studies detailing the presence of sexual agreements, which provide guidelines governing permissions around sex with partners outside of the relationship. Using a Facebook-recruited sample of US-partnered MSM (n=454), this study examines the associations between reporting of sexual agreements and perceptions of HIV prevalence among male sex partners, friends, and local and national MSM populations. Men who perceived that 10-20% (OR 6.18, 95% CI 1.28-29.77) and >20% of their male sex partners were HIV positive (OR 2.68, 95% CI 1.02-7.08) had significantly higher odds of reporting having an open agreement with their current main partner than men who perceived that less than 10% of their male sex partners were HIV positive. Partnered men with open sexual agreements may have more sexual partners than those who report monogamy, possibly leading to heightened perceptions of HIV risk, which may result in reporting of perceptions of greater local HIV prevalence. Additionally, men who have made agreements with their partners may have done so due to concerns about HIV risks, and may also be more aware of increased risks of HIV infection, or may have greater knowledge of HIV prevalence through discussions of serostatus with sex partners. Attention is needed to develop prevention efforts, such as toolkits and resources that enable men to form sexual agreements that are based on comprehensive knowledge of the potential risks for acquisition of HIV. Springer Science+Business Media New York, 2015 Same-sex male couples nationallicence Sexual agreements nationallicence HIV risk perception nationallicence Perceived HIV prevalence nationallicence Stephenson Rob Department of Health Behavior and Biological Sciences, University of Michigan School of Nursing, 48109, Ann Arbor, MI, USA aut White Darcy Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USA aut Mitchell Jason Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA aut Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/7(2015-10-01), 1813-1819 0004-0002 44:7<1813 2015 44 10508 https://doi.org/10.1007/s10508-015-0532-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10508-015-0532-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Stephenson Rob Department of Health Behavior and Biological Sciences, University of Michigan School of Nursing, 48109, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- White Darcy Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USA aut NATIONALLICENCE 700 1- Mitchell Jason Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA aut NATIONALLICENCE 773 0- Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/7(2015-10-01), 1813-1819 0004-0002 44:7<1813 2015 44 10508