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Medical News

Discordance in Monogamy Beliefs, Sexual Concurrency, and Condom Use Among Young Adult Substance-Involved Couples: Implications for Risk of Sexually Transmitted Infections

November 15, 2006

The researchers studied a group of out-of-treatment, drug-involved young adult couples to examine the association between individual and partnership characteristics with condom use, sexual concurrency and discordance in perceptions of monogamy. Their goal was "to gain a better understanding of how discordance in monogamy beliefs may influence HIV/sexually transmitted infection risk."

Participants in the study were 94 predominantly black heavy alcohol and/or drug users and their steady partners. The participants were recruited through a street outreach in Durham, N.C., and a methadone clinic in Raleigh, N.C.

The researchers found one-third of participants were wrong about their partners' monogamy intentions. A greater lifetime number of substances, longer relationships and relationship conflict weekly or more were associated with inconsistent condom use. Discordant monogamy beliefs were associated with consistent condom use.

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"Many individuals misperceive their partners' monogamy intentions, although this misperception may be reflective of greater HIV/sexually transmitted infection protection," the authors concluded. "Interventions for couples should focus on strategies appropriate for committed long-term relationships, including increasing awareness of partner risk behavior, negotiating safety, and conflict resolution skills."

Back to other news for November 15, 2006

Adapted from:
Sexually Transmitted Diseases
11.2006; Vol. 33; No. 11:P. 677-682; Kara S. Riehman, Ph.D.; Wendee M. Wechsberg, Ph.D.; Shelley A. Francis, Dr.P.H.; Melvin Moore; Antonio Morgan-Lopez, Ph.D.


  
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This article was provided by CDC National Prevention Information Network. It is a part of the publication CDC HIV/Hepatitis/STD/TB Prevention News Update.
 
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