Correlates of Unprotected Anal Sex with Casual Partners: A Study of Gay Men Living in the Southern United States

Rural Center for AIDS/STD Prevention, Indiana University Bloomington, Bloomington, Indiana, United States
AIDS and Behavior (Impact Factor: 3.49). 10/2006; 10(5):575-8. DOI: 10.1007/s10461-006-9116-4
Source: PubMed


This study identified demographic and behavioral correlates of engaging in unprotected anal sex (UAS) with non-main partners among men having sex with men (MSM). Just over 1,000 men completed anonymous surveys with 25% of the men reporting their most recent sexual act with a non-main male partner was UAS. These men tended to be white, older, HIV seropositive, and high (or drunk) when having sex. In multivariate analysis being seropositive, and being high or drunk retained significance. Subsequent research may build upon these findings to determine the causal pathway to UAS among MSM having sex with non-main partners. Findings may be useful in constructing prevention interventions for MSM frequenting gay venues.

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Available from: R. Shouse, Feb 04, 2015
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    • "For others, a reasoned judgment based on perception of risk takes place. In cases where perceived risk is low, harm reduction strategies involving HIV serodisclosure, serosorting, strategic positioning, and negotiated safety are, as reported in other studies, being used instead of condoms (Belcher et al. 2005; Van de Ven et al. 2002; Holtgrave, Crosby and Shouse 2006). Contextual factors, such as acting in the heat of the moment, condom availability, and substance use, are also influential and of similar importance to interpersonal factors. "
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    ABSTRACT: This study examined reasons for non-use of condoms among an online survey sample of 462 non-condom using men who have sex with men to: (1) identify major domains, themes and categories encompassing reasons for non-use of condoms and (2) examine whether reasons varied by role-in-sex (insertive or receptive) and meeting venue (online or offline). A thematic analysis was completed on participant responses to an open-ended question about reasons for non-condom use. Preference for not using condoms and contextual factors were the top two reasons given for not using condoms, followed by a reasoned judgment based on risk assessment, relationship status and interpersonal communication. No major differences were found between men who reported non-condom use at last receptive and insertive anal intercourse. By contrast when meeting online, men were more likely to report reasons for non-condom use that corresponded to individual preference and mutual agreement not to use condoms. When meeting offline, men were more likely to cite reasons related to context and relationships. In developing HIV-prevention interventions for this population, researchers should address both venues separately, as reasons why men engage in non-use of condoms appear to differ.
    Preview · Article · Oct 2010 · Culture Health & Sexuality
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    • "Several U.S. studies [4] [5] [6] suggest that unprotected anal sex accounts for the acquisition of most HIV infections among MSM, and situational factors play an important role in understanding sexual risk taking. One such factor is the use of methamphetamine during sex. "

    Full-text · Article · May 2010 · The Open AIDS Journal
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    ABSTRACT: We sought to learn what factors are associated with anal intercourse among adolescents and young adults. We examined demographic, behavioral, relationship context, attitudinal, substance use, and mental health correlates of recent heterosexual anal intercourse among adolescents and young adults who reported engaging in recent unprotected sex. Among 1348 at-risk adolescents and young adults aged 15 to 21 years in 3 US cities, we assessed sexual risk behavior with each sexual partner in the past 90 days. Data were collected from 2000 to 2001. Recent heterosexual anal intercourse was reported by 16% of respondents. Females who engaged in anal intercourse were more likely to be living with a sexual partner, to have had 2 or more partners, and to have experienced coerced intercourse. For males, only a sexual orientation other than heterosexual was a significant predictor of engaging in heterosexual anal intercourse. Our findings document the prevalence of heterosexual anal intercourse among adolescents and young adults who had recent unprotected sex. Among females, the variables associated with anal intercourse relate to the context and power balance of sexual relationships. Different influences for males and females suggest different foci for interventions.
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