Sexual Risk Behavior and Venues for Meeting Sex Partners: An Intercept Survey of Gay and Bisexual Men in LA and NYC
Understanding the link between venues for meeting sex partners and sexual risk behavior is critical to developing and placing effective sexual health education and HIV prevention services. Non-monogamous gay and bisexual men (n = 886) were surveyed in New York and Los Angeles about the venues that they met recent sex partners: bathhouses, private sex parties, gay bars/clubs, the gym, via public cruising, and the Internet. Bars/clubs, bathhouses, and the Internet were the most endorsed venues for meeting partners. Men having met a majority of their partners (i.e., “preference”) via these three venues were compared/contrasted. Those having preference for bars/clubs were dissimilar from men with preference for bathhouses or the Internet on multiple levels (e.g. age, number of sex partners, temptation for unsafe sex). However, these men were proportionally similar in whether they had engaged in a recent episode of unprotected anal intercourse (UAI). Logistic regressions predicting UAI suggested venues might not play a role in differentiating men who had preference for bars/clubs, bathhouses or the Internet. Additional regression analyses utilizing all six venues to predict UAI suggested other person-factors such as identity as a barebacker and temptation for unsafe sex better explain UAI. This research suggests HIV prevention and educational campaigns targeted within venues need also address socio-psychological person-factors in addition to environmental/venue contexts.
KeywordsGay Bisexual MSM Sex venue location Risk Internet Bathhouse Cruising Club Bar Gym HIV
The Sex and Love v2.0 Project was supported by the Hunter College Center for HIV/AIDS Educational Studies and Training (CHEST), under the direction of Dr. Parsons. The authors acknowledge the contributions of other members of the CHEST Sex and Love v2.0 Project Team–Gideon Feldstein, Catherine Holder, James Kelleher, and Juline A. Koken. The authors also wish to thank Sarit A. Golub and the anonymous reviewers for their helpful comments.
- Baker, P. (2002). Fantabulosa: A dictionary of polari & gay slang. New York: Continuum.Google Scholar
- Centers for Disease Control and Prevention (CDC) (2003a). HIV/AIDS Surveillance Report: HIV Infection and AIDS in the United States. Accessed online on October 20, 2005 at http://www.cdc.gov/hiv/stats.htm#exposure.
- Centers for Disease Control and Prevention (CDC) (2003b). HIV/AIDS Surveillance Report: HIV Infection and AIDS in the United States, Table 18. Accessed Online on October 20, 2005 at http://www.cdc.gov/hiv/stats/2003SurveillanceReport/table18.htm.
- Centers for Disease Control and Prevention (CDC) (2005a). HIV/AIDS among men who have sex with men (MSM). Accessed online on October 20, 2005 at http://www.cdc.gov/hiv/pubs/facts/msm.htm.
- Centers for Disease Control and Prevention (CDC) (2005b). HIV/AIDS Surveillance Report, 2004. Vol. 16. Atlanta: US Department of Health and Human Services, CDC; 1–46. Also available at http://www.cdc.gov/hiv/topics/surveillance/resources/reports.htm. Accessed July 19, 2006.Google Scholar
- Chen, S. Y., Gibson, S., Katz, M. H., Klausner, J. D., Dilley, J. W., Schwarcz, S. K., Kellogg, T. A., & McFarland, W. (2002a). Continuing increases in sexual risk behavior and sexually transmitted diseases among men who have sex wiht men: San Francisco, Calif, 1999–2001. American Journal of Public Health, 92, 1387–1388.Google Scholar
- Chiasson, M., Hirshfield, S., Humberstone, M., Remien, R., Wolitski, R., & Wong, T. A. (2005). Comparison of online and offline risk in MSM. Paper presented at: 12th Conference on Retroviruses and Opportunistic Infections; February 25, 2005; Boston, MA.Google Scholar
- Cohen, J. (2006, January 22, 2006). Protect or disinhibit? New York Times, p. 12.Google Scholar
- Costello, D. (2005, December 19, 2005). AIDS pill as party drug? Los Angeles Times, p. F1.Google Scholar
- Crosby, R., & Metty, A. (2004). A descriptive analysis of HIV risk behavior among men having sex with men attend a large sex resort. AIDS, 37, 1496–1499.Google Scholar
- Daniel, W. W. (1996). Biostatistics: A foundation for analysis in the health science. New York: Wiley.Google Scholar
- Elford, J., Bolding, G., Davis, M., Sherr, L., & Hart, G. (in press). Barebacking Among HIV-Positive Gay Men in London. Sexually Transmitted Diseases.Google Scholar
- Elwood, W. N., & Williams, M. L. (1999). The politics of silence: Communicative rules and HIV prevention issues in gay male bathhouses. In W. N. Elwood (Ed.), Power in the blood: A handbook on AIDS, politics, and communication (pp. 121–132). Mahwah, NJ: Lawrence Erlbaum Associates.Google Scholar
- Humphreys, L. (1975). Tearoom Trade: Impersonal sex in public places. Chicago, IL: Aldine Publisher Company. Google Scholar
- Kalichman, S. C., Benotsch, E., Rompa, D., Gore-Felton, C., Austin, J., Luke, W., DiFonzo, K., Buckles, J., Kyomugisha, F. & Simpson, D. (2001). Unwanted sexual experiences and sexual risks in gay and bisexual men: Associations among revictimization, substance use and psychiatric symptoms. Journal of Sex Research, 28, 1–9.Google Scholar
- Kellerman, S., Hutchinson, A., Begley, E., Boyett, B., Clark, H., & Sullivan, P. (2005, July). Knowledge and use of pre-exposure prophlaxis among attendees of minority gay pride events, 2004. Paper presented at the The 3rd IAS Conference on HIV Pathogenesis and Treatment, Rio de Janeiro, July 24–27 2005.Google Scholar
- Kim, A., Kent, C., McFarland, W., & Klausner, J. (2001) Cruising on the Internet highway. Journal of Acquired Immune Deficiency Syndrome, 28, 89–93.Google Scholar
- Leap, W. L. (ed.) (1999) Public sex: Gay space. New York: Columbia University Press.Google Scholar
- Parsons, J. T. (2005). HIV-positive gay and bisexual men. In S. C. Kalichman (Eds) Positive Prevention: Reducing HIV Transmission among People Living with HIV/AIDS (pp. 99–133). New York: Kluwer.Google Scholar
- Parsons, J. T., & Vicioso, K. (2005). Brief encounters: The roles of public and commercial sex environments in the sexual lives of HIV-positive gay and bisexual men. In P. Halkitis, C. Gómez, & R. J. Wolitski (Eds.) HIV Positive Sex: The Psychological and Interpersonal Dynamics of HIV-Seropositive Gay and Bisexual Men's Relationships (pp. 183–200). Washington, DC: American Psychological Association. Google Scholar
- Rietmeijer, C. A., & Lloyd, L. V. (2005). Net, bath and beyond: Serosorting, unprotected anal intercourse, and gonorrhea among MSM who preferentially seek sex partners on the Internet, in Bathhouses, or in other environments. Paper presented at the 2005 National HIV Prevention Conference, Atlanta Georgia, June 12–15.Google Scholar
- Silverstein, C., & Picano, F. (2003). The joy of gay sex. New York: Harpers Resource.Google Scholar
- Shernoff, M. (2005). Without Condoms: Unprotected sex, gay men, and barebacking. New York: Routledge.Google Scholar
- Stolte, I. G., Dukers, N. H., de Wit, J. B., Fennema, J. S., & Countinho, R. A. (2001). Increases in sexually transmitted infections among homosexual men in Amsberdam in relation to HAART. Sexually Transmitted Diseases, 77, 184–186.Google Scholar
- Van Beneden, C. A, O’Brien, K., Modesitt, S., Yusem, S., Rose, A., & Fleming, D. (2002). Sexual behaviors in an urban bathhouse 15 years into the HIV epidemic. Journal of Acquired Immune Deficiency Syndrome, 30, 522–526.Google Scholar
- Weatherburn, P., Hickson, F., & Reid, D. (2003). Gay men’s use of the Internet and other settings where HIV prevention occurs. London: Sigma Research.Google Scholar