Adolescent Sexual Minority Males, Relationship Functioning, and Condomless Sex.

TitleAdolescent Sexual Minority Males, Relationship Functioning, and Condomless Sex.
Publication TypePublication
Year of Publication2021
AuthorsStarks TJ, Dellucci TV, Lovejoy TI, Robles G, Jimenez R, Cain D, Naar S, Ewing SWFeldstei
JournalJ Adolesc Health
Date Published2021 Feb
KeywordsAdolescent, Condoms, HIV Infections, Homosexuality, Male, Humans, Male, Personal Satisfaction, Risk-Taking, Sexual and Gender Minorities, Sexual Behavior, Sexual Partners, Unsafe Sex

<p><b>PURPOSE: </b>Adolescent sexual minority males (SMMs) are at a high risk of contracting HIV through condomless sex. Many develop serious partnerships, and sex with main partners accounts for many new infections. Previous research with adolescent SMMs largely focused on relationship seriousness and found a positive association with sexual HIV risk. This study tested associations between three relationship functioning indicators and condomless sex.</p><p><b>METHODS: </b>Adolescent SMMs aged 15-19 years (n = 85) completed a brief online survey. Respondents rated commitment, seriousness, and satisfaction on 7-point Likert-type scales.</p><p><b>RESULTS: </b>Among adolescent SMMs who had sex in their lifetime, those who were more satisfied in their relationship were less likely to have condomless in the past 90 days (odds ratio = .56, p = .04).</p><p><b>CONCLUSIONS: </b>Results support examining multiple domains of relationship functioning in this age group to identify relationship mechanisms that may serve as the target of HIV risk-reduction interventions among adolescent SMMs initiating relationships.</p>

Alternate JournalJ Adolesc Health
PubMed ID32646828
PubMed Central IDPMC9639032
Grant ListU19 HD089875 / HD / NICHD NIH HHS / United States