Patterns and factors of the sexual agreement for extra-dyadic sex among men who have sex with men in Hong Kong, China: A cross-sectional survey

Siyu CHEN, Peishi YU, Yuan Josephine FANG, Meiqi XIN, Fuk yuen YU, Mary IP, Phoenix K. H. MO, Zixin WANG

Research output: Contribution to journalArticlespeer-review

Abstract

This study investigated patterns of sexual agreement for extra-dyadic sex and their associations with sexual risk behaviors among men who have sex with men (MSM) having a regular male sex partner (RP) in China. A cross-sectional telephone survey was conducted among 530 MSM recruited through multiple sources in Hong Kong, China, between April and December 2020. This study was based on a subsample of 368 participants who had an RP in the past 6 months. Logistic regression models were fitted. Among the participants, 27.2%, 13.0%, and 3.0% had a closed agreement, an in-between agreement, and an open agreement, respectively. Compared to no agreement, a closed agreement was associated with fewer extra-dyadic partners and fewer instances of condomless sex with extra-dyadic partners. Those who had more positive attitudes toward a closed agreement, perceived more support from significant others to create a closed agreement, and perceived higher behavioral control of refraining from sex with extra-dyadic partners were more likely to have a closed agreement with RP. Those who were concerned that a closed agreement would impair freedom and sexual desire were less likely to have such an agreement. A closed agreement is a potentially useful risk reduction strategy for Chinese MSM with an RP. Copyright © 2023 Taylor & Francis Group, LLC.

Original languageEnglish
JournalJournal of Sex and Marital Therapy
Early online dateOct 2023
DOIs
Publication statusE-pub ahead of print - Oct 2023

Citation

Chen, S., Yu, P., Fang, Y., Xin, M., Yu, F.-Y., Ip, M., Mo, P. K. H., & Wang, Z. (2023). Patterns and factors of the sexual agreement for extra-dyadic sex among men who have sex with men in Hong Kong, China: A cross-sectional survey. Journal of Sex and Marital Therapy. Advance online publication. https://doi.org/10.1080/0092623X.2023.2279096

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