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01-11-2007 | Original Paper

Sexual Risk Behavior and Venues for Meeting Sex Partners: An Intercept Survey of Gay and Bisexual Men in LA and NYC

Authors: Christian Grov, Jeffrey T. Parsons, David S. Bimbi

Published in: AIDS and Behavior | Issue 6/2007

Abstract

Understanding the link between venues for meeting sex partners and sexual risk behavior is critical to developing and placing effective sexual health education and HIV prevention services. Non-monogamous gay and bisexual men (n = 886) were surveyed in New York and Los Angeles about the venues that they met recent sex partners: bathhouses, private sex parties, gay bars/clubs, the gym, via public cruising, and the Internet. Bars/clubs, bathhouses, and the Internet were the most endorsed venues for meeting partners. Men having met a majority of their partners (i.e., “preference”) via these three venues were compared/contrasted. Those having preference for bars/clubs were dissimilar from men with preference for bathhouses or the Internet on multiple levels (e.g. age, number of sex partners, temptation for unsafe sex). However, these men were proportionally similar in whether they had engaged in a recent episode of unprotected anal intercourse (UAI). Logistic regressions predicting UAI suggested venues might not play a role in differentiating men who had preference for bars/clubs, bathhouses or the Internet. Additional regression analyses utilizing all six venues to predict UAI suggested other person-factors such as identity as a barebacker and temptation for unsafe sex better explain UAI. This research suggests HIV prevention and educational campaigns targeted within venues need also address socio-psychological person-factors in addition to environmental/venue contexts.

Baker, P. (2002). Fantabulosa: A dictionary of polari & gay slang. New York: Continuum.

Benotsch, E. G., Kalichman, S., & Cage, M. (2002). Men who have met sex partners via the Internet: Prevalence, predictors, and implications for HIV prevention. Archives of Sexual Behavior, 31, 177–183.PubMedCrossRef

Benotsch, E., Seeley, S., Mikytuck, J. J., Pinkerton, S. D., Nettles, C. D., & Ragsdale, K. (2006). Substance use, medications for sexual facilitation, and sexual risk behavior among traveling men who have sex with men. Sexually Transmitted Diseases, 33(12), 706–711.PubMedCrossRef

Binson, D., Woods, W. J., Pollack, J., Paul, J., Stall, R. & Catania, J. A. (2001). Differential HIV risk in bathhouses and public cruising areas. American Journal of Public Health, 91, 1482–1486.PubMed

Binson, D., Woods, W. J., Pollack, L., & Sheon N. (2005). Bringing HIV/STI testing programmes to high-risk men. International Journal of STD & AIDS, 9, 600–604.CrossRef

Blank, S., Gallagher, K., Washburn, K., & Rogers, M. (2005). Reaching out to boys at bars: Utilizing community partnerships to employ a wellness strategy for syphilis control among men who have sex with men in New York City. Sexually Transmitted Diseases, 32, s65–s72.PubMedCrossRef

Bolding, G., Davis, M., Hart, G., Sherr, L., & Elford, J. (2005) Gay men who look for sex on the Internet: Is there more HIV/STI risk with online partners? AIDS, 19, 961–968.PubMedCrossRef

Bolding G., Davis M., Sherr L, Hart G., & Elford J. (2004). Use of gay Internet sites and views about online health promotion among men who have sex with men. AIDS Care, 16(3), 993–1001.PubMedCrossRef

Bull, S., Lloyd, L., Rietmeijer, C., & McFarlane, M. (2004). Recruitment and retention of an online sample for an HIV prevention intervention targeting men who have sex with men: the smart sex quest project. AIDS Care, 16, 931–943.PubMedCrossRef

Bull, S. S., & McFarlane, M. (2000). Soliciting sex on the Internet: What are the risks for sexually transmitted diseases and HIV? Sexually Transmitted Diseases, 27, 545–550.PubMedCrossRef

Bullock, D. (2004) Lesbian cruising: an Examination of the concept and methods. Journal of Homosexuality, 47, 1–31.PubMedCrossRef

Carey, M. P., Braaten, L. S., Jaworski, B. C., Durant, L. E., & Forsyth, A. D. (1999). HIV and AIDS relative to other health, social, and relationship concerns among low-income women: A brief report. Journal of Women’s Health and Gender Based Medicine, 8, 657–661.PubMed

Centers for Disease Control, Prevention (CDC). (2002). Unrecognized HIV infection, risk behaviors, and perceptions of risk among young black men who have sex with men—Six US cities 1994–1998. MMWR, 51, 733–736.PubMed

Centers for Disease Control and Prevention (CDC) (2003a). HIV/AIDS Surveillance Report: HIV Infection and AIDS in the United States. Accessed online on October 20, 2005 at http://www.cdc.gov/hiv/stats.htm#exposure.

Centers for Disease Control and Prevention (CDC) (2003b). HIV/AIDS Surveillance Report: HIV Infection and AIDS in the United States, Table 18. Accessed Online on October 20, 2005 at http://www.cdc.gov/hiv/stats/2003SurveillanceReport/table18.htm.

Centers for Disease Control and Prevention (CDC) (2005a). HIV/AIDS among men who have sex with men (MSM). Accessed online on October 20, 2005 at http://www.cdc.gov/hiv/pubs/facts/msm.htm.

Centers for Disease Control and Prevention (CDC) (2005b). HIV/AIDS Surveillance Report, 2004. Vol. 16. Atlanta: US Department of Health and Human Services, CDC; 1–46. Also available at http://www.cdc.gov/hiv/topics/surveillance/resources/reports.htm. Accessed July 19, 2006.

Chen, S. Y., Gibson, S., Katz, M. H., Klausner, J. D., Dilley, J. W., Schwarcz, S. K., Kellogg, T. A., & McFarland, W. (2002a). Continuing increases in sexual risk behavior and sexually transmitted diseases among men who have sex wiht men: San Francisco, Calif, 1999–2001. American Journal of Public Health, 92, 1387–1388.

Chen, J. L., Kodagoda, D., Lawrence, A. M., & Kerndt, P. R. (2002b). Rapid public health interventions in response to an outbreak of syphilis in Los Angeles. Sexually Transmitted Diseases, 29, 285–287.CrossRef

Chiasson, M., Hirshfield, S., Humberstone, M., Remien, R., Wolitski, R., & Wong, T. A. (2005). Comparison of online and offline risk in MSM. Paper presented at: 12th Conference on Retroviruses and Opportunistic Infections; February 25, 2005; Boston, MA.

Chiasson M. A., Parsons J. T., Tesoriero J., Carballo-Dieguez, A., Hirshfield, S., & Remien, R. H. (2006) HIV behavioral research online. Journal of Urban Health, 83, 1–13.CrossRef

Clatts, M. C., Goldsamt, L. A., & Yi, H. (2005). An emerging HIV risk environment: A preliminary epidemiological profile of an MSM Poz Party in New York City. Sexually Transmitted Infections, 81, 373–376.PubMedCrossRef

Cohen, J. (2006, January 22, 2006). Protect or disinhibit? New York Times, p. 12.

Costello, D. (2005, December 19, 2005). AIDS pill as party drug? Los Angeles Times, p. F1.

Crosby, R., & Metty, A. (2004). A descriptive analysis of HIV risk behavior among men having sex with men attend a large sex resort. AIDS, 37, 1496–1499.

Daniel, W. W. (1996). Biostatistics: A foundation for analysis in the health science. New York: Wiley.

Ekstrand, M. L., Stall, R. D., Paul, J. P., Osmond, D. H., Coates, T. J. (1999). Gay men report high rates of unprotected anal sex with partners of unknown or discordant HIV status. AIDS, 13, 1525–1533.PubMedCrossRef

Elford, J., Bolding, G., Davis, M., Sherr, L., & Hart, G. (in press). Barebacking Among HIV-Positive Gay Men in London. Sexually Transmitted Diseases.

Elford, J., Bolding, G., & Sherr, L. (2001) Seeking sex on the Internet and sexual risk behaviour among gay men using London gyms. AIDS, 15, 1409–1415.PubMedCrossRef

Elwood, W. N., & Greene, K. (2006). “Risks both known and unknown”: A qualitative method to assess the role of situation in HIV/STD Risk and Prevention. Journal of Homosexuality, 50, 135–154.CrossRef

Elwood, W. N., Green, K., & Carter, K. K. (2003). Gentlemen don’t speak: Communication norms and condom use in bathhouses. Journal of Applied Communication Research, 31, 277–298.CrossRef

Elwood W. N., & Williams, W. L. (1998). Sex, drugs, and situation: attitudes, drug use, and sexual risk behaviors among men who frequent bathhouses. Journal of Psychology and Human Sexuality, 10, 23–44.CrossRef

Elwood, W. N., & Williams, M. L. (1999). The politics of silence: Communicative rules and HIV prevention issues in gay male bathhouses. In W. N. Elwood (Ed.), Power in the blood: A handbook on AIDS, politics, and communication (pp. 121–132). Mahwah, NJ: Lawrence Erlbaum Associates.

Frankis, J. S., & Flowers, P. (2005). Men who have sex with men (MSM) in public sex environments (PSEs): A systematic review of quantitative literature. AIDS Care, 17, 273–288.PubMedCrossRef

Frankis, J. S., & Flowers, P. (2006). Cruising for sex: Sexual risk behaviours and HIV testing of men who cruise, inside and out with public sex environments (PSE). AIDS Care, 18, 54–59.PubMedCrossRef

Grov, C. (2004). “Make me your death slave:” Men who have sex with men and use the Internet to intentionally spread HIV. Deviant Behavior, 25, 229–349.CrossRef

Grov, C. (2006). Barebacking websites: Electronic environments for reducing or inducing HIV risk. AIDS Care, 18, 990–997.PubMedCrossRef

Halkitis, P. N., & Parsons, J. T. (2002). Recreational Drug Use and HIV-Risk Sexual Behavior among Men Frequenting Gay Social Venues. Journal of Gay & Lesbian Social Services, 14, 19–38.CrossRef

Halkitis, P. N., & Parsons, J. T. (2003). Intentional unsafe sex (barebacking) among HIV-positive gay men who seek sexual partners on the Internet. AIDS Care, 15, 367–378.PubMedCrossRef

Hirshfield, S., Remien, R., Humberstone, M., Walavalkar, I., & Chiasson, M. (2004) Substance use and high-risk sex among men who have sex with men: a national online study in the USA. AIDS Care, 16, 1036–1047.PubMedCrossRef

Humphreys, L. (1975). Tearoom Trade: Impersonal sex in public places. Chicago, IL: Aldine Publisher Company.

Kalichman, S. C., Benotsch, E., Rompa, D., Gore-Felton, C., Austin, J., Luke, W., DiFonzo, K., Buckles, J., Kyomugisha, F. & Simpson, D. (2001). Unwanted sexual experiences and sexual risks in gay and bisexual men: Associations among revictimization, substance use and psychiatric symptoms. Journal of Sex Research, 28, 1–9.

Kalichman, S. C., Rompa, D., Luke, W., & Austin, J. (2002). HIV transmission risk behaviors among HIV-positive persons in serodiscordant relationships. International Journal of STD AIDS, 13, 677–682.PubMedCrossRef

Kalichman, S. C., & Simbaya, L. (2004a). Sexual assault history and risks for sexually transmitted infections among women in an African township in Cape Town, South Africa. AIDS Care, 16, 681–689.CrossRef

Kalichman, S. C., & Simbaya, L. (2004b). Traditional beliefs about the cause of AIDS and AIDS-related stigma in South Africa. AIDS Care, 16, 572–580.CrossRef

Kellerman, S., Hutchinson, A., Begley, E., Boyett, B., Clark, H., & Sullivan, P. (2005, July). Knowledge and use of pre-exposure prophlaxis among attendees of minority gay pride events, 2004. Paper presented at the The 3rd IAS Conference on HIV Pathogenesis and Treatment, Rio de Janeiro, July 24–27 2005.

Kim, A., Kent, C., McFarland, W., & Klausner, J. (2001) Cruising on the Internet highway. Journal of Acquired Immune Deficiency Syndrome, 28, 89–93.

Klausner, J., Wolf, W., Fisher-Ponce, L., Zolt, I., & Katz, M. (2000). Tracing a syphilis outbreak through cyberspace. Journal of the American Medical Association, 284, 447–449.PubMedCrossRef

Koblin, B. A., Torian, L. V., Gulin, V., Ren, L., MacKellar, D. A., & Valleroy, L. A. (2000) High prevalence of HIV infection among young men who have sex with men in New York City. AIDS, 14, 1793–1800.PubMedCrossRef

Leap, W. L. (ed.) (1999) Public sex: Gay space. New York: Columbia University Press.

Liau, A., Millett, G., & Marks, G. (2006). Meta-analytic examination of online sex-seeking and sexual risk behavior among men who have sex with men. Sexually Transmitted Diseases, 33, 576–584.PubMedCrossRef

Lister, N. A., Smith, A., Sepehr, T. N., Garland, S., Hayes, P., & Fairley, C. K. (2005). Comprehensive clinical care on-site in men-only saunas: confidential STI/HIV screening outreach clinic. International Journal of STD & AIDS, 16, 794–798.CrossRef

McFarlane, M., Bull, S., & Rietmeijer, C. (2000). The Internet as a newly emerging risk environment for sexually transmitted diseases. Journal of the American Medical Association, 284, 443–446.PubMedCrossRef

Mettey, A., Crosby, R., DiClemente, R., & Holtgrave, D. (2003) Associations between internet sex seeking and STI associated risk behaviours among men who have sex with men. Sex Transmitted Infection, 79, 466–468.CrossRef

Miller, K.W., Wilder, L.B., Stillman, F.A., & Becker, D.M. (1997). The feasibility of a street-intercept survey method in an African-American community. American Journal of Public Health, 87, 655–658.PubMedCrossRef

Parsons, J. T. (2005). HIV-positive gay and bisexual men. In S. C. Kalichman (Eds) Positive Prevention: Reducing HIV Transmission among People Living with HIV/AIDS (pp. 99–133). New York: Kluwer.

Parsons, J. T., & Halkitis, P. N. (2002). Sexual and drug-using practices of HIV-positive men who frequent public and commercial sex environments. AIDS Care, 14, 815–826.PubMedCrossRef

Parsons, J. T., Halkitis, P. N., Bimbi, D. S., & Borkowski, T. (2000). Perceptions of the benefits and costs associated with condom use and unprotected sex among late adolescent college students. Journal of Adolescence, 23, 377–391.PubMedCrossRef

Parsons, J. T., Halkitis, P. N., Wolitski, R. J., Gomez, C. A., the Seropositive Urban Men’s Study Team. (2003). Correlates of sexual risk behaviors among HIV-positive men who have sex with men. AIDS Education and Prevention, 15, 383–400.PubMedCrossRef

Parsons, J. T., Vicioso, K., Punzalan, J. C., Halkitis, P. N., Kutnick, A., & Velasquez, M. M. (2004). The Impact of alcohol use on the sexual scripts of HIV+ men who have sex with men. Journal of Sex Research, 41(2), 160–172.PubMed

Parsons, J. T., & Vicioso, K. (2005). Brief encounters: The roles of public and commercial sex environments in the sexual lives of HIV-positive gay and bisexual men. In P. Halkitis, C. Gómez, & R. J. Wolitski (Eds.) HIV Positive Sex: The Psychological and Interpersonal Dynamics of HIV-Seropositive Gay and Bisexual Men's Relationships (pp. 183–200). Washington, DC: American Psychological Association.

Reece, M., & Dodge, B. (2003). Exploring the physical, mental and social well-being of gay and bisexual men who cruise for sex on a college campus. Journal of Homosexuality, 46, 111–136.PubMedCrossRef

Rietmeijer, C. A., & Lloyd, L. V. (2005). Net, bath and beyond: Serosorting, unprotected anal intercourse, and gonorrhea among MSM who preferentially seek sex partners on the Internet, in Bathhouses, or in other environments. Paper presented at the 2005 National HIV Prevention Conference, Atlanta Georgia, June 12–15.

Ross, M. (2005). Typing, doing, and being: Sexuality and the Internet. Journal of Sex Research, 42, 342–352.PubMed

Rotheram-Borus, M. J., Mann, T., Newman, P. A., Grusky, O., Frerichs, R. R., Wight, R. G., & Kuklinski, M. (2001). A street intercept survey to assess HIV-testing attitudes and behaviors. AIDS Education and Prevention, 13, 229–238.PubMedCrossRef

Silverstein, C., & Picano, F. (2003). The joy of gay sex. New York: Harpers Resource.

Shernoff, M. (2005). Without Condoms: Unprotected sex, gay men, and barebacking. New York: Routledge.

Stolte, I. G., Dukers, N. H., de Wit, J. B., Fennema, J. S., & Countinho, R. A. (2001). Increases in sexually transmitted infections among homosexual men in Amsberdam in relation to HAART. Sexually Transmitted Diseases, 77, 184–186.

Taylor, M., Aynalem, G., Smith, L., Bemis, C., Kenney, K., & Kerndt, P. (2004). Correlates of Internet Use to Meet Sex Partners Among Men Who Have Sex With Men Diagnosed With Early Syphilis in Los Angeles County. Sexually Transmitted Diseases, 31, 552–556.PubMedCrossRef

Tewksbury, R. (2002). Bathhouse intercourse: structural and behavioral aspects of an erotic oasis. Deviant Behavior, 23, 75–112.CrossRef

Tewksbury, R. (2003). Bareback Sex and the Quest for HIV: Assessing the Relationship in Internet Personal Advertisements of Men Who Have Sex With Men. Deviant Behavior, 24, 467–483.CrossRef

Tikkanen, R., & Ross, M. (2003). Technological tearoom trade: Characteristics of Swedish men visiting gay Internet chat rooms. AIDS Education and Prevention, 15, 122–132.PubMedCrossRef

Van Beneden, C. A, O’Brien, K., Modesitt, S., Yusem, S., Rose, A., & Fleming, D. (2002). Sexual behaviors in an urban bathhouse 15 years into the HIV epidemic. Journal of Acquired Immune Deficiency Syndrome, 30, 522–526.

Van de Ven, P., Prestage, G., Crawford, J., Gulich, A., & Kippax, S. (2000). Sexual behavior increases is associated with HIV optimism among HIV negative and HIV positive gay men in Sydney over the Four-year period to February 2000. AIDS, 14, 2951–2953.PubMedCrossRef

Weatherburn, P., Hickson, F., & Reid, D. (2003). Gay men’s use of the Internet and other settings where HIV prevention occurs. London: Sigma Research.

Woods, W. J., Binson, D. K., Mayne, T. J., Gore, L.R., & Rebchook, G.M. (2000). HIV/sexually transmitted disease education and prevention in US bathhouse and sex club environments. AIDS, 14, 625–626.PubMedCrossRef

Woods, W. J., Binson, D. K., Mayne, T. J., Gore, L. R., & Rebchook, G. M. (2001). Facilities and HIV prevention in bathhouse and sex club environments. Journal of Sex Research, 38, 68–74.CrossRef

Youle, M., & Wainberg, M. A. (2003). Could chemoprophylaxis be used as an HIV prevention strategy while we wait for an effective vaccine? AIDS, 17, 937–938.PubMedCrossRef

Title: Sexual Risk Behavior and Venues for Meeting Sex Partners: An Intercept Survey of Gay and Bisexual Men in LA and NYC
Authors: Christian Grov
Jeffrey T. Parsons
David S. Bimbi
Publication date: 01-11-2007
Publisher: Springer US
Published in: AIDS and Behavior / Issue 6/2007
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-006-9199-y

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