Differential HIV Risk in Bathhouses and Public Cruising Areas

Binson, Diane; Woods, William J.; Pollack, Lance M.; Paul, Jay P.; Stall, Ron; Catania, Joseph A.

doi:10.2105/ajph.91.9.1482

Cited by 210 publications

(160 citation statements)

References 13 publications

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“…27 With respect to contextual variables, risk reducers were less likely to have met sex partners in the prior 12 months at public cruising areas and via the Internet. This finding is consistent with prior research showing that MSM frequenting specific gay venues are more likely to engage in high risk sexual behaviors 28,29 and more often use substances during sex 30,31 compared to those who do not. Findings from the current study suggest that in addition to addressing psychosocial issues, effective HIV prevention interventions should consider ways to engage the MSM at greatest risk for HIV acquisition and transmission in their risky environments.…”

Section: Discussionsupporting

confidence: 91%

Beyond Anal Sex: Sexual Practices Associated with HIV Risk Reduction among Men Who Have Sex with Men in Boston, Massachusetts

Reisner

Mimiaga

Skeer

et al. 2009

AIDS Patient Care and STDs

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Men who have sex with men (MSM) continue to bear a disproportionate HIV and sexually transmitted disease (STD) burden. The current study examined the frequency and associations of sexual risk reduction behaviors among a sample of MSM in the greater Boston, Massachusetts area. One hundred eighty-nine MSM completed a one-time behavioral and psychosocial assessment between March 2006 and May 2007. Logistic regression procedures examined the association of demographic, psychosocial, and behavioral factors with risk reduction practices. Twenty percent of the sample reported rimming, mutual masturbation, digital penetration, using sex toys, or 100% condom use as a means to reduce their risk of acquiring or transmitting HIV in the prior 12 months. In bivariate analyses, risk reducers were more likely to disclose their MSM status (i.e., be ''out''; odds ratio [OR] ¼ 3.64; p < 0.05), and report oral sex with a condom in the prior 12 months (OR ¼ 4.85; p < 0.01). They were less likely to report: depression (Center for Epidemiologic Studies Depression Scale [CES-D] score 16þ; OR ¼ 0.48; p < 0.05), a history of one or more sexually transmitted diseases (STDs; OR ¼ 0.40; p < 0.05), and meeting sexual partners at public cruising areas (OR ¼ 0.32; p < 0.01). In a multivariable model, risk reducers were less likely to report: alcohol use during sex (adjusted odds ratio [AOR] ¼ 0.33; p < 0.05), depression (CESD score 16þ; AOR ¼ 0.32; p < 0.05), or meeting sexual partners at public cruising areas (AOR ¼ 0.30; p < 0.05), or via the Internet (AOR ¼ 0.12; p < 0.05) in the previous 12 months. Identifying and understanding such factors associated with risk reduction behaviors may be important to consider in designing effective prevention interventions to promote sexual health for MSM.

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Section: Discussionsupporting

confidence: 91%

Beyond Anal Sex: Sexual Practices Associated with HIV Risk Reduction among Men Who Have Sex with Men in Boston, Massachusetts

Reisner

Mimiaga

Skeer

et al. 2009

AIDS Patient Care and STDs

View full text Add to dashboard Cite

show abstract

“…Other investigators have found that MSM who seek sex in multiple venues (e.g., bathhouses and public cruising areas) are at greater risk for engaging in unprotected anal intercourse with nonprimary partners than are men seeking sex in only 1 venue. 40 Use of alcohol and other substances in offline settings such as bars can impair one's judgment regarding risk reduction. Perhaps "sensation seeking" 41,42 (i.e., the willingness to take risks to experience novel and intense sensations) or other personality characteristics [43][44][45] not measured in our study can explain the high levels of unprotected anal intercourse and substance abuse in this group.…”

Section: Discussionmentioning

confidence: 99%

Sexual Risk Taking Among Young Internet-Using Men Who Have Sex With Men

2008

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 RESEARCH AND PRACTICE  Objectives. We examined the characteristics of young Internet-using men who have sex with men (MSM) and risks associated with seeking sex online, offline, or through both strategies.Methods. Data were obtained from MSM aged 18 to 24 years who completed a 45-minute online survey regarding sex and Internet use in the preceding 3 months.Results. Significantly more Internet-using MSM who had met sexual partners both online and offline (43%) reported unprotected anal intercourse than did those who had met sexual partners exclusively online (29%) or offline (34%). MSM who met sexual partners exclusively offline reported the fewest partners but the greatest proportion of partnerships involving unprotected anal intercourse (49%). Meeting sexual partners both online and offline (odds ratio [OR]=3.38-58.42) and being drunk (OR=1.57) or high (OR=2.24) increased the odds of having more sexual partners. The same factors increased the odds of having unprotected anal intercourse (online and offline sexual partners, OR=1.60; being drunk, OR=1.43; being high, OR=1.61).Conclusions. Risky sexual behavior was prevalent among all of the study subgroups. Our findings suggest that online sex seeking is associated with greater numbers of sexual partners but neither promotes nor discourages unprotected anal intercourse. Regardless of where sexual partners met, being drunk and high were significant risks for unprotected anal intercourse.

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“…They may be buffered, for example, both by individual-level material resources associated with their social class as well as by the protection conferred by their identity as upper class men, a mechanism we will describe in greater detail later. Other features of the physical environment that might uniquely influence the sexual behavior of MSM include public park spaces, which have been historically Bsafe^spaces for meeting sexual partners and having sex, 168 and alcohol outlet availability, as a strong association between drug and alcohol use and risky sexual behaviors among MSM exists.…”

Section: The Urban Environment and Sexual Behavior Of Msm: Applying Ementioning

confidence: 99%

The Urban Environment and Sexual Risk Behavior among Men who have Sex with Men

Frye

Latka²,

Koblin³

et al. 2006

J Urban Health

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Increasingly, studies show that characteristics of the urban environment influence a wide variety of health behaviors and disease outcomes, yet few studies have focused on the sexual risk behaviors of men who have sex with men (MSM). This focus is important as many gay men reside in or move to urban areas, and sexual risk behaviors and associated outcomes have increased among some urban MSM in recent years. As interventions aimed at changing individual-level risk behaviors have shown mainly short-term effects, consideration of broader environmental influences is needed. Previous efforts to assess the influence of environmental characteristics on sexual behaviors and related health outcomes among the general population have generally applied three theories as explanatory models: physical disorder, social disorganization and social norms theories. In these models, the intervening mechanisms specified to link environmental characteristics to individual-level outcomes include stress, collective efficacy, and social influence processes, respectively. Whether these models can be empirically supported in generating inferences about the sexual behavior of urban MSM is underdeveloped. Conceptualizing sexual risk among MSM to include social and physical environmental characteristics provides a basis for generating novel and holistic disease prevention and health promotion interventions.

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Differential HIV Risk in Bathhouses and Public Cruising Areas

Abstract: Distinguishing between sex venues previously treated as a single construct revealed a significant association between pattern of venue use and sexual risk. Targeting HIV prevention in the bathhouses would reach the segment of men at greatest risk for HIV transmission.

Cited by 210 publications

References 13 publications

Beyond Anal Sex: Sexual Practices Associated with HIV Risk Reduction among Men Who Have Sex with Men in Boston, Massachusetts

Beyond Anal Sex: Sexual Practices Associated with HIV Risk Reduction among Men Who Have Sex with Men in Boston, Massachusetts

Sexual Risk Taking Among Young Internet-Using Men Who Have Sex With Men

The Urban Environment and Sexual Risk Behavior among Men who have Sex with Men

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