AIDS and promiscuity: Muddles in the models of HIV prevention

Bolton, Ralph

doi:10.1080/01459740.1992.9966072

Cited by 64 publications

(24 citation statements)

References 115 publications

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“…relationship does not necessarily protect one from HIV (Davidovich et al ., 2001;Kippax et al ., 1998). Bolton (1992) and Reiss & Leik (1989) have demonstrated that promiscuity in and of itself does not increase the risk of HIV. Bolton (1992) and Crimp (1988) have argued that promoting partner reduction as a prevention strategy potentially undermines sex positive approaches to effective risk reduction.…”

Section: Discussionmentioning

confidence: 93%

Seroconversion in context

et al. 2003

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This paper describes the accounts that homosexually active men give of their HIV seroconversion and interrogates these accounts for risk discourses. In particular, this paper asks whether the risk discourses of HIV researchers and educators are present in the men's narratives of their own seroconversion. Such discourses make reference to 'unsafe' sex--particularly the practice of unprotected anal intercourse, numbers of sexual partners or 'promiscuity', and the disinhibiting effect of drugs and alcohol. The data are drawn from an ongoing case-series study of seroconversion in which men who had seroconverted were asked to give an account of the occasion on which they believe they were infected. A number of themes were identified in the men's accounts. The men's descriptions of what they believe to be the seroconversion event indicate that their attributions, i.e., the reasons they give for their HIV infection, vary depending on the context. Within regular relationships, breakdown of negotiated safety, love and intimacy, and fatalism were among the explanations given. Seroconversion attributed to casual sexual encounters was more likely to be explained in terms of pleasure, lack of control, and with reference to particular sexual settings. The ways in which men understood their HIV infection were informed both by the risk discourse of HIV researchers and also by the discourses of love and pleasure, as well as that of control.

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Section: Discussionmentioning

confidence: 93%

Seroconversion in context

et al. 2003

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“…Prior to the emergence of HIV, monogamy was not the norm in gay male relationships (Berger, 1990;Bolton, 1992). However the pressure to conform to the perceived safety of the monogamous ideal has been great, and many gay men now define their relationships as monogamous (Gotta et al, 2011;LaSala, 2004b;Wirth, 2010).…”

Section: Monogamymentioning

confidence: 98%

Monogamy, the Protective Fallacy: Sexual versus Emotional Exclusivity and the Implication for Sexual Health Risk

Swan

Thompson

2015

The Journal of Sex Research

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The authors examined the hypothesis that many individuals define monogamy based on emotional rather than sexual fidelity. Participants, 373 heterosexual college students and 282 gay men, read three vignettes of decreasing mitigation in which they imagined committing an act of infidelity against a hypothetical partner and where half the participants were cued to their emotional attachment toward the partner. Despite the infidelity, relationships in the emotional attachment-cued vignettes were rated as monogamous to a greater degree than relationships in the vignettes where emotional attachment was not cued. In addition, over one-third of the participants in our study reported infidelity in their current self-defined monogamous relationships yet also reported feeling more protected from sexual health risks and reported less condom use than individuals who defined their relationship as nonmonogamous. The implications for monogamy as a protective fallacy are discussed.

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“…While such patterns suggest a substantive link between tourism and HIV transmission rates, much of the research in the Caribbean region has failed to develop empirically grounded analyses of the mechanisms through which political-economic changes resulting from tourism are transforming sexuality and sexual behavior. Such research is a crucial first step in understanding patterns of HIV risk, since-as a growing number of studies have shown (Bolton, 1992;Carrillo, 2002;Feldman, 1990;Herdt & Boxer, 1991;Herdt & Lindenbaum, 1992;Padilla, 2007a;Parker, 2001;Parker & Aggleton, 2003;Parker & Caceres, 1999)-''sexual risk'' itself is meaningless unless it is understood within the framework of the cultural meanings and practices that organize sexuality more generally.…”

Section: Introductionmentioning

confidence: 98%

The Embodiment of Tourism among Bisexually-Behaving Dominican Male Sex Workers

Padilla

2008

Arch Sex Behav

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While theories of "structure" and social inequality have increasingly informed global health efforts for HIV prevention--with growing recognition of the linkages between large-scale political and economic factors in the distribution and impact of the HIV/AIDS epidemic--there is still little theorization of precisely how structural factors shape the very bodies and sexualities of specific populations and groups. In order to extend the theoretical understanding of these macro-micro linkages, this article examines how the growth of the tourism industry in the Dominican Republic has produced sexual practices and identities that reflect both the influence of large-scale structural processes and the resistant responses of local individuals. Drawing on social science theories of political economy, embodiment, and authenticity, I argue that an understanding of patterns of sexuality and HIV risk in the region requires analysis of how political-economic transformations related to tourism intersect with the individual experiences and practices of sexuality on the ground. The analysis draws on long-term ethnographic research with bisexually behaving male sex workers in two cities in the Dominican Republic, including participant observation, in-depth interviews, focus groups, and surveys. By examining the global and local values placed on these men's bodies and the ways sex workers use their bodies to broker tourists' pleasure, we may better understand how the large-scale structures of the tourism industry are linked to the specific meanings and practices of sexuality.

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AIDS and promiscuity: Muddles in the models of HIV prevention

Cited by 64 publications

References 115 publications

Seroconversion in context

Seroconversion in context

Monogamy, the Protective Fallacy: Sexual versus Emotional Exclusivity and the Implication for Sexual Health Risk

The Embodiment of Tourism among Bisexually-Behaving Dominican Male Sex Workers

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