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So I think for us, we always come home to each other and that's the most important thing. A 1-year follow-up study. Participants in relationships were interviewed together for the first half answering more general, relationship-oriented questions to build a fuller picture of the couple, such as relationship history and the couple's path to parenthood and separately for the second half answering more personal, private questions to encourage candid discussion of potentially sensitive issues, such as substance use and sexual behavior with outside partners. Braun V, Clarke V. Another participant described reluctance to get an HIV test from his primary care physician, who knew that he was a father, and from whom he feared judgment:. Commenting on his feelings about having less sex with his primary partner, this father said:. Future research should explore how this mixture — decreased relationship satisfaction, coupled with increased feelings of legitimacy and purpose in the relationship — affects the longevity of gay men's relationships post-parenting.

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Ultimately, this is a move that will benefit our community and support those who are already living with HIV, and help those who are negative stay that way.

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Infidelity and betrayal of intimacy. Third, a few men initially said that having children increased their motivation to be safe, but actually described other motivations for safe sex and provided little actual emphasis on the impact that their children had. Our aim is to begin to understand the associations between agreement type, couple serostatus, motivations for making agreements, and relationship characteristics to increase the effectiveness of HIV prevention efforts for gay couples. The father quoted above also described avoiding HIV testing for fear of being seen going to a local test site: NeilandsPhD 2. By the early s, a public gay culture in which increasing numbers of people could publicly identify as gay or lesbian emerged in major U. Author manuscript; available in PMC Feb 9.

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That's been the hardest part: It has its challenges … It kind of connects to drugs and alcohol in a way. When examined by agreement type and couple serostatus, important differences emerge that must be taken into account to improve the effectiveness of future HIV prevention efforts with gay couples. Others, with non-monogamous agreements, reported breaking a specific rule e. Moreover, evidence-based approaches to improving sexual function in couples should be offered when appropriate. The only exceptions to this were among couples in which one man had children prior to his relationship.

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