Experiences of homonegativity and sexual risk behaviour in a sample of Latino gay and bisexual men

Background With the increased use of the Internet to seek sex, research has documented its associated sexual risk behaviours, especially among gay and bisexual men. Only a few studies to date have been conducted among adolescent and young men, and these have focussed on behavioural components to do with seeking sex online, without considering the role of same-sex identity formation processes. The current study aimed to identify behavioural and identity formation variables associated with seeking sex online among adolescents and youth. Methods: A web sampling of young Israeli gay and bisexual men aged 12–30 years (n = 445) was used to assess their seeking sex online characteristics, mental health, sexual risk behaviours, substance use, same-sex disclosure and acceptance and coping resources. Results: Nearly half of the sample used the Internet to seek sex, which was correlated with substance use and sexual risk behaviour. Young adults seek for sex online more commonly than adolescents. Higher numbers of: sexual partners, level of outness, levels of friends support and stronger connectedness to the gay community predicted seeking sex online. Seeking sex online was found to be more of predictor for sexual risk behaviour than any other predictor. Conclusions: Seeking sex online is influenced by the gay sub-culture climate and peer group relationships, rather than by social stressor variables related to sexual orientation formation processes, or by the subject’s general mental health condition. These results underscore the possible risks pertaining to seeking sex among gay and bisexual men and the possible use for this venue to convey safe-sex messages to adolescents and young adults.

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Do differences in age between sexual partners affect sexual risk behaviour among Australian gay and bisexual men?

Sexually Transmitted Infections ◽

10.1136/sextrans-2012-050947 ◽

2013 ◽

Vol 89 (8) ◽

pp. 653-658 ◽

Cited By ~ 12

Author(s):

Garrett Prestage ◽

Fengyi Jin ◽

Benjamin Bavinton ◽

Stephen Andrew Scott ◽

Michael Hurley

Keyword(s):

Sexual Risk ◽

Risk Behaviour ◽

Gay And Bisexual Men ◽

Sexual Partners ◽

Sexual Risk Behaviour ◽

Bisexual Men ◽

And Bisexual

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Effect of age on the association between recreational drug use and sexual risk behaviour: a cross-sectional observational analysis

Sexual Health ◽

10.1071/sh20115 ◽

2020 ◽

Vol 17 (6) ◽

pp. 538

Author(s):

Arthur Wong ◽

Garrett P. Prestage ◽

I. Mary Poynten ◽

Fengyi Jin ◽

Richard J. Hillman ◽

...

Keyword(s):

Drug Use ◽

Risk Behaviour ◽

Gay And Bisexual Men ◽

Sexual Risk Behaviour ◽

Recreational Drug ◽

Bisexual Men ◽

Cross Sectional ◽

Sexual Behaviours ◽

Recreational Drug Use ◽

And Bisexual

Recreational drug use (RDU) among gay and bisexual men (GBM) is associated with higher-risk sexual behaviours, however this has not been well defined among older GBM. We investigated the association between RDU and sexual behaviours among older GBM in Sydney, Australia. 617 GBM aged 35–79 years self-reported their RDU in the past 6 months and sexual behaviours. Age-stratified univariable associations between RDU and behaviour were examined. GBM aged 35–44 years were the most likely to report RDU, with rates decreasing with increasing age (Ptrend < 0.001). Associations between RDU and higher-risk sexual behaviours were most consistently found among GBM aged 35–54 years.

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Baseline characteristics of gay and bisexual men in a HIV pre-exposure prophylaxis demonstration project with equity quotas in Auckland, New Zealand

Sexual Health ◽

10.1071/sh18056 ◽

2019 ◽

Vol 16 (1) ◽

pp. 47 ◽

Cited By ~ 2

Author(s):

Peter J. W. Saxton ◽

Sunita Azariah ◽

Richard A. Franklin ◽

Rose F. Forster ◽

Suzanne F. Werder ◽

...

Keyword(s):

New Zealand ◽

Risk Behaviour ◽

Gay And Bisexual Men ◽

Demonstration Project ◽

Receptive Anal Intercourse ◽

Sexual Risk Behaviour ◽

Bisexual Men ◽

Baseline Characteristics ◽

And Bisexual ◽

Exposure Prophylaxis

Background In New Zealand, pre-exposure prophylaxis (PrEP) should target gay and bisexual men (GBM), and equity is an important principle. Baseline characteristics of GBM offered PrEP in a demonstration project with an enrolment quota of 50% non-Europeans are described. Methods: An open-label, single-arm treatment evaluation study design (‘NZPrEP’) was used. The settings were four publicly funded sexual health clinics in Auckland in 2017. The study population was 150 GBM recruited from clinics, community sources and social media. Participants self-completed an online questionnaire about PrEP awareness, attitudes and sexual risk behaviour in the last 3 months. Baseline characteristics are described and examined to determine whether these were associated with PrEP initiation status (self-referral vs doctor/nurse recommendation). Results: In total, 150 GBM of whom half (52%) were non-European, including 21.3% Maori, 19.3% Asian and 8.7% Pacific, were enrolled into the study. Two-thirds (65.3%) self-referred for PrEP and one-third (34.7%) were recommended PrEP by the doctor/nurse. Participants reported a high number of male condomless receptive anal intercourse partners (MenAICLR) (median 3, range 0–50), with 10% reporting 10 or more MenAICLR and 45.3% reporting group sex. In the previous year, 65.3% had a sexually transmissible infection (STI); 18% had rectal chlamydia or gonorrhoea at enrolment. Almost half (47.7%) had recently used drugs with sex, including 8.1% who used methamphetamine. Participants recommended PrEP had lower education, lived less centrally and had a higher STI prevalence than PrEP self-referrers, but their risk behaviour was similar. Conclusions: Early PrEP adopters in New Zealand have high HIV risk. Demonstration projects should consider equity mechanisms so that minorities can participate meaningfully.

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Intensive sex partying with gamma-hydroxybutyrate: factors associated with using gamma-hydroxybutyrate for chemsex among Australian gay and bisexual men – results from the Flux Study

Sexual Health ◽

10.1071/sh17146 ◽

2018 ◽

Vol 15 (2) ◽

pp. 123 ◽

Cited By ~ 9

Author(s):

Mohamed A. Hammoud ◽

Adam Bourne ◽

Lisa Maher ◽

Fengyi Jin ◽

Bridget Haire ◽

...

Keyword(s):

Social Engagement ◽

Risk Behaviour ◽

Gay And Bisexual Men ◽

Sexual Risk Behaviour ◽

Bisexual Men ◽

Factors Associated ◽

The Past ◽

Gamma Hydroxybutyrate ◽

And Bisexual ◽

Group Sex

Background Gamma-hydroxybutyrate (GHB) use among gay and bisexual men (GBM) has increased in recent years. It is commonly cited as a sexual-enhancement drug. There is, however, little evidence for factors associated with GHB use or the consequences of its use among GBM. Aim: Factors associated with GHB use, its relationship to sexual risk behaviour, and the contexts, consequences, and motivations for its use were examined. Methods: The Following Lives Undergoing Change (Flux) Study is an online prospective observational study of Australian GBM. At baseline, a total of 3190 GBM provided details about their use of GHB. Data on frequency, methods, pleasures and consequences of their drug use, alongside key demographic variables were collected. Results: Mean age was 35.0 years. One in five men (19.5%) had a history of GHB use and 5.4% reported use within the past 6 months, with 2.7% having used it monthly or more frequently. Overdose had been experienced by 14.7%, this was more common among men who used GHB at least monthly. Being HIV-positive, having more gay friends, greater social engagement with gay men who use drugs, a greater number of sexual partners, group sex, and condomless anal intercourse with casual partners were independently associated with GHB use in the past 6 months. Greater social engagement with gay men who use drugs and group sex were independently associated with at least monthly use. More frequent GHB use was independently associated with experiencing overdose among GHB users. Conclusion: Most men used GHB infrequently and it was often used explicitly to enhance sexual experiences, often in the context of intensive sex partying. Men who used GHB frequently, were at greater risk of overdose and other negative health outcomes. GHB use should be considered alongside other drugs that have been implicated in sexual risk behaviour and HIV transmission. Harm-reduction interventions need to consider the particular impact of frequent GHB use.

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