A recent study in the San Francisco Bay area reports that gay men that have an understanding regarding sex in their relationships have stronger bonds, more trust, and better safety against the spread of HIV. 566 gay men in the San Francisco Bay area were questioned. Results showed that 99 percent of these males had sexual agreements in their relationships. The term “sexual agreements” refers to the understanding that certain rules are in place regarding the sexual encounters outside of the relationship. While this agreement does not necessarily require being monogamous, the agreement makes the topic of sexual partners up for discussion, which is a crucial aspect in protection against the spread of HIV. Additionally, such agreements help strengthen the bond in a relationship.

The publication AIDS Care reported on a San Francisco study finds that gay couples that have a sexual agreement in place, have more satisfaction in relationships as well as a better understanding of their own sexual health. The study noted no significant difference in satisfaction of relationships that are open versus monogamous. However, when asked about intimacy, trust, and stability in ones relationship, monogamous gay males were more likely to feel secure in these aspects. In addition, monogamous couples reported a greater sense of equality in the relationship.

The study suggests that it is necessary for HIV prevention programs to take note about sexual agreements. The open conversation about sex in a relationship allows for a better understanding of the risks of infection in the couple. If these agreements are broken, a couple with full disclosure can deal with these issues head-on as opposed to ignoring the issue. For the fight against the spread of HIV among this demographic, it is a reliable finding. This knowledge can assist programs to approach the issues of sexual health by promoting an open forum in homosexual relationships.