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AIDS and Behavior
Published in: AIDS and Behavior 11/2014

01-11-2014 | Original Paper

Venues, Patrons, and Alcohol Use Dynamics: The Creation of a High Risk Sexual Environment

Authors: Iván C. Balán, Victoria Barreda, Rubén Marone, María Mercedes Ávila, Alex Carballo-Diéguez

Published in: AIDS and Behavior | Issue 11/2014

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Abstract

Venue-based HIV prevention interventions, especially in sex on premise venues, can disrupt high-risk sexual networks. However, prior to intervening, it is essential to understand the person-venue dynamics that contribute to HIV risk. As such, we conducted five ethnographic observations at each of six venues where alcohol is sold and sex occurs onsite (2 each porn theaters, sex clubs, and dance clubs) frequented by gay and other men who have sex with men (G&MSM) in the Buenos Aires metropolitan area. Alcohol use, sexual behavior, and person-venue dynamics differed markedly across venue types. In dance clubs, substantial alcohol consumption often preceded visits to the darkroom for sex which, at times, included unprotected anal and vaginal intercourse. Condoms, although available, were not easily accessible. HIV prevention messaging was generally non-existent. These venues are in critical need of interventions to reduce HIV transmission risk.
Literature
1.
2.
Binson D, Woods WJ, Pollack L, Paul J, Stall R, Catania JA. Differential HIV risk in bathhouses and public cruising areas. Am J Public Health. 2001;91(9):1482–6.PubMedCrossRefPubMedCentral
3.
Grov C, Parsons J, Bimbi DS. Sexual risk behavior and venues for meeting sex partners: an intercept survey of gay and bisexual men in LA and NYC. AIDS Behav. 2007;11(6):915–26.PubMedCrossRef
4.
Parsons JT, Halkitis PN. Sexual and drug-using practices of HIV-positive men who frequent public and commercial sex environments. AIDS Care. 2002;14:815–26.PubMedCrossRef
5.
Van Beneden CA, O’Brien K, Modesitt S, Yusem S, Rose A, Fleming D. Sexual behaviors in an urban bathhouse 15 years into the HIV epidemic. J Acquir Immune Defic Syndr. 2002;30:522–6.PubMedCrossRef
6.
Woods WJ, Binson D, Pollack LM, Wohlfeiler D, Stall RD, Catania JA. Public policy regulating private and public space in gay bathhouses. J Acquir Immune Defic Syndr. 2003;32:417–23.PubMedCrossRef
7.
Binson D, Blea L, Cotton PD, Kant J, Woods WJ. Building an HIV/STI prevention program in a gay bathhouse: a case study. AIDS Educ Prev. 2005;17(4):386–99.PubMedCrossRef
8.
Woods WJ, Binson D, Mayne TJ, Gore LR, Rebchook GM. Facilities and HIV prevention in bathhouse and sex club environments. J Sex Res. 2001;38(1):68–74.CrossRef
9.
Woods WJ, Binson DK, Mayne TJ, Gore LR, Rebchook GM. HIV/sexually transmitted disease education and prevention in US bathhouse and sex club environments. AIDS. 2000;14:625–6.PubMedCrossRef
10.
Weir SS, Pailman C, Mahlalela X, Coetzee N, Meidany F, Boerma JT. From people to places: focusing AIDS prevention efforts where it matters most. AIDS. 2003;17:895–903.PubMedCrossRef
11.
Wohlfeiler D. Structural and environmental HIV prevention for gay and bisexual men. AIDS. 2002;14(Supp 1):S52–6.
12.
Wohlfeiler D, Potterat J. Using gay men’s sexual networks to reduce sexually transmitted disease (STD)/human immunodeficiency virus (HIV) transmission. Sex Transm Dis. 2005;32(10):S48–52.PubMedCrossRef
13.
Taylor M, Montoya JA, Cantrell R, et al. Interventions in the commercial sex industry during the rise in syphilis rates among men who have sex with men (MSM). Sex Transm Dis. 2005;32(10):S53–9.PubMedCrossRef
14.
Kelly JA, St. Lawrence JS, Diaz YE, et al. HIV risk behavior reduction following intervention with key opinion leaders of population: an experimental analysis. Am J Public Health. 1991;81:168–71.PubMedCrossRefPubMedCentral
15.
Kelly JA, St. Lawrence JS, Stevenson LY, et al. Community AIDS/HIV risk reduction: the effects of endorsements by popular people in three cities. Am J Public Health. 1992;82:1483–9.PubMedCrossRefPubMedCentral
16.
Daskalakis D, Silvera R, Bernstein K, et al. Implementation of HIV testing at 2 New York city bathhouses: from pilot to clinical service. Clin Infect Dis. 2009;48(11):1609–16.PubMedCrossRef
17.
Huebner DM, Binson D, Woods WJ, Dilworth SE, Neilands TB, Grinstead O. Bathhouse-based voluntary counseling and testing is feasible and shows preliminary evidence of effectiveness. J Acquir Immune Defic Syndr. 2006;43:239–46.PubMedCrossRef
18.
Huebner DM, Binson D, Dilworth SE, Neilands TB, Grinstead O, Woods WJ. Rapid vs. standard HIV testing in bathhouses: What is gained and lost? AIDS Behav. 2010;14:688–96.PubMedCrossRef
19.
Elford J, Bolding G, Sherr L. Popular opinion leaders in London: a response to Kelly. AIDS Care. 2004;16(2):151–8.PubMedCrossRef
20.
Elwood WN, Green K, Carter KK. Gentlemen don’t speak: communication norms and condom use in bathhouses. JAppl Commun Res. 2003;31:277–98.CrossRef
21.
Elwood WN, Williams ML. The politics of silence: communicative rules and HIV prevention issues in gay male bathhouses. In: Elwood WN, editor. Power in the blood: a handbook on AIDS, politics, and communication. Mahwah: Lawrence Erlbaum Associates; 1999. p. 121–32.
22.
Barreda V, Carballo-Diéguez A, Marone R, Balán IC, Pando MA, Avila MM. Prevención del VIH/Sida en los circuitos de levante HSH: una asignatura pendiente. Sex Salud Soc Revista Latinoamericana. 2010;6:41–62.
23.
Grov C. HIV risk and substance use in men who have sex with men surveyed in bathhouses, bars/clubs, and on craigslist.org: venue of recruitment matters. AIDS Behav. 2012;16:807–17.PubMedCrossRef
24.
Grov C, Hirshfield S, Remien RH, Humberstone M, Chiasson MA. Exploring the venue’s role in risky sexual behavior among gay and bisexual men: an event-level analysis from a national online survey in the U.S. Arch Sex Behav. 2013;42:291–302.PubMedCrossRefPubMedCentral
25.
Grov C, Golub SA, Parsons JT. HIV status differences in venues where highly-sexually active gay and bisexual men meet sex partners: results from a pilot study. AIDS Educ Prev. 2010;22:496–508.PubMedCrossRef
26.
Stall R, Paul JP, Greenwood G, et al. Alcohol use, drug use and alcohol-related problems among men who have sex with men: the urban men’s health study. Addiction. 2001;96(11):1589–601.PubMedCrossRef
27.
Stall R, Purcell DW. Intertwining epidemics: A review of research on substance use among men who have sex with men and its connection to the AIDS epidemic. AIDS Behav. 2000;4(2):181–91.CrossRef
28.
Woolf SE, Maisto SA. Alcohol use and risk of HIV infection among men who have sex with men. AIDS Behav. 2009;13(4):757–82.PubMedCrossRef
29.
Kalichman SC. Social and structural HIV prevention in alcohol serving establishments: review of international interventions across populations. Alcohol Res Health. 2010;33:184–94.PubMedPubMedCentral
30.
Moos RH. The human context: environmental determinants of behavior. New York: John Wiley & Sons, Inc; 1976.
31.
Barker R. On the nature of the environment. J Soc Issues. 1963;19:26–7.
32.
Barker R. Ecological Psychology: concepts and methods for studying the environment of human behavior. Stanford: Stanford University Press; 1968.
33.
Barker R. Habits, environments, and human behavior. San Francisco: Jossey-Bass; 1978.
34.
Ittelson WH, Proshansky HM, Rivlin L, Winkel G. An introduction to environmental psychology. New York: Holt, Rinehart, and Winston; 1974.
35.
Binson D, Woods WJ. A theoretical approach to bathhouse environments. J Homosex. 2003;44(3/4):23–31.PubMedCrossRef
36.
Moos RH. Evaluating correctional and community settings. New York: John Wiley & Sons, Inc; 1975.
37.
Moos RH. Evaluating treatment environments: the quality of psychiatric and substance abuse programs (2nd edition). New Brunswick: Transaction Publishers; 1997.
38.
Moos RH, Insel PM. Issues in social ecology: Social Milieus. National Press Books; 1974.
39.
Moos RH, Lemke S. Evaluating residential facilities: the multiphasic environmental assessment procedure. Thousand Oaks: Sage Publications; 1996.
40.
Graham K, Homel R. Creating safer bars. In: Plant M, Single E, Stockwell T, editors. Alcohol: minimizing the harm. London: Free Association Press; 1997.
41.
Graham K, Osgood DW, Wells S, Stockwell T. To what extent is intoxication associated with aggression in bars? A multilevel analysis. J Stud Alcohol Drugs. 2006;2006(67):382–90.
42.
Leonard KE, Quigley BM, Collins RL. Drinking, personality, and bar environmental characteristics as predictors of involvement in barroom aggression. Addict Behav. 2003;28:1681–700.PubMedCrossRef
43.
Graham K, Bernards S, Osgood DW, Wells S. Bad nights or bad bars? Multi-level analysis of environmental predictors of aggression in late-night large-capacity bars and clubs. Addiction. 2006;101:1569–80.PubMedCrossRef
44.
Macintyre S, Homel R. Danger on the dance floor: a study of interior design, crowding and aggression in nightclubs. In: Homel R, editor. Policing for prevention: reducing crime, public intoxication and injury, vol. 7. Monsey: Criminal Justice Press; 1997.
45.
Quigley BM, Leonard KE, Collins RL. Characteristics of violent bars and bar patrons. J Stud Alcohol Drugs. 2003;64:765–72.
46.
Homel R, Clark J. The prediction and prevention of violence in pubs and clubs. Crime Prev Studies. 1994;3:1–46.
47.
Homel R, Carvolth R, Hauritz M, McIlwain G, Teague R. Making licensed venues safer for patrons: what environmental factors should be the focus of interventions? Drug Alcohol Rev. 2004;23:19–29.PubMedCrossRef
48.
Graham K, Osgood DW, Zibrowski E, et al. The effect of the Safer Bars programme on physical aggression in bars: results of a randomized controlled trial. Drug Alcohol Rev. 2004;23:31–41.PubMedCrossRef
49.
Lang E, Stockwell T, Rydon P, Beel A. Can training bar staff in responsible servicing practices reduce alcohol-related harm? Drug Alcohol Rev. 1998;17:39–50.PubMedCrossRef
50.
51.
Villaamil F, Jociles MI. Risk and community: The impact of HIV among gays in Madrid. The case of sex clubs. Sexualities. 2011;14:580–96.CrossRef
52.
Sherriff N, McDonnell E, Bogen-Johnston L, Tunstall B, O’Brien O, the Everywhere Consortium. Engaging ‘gay’ businesses in HIV prevention ‘everywhere’: findings from a qualitative study in eight European cities. Health Educ J. 2013; 72: 113–123.
Metadata
Title
Venues, Patrons, and Alcohol Use Dynamics: The Creation of a High Risk Sexual Environment
Authors
Iván C. Balán
Victoria Barreda
Rubén Marone
María Mercedes Ávila
Alex Carballo-Diéguez
Publication date
01-11-2014
Publisher
Springer US
Published in
AIDS and Behavior / Issue 11/2014
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-014-0759-2

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