The Critical Role of Intimacy in the Sexual Risk Behaviors of Gay and Bisexual Men

Golub, Sarit A.; Starks, Tyrel J.; Payton, Gregory; Parsons, Jeffrey T.

doi:10.1007/s10461-011-9972-4

Cited by 95 publications

(90 citation statements)

References 40 publications

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“…Emotional needs often took precedence over health concerns, 25 findings consistent with data from MSM suggesting that motivations for sexual agreements are driven more by a desire to express trust and intimacy than concerns about HIV/ STI prevention, 35,36 and reports from women in our study about desire for closeness and not wanting to upset one's partner or appear mistrustful. Encouraging young women to identify alternative ways to satisfy unmet psychosocial needs outside of their sexual relationships, such as through social support from friends or other mentors, may help to empower them to more effectively negotiate safer sex within their romantic relationships.…”

Section: Discussionsupporting

confidence: 84%

Relationship Dynamics and Sexual Risk Reduction Strategies Among Heterosexual Young Adults: A Qualitative Study of Sexually Transmitted Infection Clinic Attendees at an Urban Chicago Health Center

Hotton¹,

French

Hosek

et al. 2015

AIDS Patient Care and STDs

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Few studies have examined risk-reduction alternatives to consistent condom use for HIV prevention among heterosexual young adults. We used qualitative methodology to explore risk reduction strategies and contextual factors influencing attempts to reduce risk in an urban, high morbidity sexually transmitted infection (STI) clinic. Focus groups were conducted October-December 2014 with heterosexually identified men (n = 13) and women (n = 20) aged 18-29 seeking STI screening at an urban clinic. Groups were audio recorded, transcribed verbatim, and analyzed for thematic content using Atlas.ti software. Quantitative information included sociodemographics, HIV/STI testing history, and 6-month sexual behaviors. Among 33 predominantly AfricanAmerican participants with a median age of 22, risk-reduction strategies included monogamy agreements, selective condom use with casual and high-risk partners, and frequent HIV/STI testing, though testing was commonly used as a post-hoc reassurance after risk exposure. Many men and women used implicit risk assessment strategies due to mistrust or difficulty communicating. Concurrency was common but rarely discussed within partnerships. Despite attempts to reduce risk, monogamy agreements were often poorly adhered to and not openly discussed. Alcohol and substance use frequently interfered with safer sexual decisions. Participants were aware of HIV/STI risk and commonly practiced risk-reduction strategies, but acknowledged faulty assumptions and poor adherence. This work provides insights into risk-reduction approaches that are already used and may be strengthened as part of effective HIV/STI prevention interventions.

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Section: Discussionsupporting

confidence: 84%

Relationship Dynamics and Sexual Risk Reduction Strategies Among Heterosexual Young Adults: A Qualitative Study of Sexually Transmitted Infection Clinic Attendees at an Urban Chicago Health Center

Hotton¹,

French

Hosek

et al. 2015

AIDS Patient Care and STDs

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show abstract

“…Furthermore, although risk compensation is of concern for STIs, it also remains important for researchers to both investigate and acknowledge the intrinsic benefits of CAS such as increased sexual pleasure and feelings of connectedness. 23,24 Likewise, researchers must acknowledge the relative risks of STI transmission and treatment versus HIV transmission and treatment.…”

Section: Discussionmentioning

confidence: 99%

Changes in Familiarity with and Willingness to Take Preexposure Prophylaxis in a Longitudinal Study of Highly Sexually Active Gay and Bisexual Men

et al. 2016

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Purpose: For gay and bisexual men (GBM), research suggests that familiarity with preexposure prophylaxis (PrEP) has been increasing since being approved by the United States Food and Drug Administration in 2012. However, it is less clear how willingness to start using PrEP has changed over time. Likewise, some have expressed concerns regarding the potential for risk compensation (i.e., reduced condom use) were one to start PrEP; however, again, it is unclear how risk compensation may have changed over time. Methods: We conducted baseline and 12-month assessments with 158 highly sexually active HIV-negative GBM in New York City who were assessed between 2011 and 2014. We examined change over time both between participants (based on when they entered the study), as well as within each participant (over the 12 months of his involvement). Results: Familiarity with PrEP increased over time (both between and within participants); however, willingness to take PrEP did not change (neither between nor within participants). Few men believed taking PrEP would cause their condomless anal sex (CAS) to increase and this did not change over time. However, a majority believed PrEP would increase temptation for CAS, and this did not change over time within participants. Sexual compulsivity symptomology was associated with higher willingness to take PrEP and perceiving that PrEP would increase one's temptations for CAS. Furthermore, recent CAS was associated with greater willingness to take PrEP, a perception that PrEP would increase one's likelihood to engage in CAS, and a perception that being on PrEP would increase one's temptation for CAS. Conclusions: Participants became more familiar with PrEP over time; however, willingness to start PrEP did not change, and this may serve as an opportunity for providers to discuss PrEP with their patients. Men who engaged in CAS were interested in PrEP and preexisting patterns of sexual behavior may be the primary determinant of CAS while on PrEP.

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“…Además, para estas personas, no utilizar el preservativo es una forma de generar confianza e intimidad en la pareja (Corbett, Dickson-Gó-mez, Hilario y Weeks, 2009). Este patrón parece independiente de la orientación sexual ya que lo encontramos también en hombres gays o bisexuales (Bauermeister, Ventuneac, Pingel y Parsons, 2012;Golub, Starks, Payton y Parsons, 2012). En cualquier caso, si bien existe una mayor cantidad de estudios que profundizan en la influencia que los mitos románticos pueden tener para el establecimiento del vínculo de pareja y la salud psicosocial de las personas, todavía no contamos con muchos trabajos que analicen su impacto en la salud sexual y en el desarrollo de conductas sexuales de riesgo.…”

Section: Mito De Los Celosunclassified

Sexo y amor: cuando la forma de entender el amor se convierte en un riesgo para la salud sexual de los jóvenes

Nebot-García¹,

García-Barba²,

Ruiz-Palomino³

et al. 2018

AgoraSalut

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resumen introducción: Los mitos del amor romántico abordan maneras estereotipadas de sentir y comportarnos en las relaciones afectivo-sexuales. Las investigaciones demuestran cómo puntuaciones superiores en romanticismo parecen relacionarse con un mayor rechazo al uso del preservativo y a otros métodos anticonceptivos. Por este motivo, sería necesario estudiar cómo influyen estos mitos en el comportamiento sexual de los jóvenes para diseñar intervenciones preventivas eficaces. metodología: Se evaluó a 654 jóvenes (M=20,63; DT=2,267), mediante el Cuestionario sobre Mitos del Amor Romántico (Ferrer y cols., 2010). Los participantes fueron distribuidos en 2 grupos: GR-Grupo de Riesgo (no siempre usan preservativo) y GNR-Grupo de No Riesgo (siempre usan preservativo). resultados: Los análisis diferenciales indican que los jóvenes que realizan conductas sexuales de riesgo muestran mayor acuerdo en casi todos los mitos del amor romántico, siendo significativos a nivel estadístico, el mito de la pasión intensa (p=0,006) y el de la justificación de la violencia (p=0,049). Conclusiones: Los jóvenes presentan creencias distorsionadas sobre el amor y la pareja, lo que influye en sus primeras relaciones. Estos mitos y, principalmente aquellos relacionados con la visión de las emociones, podrían actuar como factores de riesgo en el desarrollo sexual y en la propia salud, puesto que se observan diferencias entre el grupo que realiza prácticas sexuales desprotegidas y el que refiere tener sexo seguro. Sería necesario incorporar estos resultados en los programas de promoción salud sexual. palabras clave: mitos del amor romántico, jóvenes, conducta sexual de riesgo, preservativo. Abstract introduction:The myths of romantic love describe stereotypical ways of feeling and acting in affective-sexual relations. Researches show a relation between a higher score for romanticism and a minor use of condoms and other contraception methods. Studying how those myths affect the individual's sexual behaviour is needed, in order to create an effective prevention. method: 654 young people were evaluated by the Myths of Romantic Love Questionnaire (Ferrer y cols., 2010). These participants were divided into two groups: RG-Risk Group (they do not use a condom systematically) and NRGNo Risk Group (they always use a condom). results: The differential analyses revealed that young people who are involved in risky sexual behaviours show concordance for most of the myths of romantic love; the myth of intense passion (p=0,006) and the justification of violence (p=0,049) reveal statistical significant differences. Conclusion: Young people show distorted believes of love and partner, which affects their first relationships. Those myths and the ones related to a vision of emotions, may facilitate risky factors in sexual development and health. There are differences between a group that practices unprotected sex and the one that practices safe sex. Including these results into the sexual health programmes is required.

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The Critical Role of Intimacy in the Sexual Risk Behaviors of Gay and Bisexual Men

Cited by 95 publications

References 40 publications

Relationship Dynamics and Sexual Risk Reduction Strategies Among Heterosexual Young Adults: A Qualitative Study of Sexually Transmitted Infection Clinic Attendees at an Urban Chicago Health Center

Relationship Dynamics and Sexual Risk Reduction Strategies Among Heterosexual Young Adults: A Qualitative Study of Sexually Transmitted Infection Clinic Attendees at an Urban Chicago Health Center

Changes in Familiarity with and Willingness to Take Preexposure Prophylaxis in a Longitudinal Study of Highly Sexually Active Gay and Bisexual Men

Sexo y amor: cuando la forma de entender el amor se convierte en un riesgo para la salud sexual de los jóvenes

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