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Gay men’s sexual identities and personal networks

Gay men’s sexual identities and personal networks

Sexually adventurous gay men are more likely to engage in sexual risk behavior. Is this an individual characteristic or does it reflect participation in sexually adventurous networks?

Methods: CONNECT was an online survey of gay men recruited during 2010-2012 in Sydney, Melbourne and Perth. 937 men were asked questions about their own sexual identity and that of men in their personal networks. 912 men responded to these questions, including 452 who were referred into the study by another participant. L Factor analysis and logistic regression was used to calculate statistical associations.

Results: Most men were gay (78.1%) or homosexual (16.1%). Mean age was 35.6 years. 89.6% had been tested for HIV and 12.1% were HIV-positive. Most men identified at least somewhat with several sexual identities, such as: Bear/cub (25.2%); Sexpig (20.4%); Partyboy (21.7%); Leatherman (18.1%); Twink (12.3%); Alternative (25.4%). Most men also indicated that men in their personal networks identified at least partially with several of these same identities, such as: Bear/cub (28.7%); Sexpig (23.1%); Partyboy (33.9%); Leatherman (21.3%); Twink (20.5%); Alternative (26.2%).
Usually, but not always, men’s personal identities closely corresponded to those of their networks. Factor analysis identified six types of personal network: Sexually adventurous (accounting for 64.2% of men); Bears, cubs and chubbies (40.6%); Alternative / queer (47.4%); Gay scene (43.7%); Conservative (57.7%); and Asexual (9.2%). In multivariate analysis, after controlling for age and HIV status, only being engaged in sexually adventurous networks was associated with unprotected anal intercourse with casual partners (aOR=1.17; CI 1.10-1.24; p<0.001).

Conclusion: Men’s various sexual identities tend to also be reflected in the kinds of men with whom they engage. sexual risk behavior is more likely to occur within sexually adventurous networks, and to reflect their normative values. Targeted harm reduction programs need to address men through such networks, not just as individuals.

 

Conference: ASHM 2013
Areas of Interest / Categories: AIDS 2013

AIDS 2013

Delayed HIV diagnoses among gay and bisexual men in Australia

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Complex case report that illustrates the paucity of data for long term management of Visceral Leishmania-HIV co-infection.

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Reinvigorating evidence for action and capacity in community HIV programs (REACH Project)

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Men who take more risks avoid HIV testing due to structural barriers

Regular HIV testing is recommended in men who take sexual risks. We assessed the relationship between perceived barriers to HIV testing, and frequency of testing among men who engaged in unprotected anal intercourse with casual partners (UAIC), to inform HIV testing strategies.

Behavioural trends among Australian gay men pose increasing challenges for HIV prevention: findings from the Gay Community Periodic Surveys, 2003-1

Gay men remain the primary population affected by HIV in Australia. While recent attention has been focused on increasing HIV testing and the use of antiretroviral-based prevention to reduce infections, it is equally important to sustain safe sex and other risk reduction practices. Increases in unprotected anal intercourse (UAI), for example, may counteract any beneficial changes in testing and treatment. 

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