The University of Southampton
University of Southampton Institutional Repository

Sexual negotiation in the AIDS era: negotiated safety revisited

Kippax, S, Noble, J., Prestage, G., Crawford, J., Campbell, D., Baxter, D. and Cooper, D. (1997) Sexual negotiation in the AIDS era: negotiated safety revisited AIDS, 11, (2), pp. 191-197.

Record type: Article

Abstract

Objective: To test the safety of the 'negotiated safety' strategy - the strategy of dispensing with condoms within HIV-seronegative concordant regular sexual relationships under certain conditions. Method: Data from a recently recruited cohort of homosexually active men (Sydney Men and Sexual Health cohort, n = 1037) are used to revisit negotiated safety. The men were surveyed using a structured questionnaire and questions addressing their sexual relationships and practice, their own and their regular partner's serostatus, agreements entered into by the men concerning sexual practice within and outside their regular relationship, and contextual and demographic variables. Results: The findings indicate that a significant number of men used negotiated safety as an HIV prevention strategy. In the 6 months prior to interview, of the 181 men in seroconcordant HIV-negative regular relationships, 62% had engaged in unprotected anal intercourse within their relationship, and 91% (165 men) had not engaged in unprotected anal intercourse outside their relationship. Of these 165 men, 82% had negotiated agreements about sex outside their relationship. The safety of negotiation was dependent not only on seroconcordance but also on the presence of an agreement; 82% of the men who had not engaged in unprotected anal intercourse outside their regular relationship had entered into an agreement with their partner, whereas only 56% of those who had engaged in unprotected anal intercourse had an agreement. The safety of negotiation was also related to the nature of the safety agreement reached between the men and on the acceptability of condoms. Agreements between HIV-negative seroconcordant regular partners prohibiting anal intercourse with casual partners or any form of sex with a casual partner were typically complied with, and men who had such negotiated agreements were at low risk of HIV infection. Conclusions: The adoption of the strategy of negotiated safety among men in HIV-seronegative regular relationships may help such men sustain the safety of their sexual practice.

PDF negotiatedSafetyRevisited.pdf - Other
Download (180kB)

More information

Published date: 1997
Organisations: Agents, Interactions & Complexity

Identifiers

Local EPrints ID: 265234
URI: http://eprints.soton.ac.uk/id/eprint/265234
PURE UUID: 92f7d630-94d4-4ec1-a3e4-679a6aeb34a7

Catalogue record

Date deposited: 29 Feb 2008 17:09
Last modified: 24 Jul 2017 16:41

Export record

Contributors

Author: S Kippax
Author: J. Noble
Author: G. Prestage
Author: J. Crawford
Author: D. Campbell
Author: D. Baxter
Author: D. Cooper

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×