Predictors of Identifying as a Barebacker among High-Risk New England HIV Seronegative Men Who Have Sex with Men

Reisner, Sari L.; Mimiaga, Matthew J.; Case, Patricia; Johnson, Carey V.; Safren, Steven A.; Mayer, Kenneth H.

doi:10.1007/s11524-008-9333-4

Cited by 25 publications

(27 citation statements)

References 42 publications

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“…Barebacking A series of five questions used in previous MSM research assessed participant knowledge and understanding of barebacking [17]. Participants were asked whether or not they self-identified as a barebacker, and they were asked to consider whether or not four scenarios constituted barebacking, including ''having anal sex with someone and deliberately not using condoms although you are not sure you are both HIV-negative'' and ''having anal sex with condoms but the condom breaks''.…”

Section: Characteristics Of Sex Parties and Hiv And Std Risk Inmentioning

confidence: 99%

“…Private sex parties may be an especially important type of GSE regarding HIV sexual risk among MSM [2,6,7,15]. Between 8 and 25% of MSM in various studies report having met recent male sex partners at private sex parties [6,16,17], and meeting sexual partners at sex parties has been associated with high-risk sexual behavior [6,7,9]. Bareback sex parties have been associated with particularly high-risk behaviors among MSM.…”

Section: Introductionmentioning

confidence: 99%

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Sex Parties among Urban MSM: An Emerging Culture and HIV Risk Environment

et al. 2010

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Private sex parties are an emerging risk environment for HIV among men who have sex with men (MSM). In 2009, 103 participants who reported attending at least one sex party in Massachusetts in the prior 12 months completed an in-depth, interviewer-administered quantitative assessment. Multivariable logistic regression analyses were conducted to examine associations with having engaged in one or more serodiscordant unprotected anal sex (SDUAS) acts at the most recent sex party attended. Nearly one-third (32%) of the sample reported engaging in SDUAS at the most recent sex party attended. Adjusting for age, race/ethnicity, and educational attainment, variables associated with an increased odds of engaging in SDUAS at the most recent sex party were: total number of unprotected anal receptive sex acts at sex parties in the past 12 months, self-perception of being at-risk for transmitting or acquiring HIV, and sexual sensation seeking. Examined in the same model, if condoms were provided/available at the most recent sex party attended, participants were at a decreased odds of engaging in SDUAS at that sex party. The majority (80%) expressed an interest in HIV prevention activities for MSM who attend sex parties. HIV prevention interventions are needed to reach MSM who attend sex parties and should take into account individual and contextual factors that may contribute to sexual risk. Environmental factors in the sex party setting, in particular the presence and availability of condoms, may potentially mitigate individual-level factors such as unprotected anal sex.

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Section: Characteristics Of Sex Parties and Hiv And Std Risk Inmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sex Parties among Urban MSM: An Emerging Culture and HIV Risk Environment

et al. 2010

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“…3,17 These event-level assessments of alcohol use provide the most precise temporal link between these two behaviors and provide stronger evidence for causality. 2,17 Binge drinking and other patterns of heavy alcohol use are independently associated with a variety of high-risk behaviors in MSM, including unprotected anal sex, multiple partners, and having HIV-serodiscordant partners, [18][19][20][21][22][23][24][25][26][27][28] a link also observed among Black, Native American, and older MSM. [29][30][31] Binge drinking and heavy alcohol consumption are major causes of incident HIV infections in MSM.…”

Section: Introductionmentioning

confidence: 99%

Pervasive Heavy Alcohol Use and Correlates of Increasing Levels of Binge Drinking among Men Who Have Sex with Men, San Francisco, 2011

2015

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Heavy episodic drinking, Bbinge drinking^, is highly prevalent among men who have sex with men (MSM) and is associated with sexual risk behaviors and HIV seroconversion in this population. We characterized the magnitude of binge drinking and explored correlates of increasing levels of binge drinking among MSM in San Francisco. In this study, 67 % of MSM reported binge drinking in the prior year. The mean number of drinking days in the past month was 11.6. On average, we estimate that 2,699,372 drinks are consumed by MSM in San Francisco every month. Increasing levels of binge drinking was independently associated with younger age, modest income, being born in the United States, never accessing alcohol treatment and reporting unprotected insertive anal intercourse. Our findings underscore the need to target effective strategies to address heavy alcohol consumption and highlight the urgent need to develop novel interventions beyond traditional alcohol treatment settings among MSM.

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“…Researchers have identified sexual behavior factors, such as engaging in a variety of unprotected sex acts and having casual partners (Berg, 2008;Elford et al, 2007;Halkitis et al, 2005;Mansergh et al, 2002;Reisner et al, 2008), as being related to barebacking. Further, health behavior factors like recreational drug use have been found to be associated with bareback sex (Berg, 2008;Elford et al, 2007;Kelly, Bimbi, Izienick, & Parsons, 2009;Reisner et al, 2008;Wilton, Halkitis, English, & Roberson, 2005). Other research has suggested that perceptions about HIV, notably cognitions about improved HIV drug treatments, has lessened MSM's worry about HIV and contributed to their decision to bareback (Elford et al, 2007;Mansergh et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

Predictors of reporting bareback sex among a diverse sample of MSM recruited through a Swedish website

Berg

Tikkanen²,

Ross

2011

AIDS Care

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This study aimed to understand how person, health and sexual behavior, HIV-risk cognitions, and gay community involvement relate to barebacking among 3634 men who have sex with men (MSM) recruited by way of the Swedish website QX.se. In this sample, 10% reported that they had engaged in barebacking in the past year. Variables found to be statistically significant in the bivariate analyses were incorporated into a logistic regression domain-specific model. Variables that remained significantly associated with barebacking in domain 1 were being HIV-positive and having had a sexually transmitted infection (STI) in the past year. The variable talked with someone in HIV services remained significant in domain 2, and for domain 3, the variable used the Internet to look for a bareback partner remained significant. Two variables, believing taking semen in one's mouth involves no or low risk of HIV transmission and believing that engaging in insertive unprotected anal intercourse (IUAI) involves no or low risk of HIV transmission, remained significant in domain 4. The final multivariate regression analysis included six variables (from domains 1 to 4) and had a significant fit (χ (2)(6) = 2.571, p=0.958). The likelihood of engaging in barebacking was higher for those men who reported being HIV-positive (odds ratio [OR] = 2.77), having had an STI in the past year (OR = 1.67), and having used the Internet to look for a bareback partner (OR = 12.59). This first study to explore the predictors of bareback sex among a Nordic MSM sample suggests that bareback sex among northern European MSM is less common than among other samples. The findings reconfirm that MSM who engage in bareback sex may represent a unique subset of MSM with distinct HIV prevention needs.

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Predictors of Identifying as a Barebacker among High-Risk New England HIV Seronegative Men Who Have Sex with Men

Cited by 25 publications

References 42 publications

Sex Parties among Urban MSM: An Emerging Culture and HIV Risk Environment

Sex Parties among Urban MSM: An Emerging Culture and HIV Risk Environment

Pervasive Heavy Alcohol Use and Correlates of Increasing Levels of Binge Drinking among Men Who Have Sex with Men, San Francisco, 2011

Predictors of reporting bareback sex among a diverse sample of MSM recruited through a Swedish website

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