Archives of Sexual Behavior

, Volume 42, Issue 2, pp 291–302

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.

  • Christian Grov
  • Sabina Hirshfield
  • Robert H. Remien
  • Mike Humberstone
  • Mary Ann Chiasson
Original Paper

DOI: 10.1007/s10508-011-9854-x

Cite this article as:
Grov, C., Hirshfield, S., Remien, R.H. et al. Arch Sex Behav (2013) 42: 291. doi:10.1007/s10508-011-9854-x

Abstract

Venue-based characteristics (e.g., alcohol in bars, anonymous chat online, dark/quiet spaces in bathhouses) can impact how men who have sex with men (MSM) negotiate sex and HIV-associated risk behavior. We sought to determine the association between HIV-associated risk factors and the venues where MSM met their most recent new (first-time) male sex partner, using data from a 2004 to 2005 national online anonymous survey of MSM in the U.S. (n = 2,865). Most men (62%) met their partner through the Internet. Among those reporting anal sex during their last encounter (n = 1,550), half had not used a condom. In multivariate modeling, and among men reporting anal sex during their last encounter, venue where partner was met was not significantly associated with unprotected anal intercourse (UAI). Nevertheless, venue was related to other factors that contextualized men’s sexual encounters. For example, HIV status disclosure was lowest among men who met their most recent partner in a park, outdoors, or other public place and highest among men who met their most recent partner online. Alcohol use prior to/during the last sexual encounter was highest among men who met their most recent partner in a bathhouse or a bar/club/party/event. These data suggest it is possible to reach men online who seek sex in many different venues, thus potentially broadening the impact of prevention messages delivered in virtual environments. Although not associated with UAI, venues are connected to social-behavioral facets of corresponding sexual encounters, and may be important arenas for differential HIV and STI education, treatment, and prevention.

Keywords

Sex venuesGay and bisexual menInternetHIV status disclosureAlcoholCondom use

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Christian Grov
    • 1
    • 2
    • 3
  • Sabina Hirshfield
    • 4
  • Robert H. Remien
    • 5
  • Mike Humberstone
    • 6
  • Mary Ann Chiasson
    • 4
  1. 1.Department of Health and Nutrition SciencesBrooklyn College of the City University of New YorkBrooklynUSA
  2. 2.Program in Public HealthThe Graduate of the City University of New YorkNew YorkUSA
  3. 3.Center for HIV/AIDS Educational Studies and Training (CHEST)New YorkUSA
  4. 4.Public Health SolutionsNew YorkUSA
  5. 5.HIV Center for Clinical and Behavioral StudiesNew York State Psychiatric Institute and Columbia UniversityNew York USA
  6. 6.Local Initiatives Support CorporationNew YorkUSA