A Major HIV Risk Factor for Young Men Who Have Sex With Men Is Sex With Older Partners

From the Center for Biomedical Modeling, Semel Institute of Neuroscience and Human Behavior, David Geffen School of Medicine at UCLA, Los Angeles, CA.
JAIDS Journal of Acquired Immune Deficiency Syndromes (Impact Factor: 4.56). 03/2010; 54(2):113-4. DOI: 10.1097/QAI.0b013e3181d43999
Source: PubMed
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    • "In addition, lifetime exposure for two of the remaining three STIs (genital warts, hepatitis B) was not significantly associated with race or ethnicity in multivariate models. It may be that observed associations seen at the bivariate level were better explained by age differences across groups—White participants were older in our study, and older individuals are more likely to report a greater number of lifetime partners and to have been exposed to an STI (Coburn and Blower 2010; Hurt et al. 2010; Joseph et al. 2011; Oster et al. 2011). It is noteworthy that our measure was of lifetime exposure. "
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    ABSTRACT: Racial prejudice and stereotyping in gay and bisexual communities may be important contextual factors that contribute to racial disparities in HIV. In an effort to challenge race-based stereotypes regarding gay and bisexual men’s sexuality, we sought to determine the extent to which race and ethnicity were associated with (1) racial homophily (i.e., same-race partnerships), (2) sexual behavior (e.g., number of partners, condomless anal sex (CAS), sexual position (top/versatile/bottom)), and (3) perceived penis size and size satisfaction. Data were taken from a survey of 1,009 gay and bisexual men recruited using a street-intercept method at gay, lesbian, and bisexual community events in NYC in 2006—15 % Black, 61 % White, 18 % Latino, and 6 % Asian/Pacific Islander (mean age, 35.7). There was strong evidence of racial homophily (i.e., having a partner of the same race) among men who were in relationships, particularly for White and Black men. Race and ethnicity was largely unassociated with multiple dimensions of sexual behavior (e.g., number of partners, CAS, sexual positioning). Although we observed some racial and ethnic differences in perceived penis size that were consistent with stereotypes, the magnitudes of the differences were insufficient to justify the stereotype. As well, there were no significant differences with regard to satisfaction with penis size or lying to others about penis size. The disproportionate HIV prevalence among Black and Latino men does not appear to be as a result of differences in sexual behavior (e.g., CAS, number of partners) and race-based sexual stereotypes were largely unsupported by empirical data.
    Full-text · Article · May 2015 · Sexuality Research and Social Policy: Journal of NSRC
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    • "But what? An editorial in the Journal of Acquired Immune Deficiency Syndromes[39] raises the alarm that public health officials have not yet acknowledged that age mixing can be a significant driver in HIV epidemics” "
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    ABSTRACT: This paper raises the question of how knowledge creation is organized in the area of HIV prevention and how this concatenation of expertise, resources, at-risk people and viruses shapes the knowledge used to impede the epidemic. It also seeks to trouble the discourses of biomedical pre-eminence in the field of HIV prevention by examining the claim for treatment as prevention, looking at evidence constructed through the biomedical frame and through the lens of the sociology of science. These questions lie within a larger socio-historical context of lagging worldwide attention and funding to prevention in the HIV area and, in particular, neglect of populations at greatest risk. Much contemporary HIV prevention research relies on a population science divided over an epistemic fault line from the communities and individuals who must make sense of the intrusion of a life-threatening disease into their pursuit of pleasure and intimacy. There are, nevertheless, lessons to be learned from prevention success stories among sex workers, injection drug users, and gay and bisexual men. The success stories point to a need for a robust social science agenda that examines: the ways that people are socially organized and networked; the popular strategies and folk wisdoms developed in the face of HIV risk; socio-historical movement of sexual and drug cultures; the dynamics of popular mobilization to advance health; the institutional sources of HIV discourses; and popular understandings of HIV technologies and messages.
    Full-text · Article · Sep 2011 · Journal of the International AIDS Society
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    Full-text · Article · Jan 2011 · JAIDS Journal of Acquired Immune Deficiency Syndromes
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