AIDS and Behavior

, 13:724

Gay Men Who Engage in Group Sex are at Increased Risk of HIV Infection and Onward Transmission

  • Garrett P. Prestage
  • Jeff Hudson
  • Ian Down
  • Jack Bradley
  • Nick Corrigan
  • Michael Hurley
  • Andrew E. Grulich
  • David McInnes
Original Paper

Abstract

Among 746 participants in the Three or More Study (TOMS) of gay men who engaged in group sex in the previous 6 months, 22.4% reported unprotected anal intercourse (UAI) with any partners they did not know to be the same HIV serostatus as themselves. Not knowing oneself to be HIV-negative, not having a clear intention to use condoms, and more frequent group sex were independently associated with UAI. This study shows that gay men who engage in group sex represent an important priority for targeted HIV prevention activities and research.

Keywords

Gay men Group sex Unprotected anal intercourse Sexual adventurism 

References

  1. Carballo-Dieguez, A., Dowsett, G., Ventuneac, A., Remien, R. H., Balan, I., Dolezal, C., et al. (2006). Cybercartography of popular internet sites used by New York City men who have sex with men interested in bareback sex. AIDS Education and Prevention, 18(6), 475–489. doi:10.1521/aeap.2006.18.6.475.PubMedCrossRefGoogle Scholar
  2. Crosby, R., & Mettey, A. (2004). A descriptive analysis of HIV risk behavior among men having sex with men attending a large sex resort. Journal of Acquired Immune Deficiency Syndrome, 37(4), 1496–1499. doi:10.1097/01.qai.0000127065.61454.b4.CrossRefGoogle Scholar
  3. Difranceisco, W., Ostrow, D. G., & Chmiel, J. S. (1996). Sexual adventurism, high-risk behavior, and human immunodeficiency virus type 1 seroconversion among the Chicago MACS-CCS Cohort, 1984 to 1992. A case-control study. Sexually Transmitted Diseases, 23(6), 453–460. doi:10.1097/00007435-199611000-00003.PubMedCrossRefGoogle Scholar
  4. Halkitis, P. N., Green, K. A., & Mourgues, P. (2005). Longitudinal investigation of methamphetamine use among gay and bisexual men in New York City: findings from Project BUMPS. Journal of Urban Health, 82(1, Suppl 1), i18–i25. doi:10.1093/jurban/jti020.PubMedGoogle Scholar
  5. Hurley, M., & Prestage, G. P. (2007). Intensive sex partying: contextual aspects of ‘sexual dysfunction’. Journal of HIV Therapy, 12(2), 44–48.PubMedGoogle Scholar
  6. Kippax, S., Campbell, D., Van De Ven, P., Crawford, J., Prestage, G., Knox, S., et al. (1998). Cultures of sexual adventurism as markers of HIV seroconversion: A case control study in a cohort of Sydney gay men. AIDS Care, 10(6), 677–688. doi:10.1080/09540129848307.PubMedCrossRefGoogle Scholar
  7. Kippax, S., Connell, R., Dowsett, G., & Crawford, J. (1993). Sustaining safe sex. Gay communities respond to AIDS. London: Falmer.Google Scholar
  8. Mao, L., Crawford, J. M., Hospers, H. J., Prestage, G. P., Grulich, A. E., Kaldor, J. M., et al. (2006). “Serosorting” in casual anal sex of HIV-negative gay men is noteworthy and is increasing in Sydney, Australia. AIDS, 20(8), 1204–1206. doi:10.1097/01.aids.0000226964.17966.75.PubMedCrossRefGoogle Scholar
  9. Morris, M., & Kretzschmar, M. (1997). Concurrent partnerships and the spread of HIV. AIDS, 11(5), 641–648.PubMedCrossRefGoogle Scholar
  10. Parsons, J. T., Schrimshaw, E. W., Wolitski, R. J., Halkitis, P. N., Purcell, D. W., Hoff, C. C., et al. (2005). Sexual harm reduction practices of HIV-seropositive gay and bisexual men: Serosorting, strategic positioning, and withdrawal before ejaculation. AIDS 19(Suppl 1), S13–S25.PubMedCrossRefGoogle Scholar
  11. Prestage, G., Jin, F., Zablotska, I., Imrie, J., Kaldor, J. M., & Grulich, A. E. (2008). Trends in HIV prevalence among homosexual and bisexual men in Eastern Australia states. Sexual Health, 5(2), 103–107. doi:10.1071/SH07074.PubMedCrossRefGoogle Scholar
  12. Prestage, G., Van de Ven, P., Mao, L., Grulich, A., Kippax, S., & Kaldor, J. (2005). Contexts for last occasions of unprotected anal intercourse among HIV-negative gay men in Sydney: The Health in Men Study. AIDS Care, 17(1), 23–32. doi:10.1080/09540120412331305106.PubMedCrossRefGoogle Scholar
  13. Smith, G., Worth, H., & Kippax, S. (2004). Sexual adventurism among Sydney gay men. Monograph. Sydney: National Centre in HIV Social Research, University of NSW.Google Scholar
  14. Sowell, R. L., Lindsey, C., & Spicer, T. (1998). Group sex in gay men: Its meaning and HIV prevention implications. The Journal of the Association of Nurses in AIDS Care, 9(3), 59. doi:10.1016/S1055-3290(98)80020-4.PubMedCrossRefGoogle Scholar
  15. Van de Ven, P., Campbell, D., Kippax, S., Knox, S., Prestage, G., Crawford, J., et al. (1998). Gay men who engage repeatedly in unprotected anal intercourse with casual partners: The Sydney Men and Sexual Health Study. International Journal of STD and AIDS, 9(6), 336–340. doi:10.1258/0956462981922368.PubMedCrossRefGoogle Scholar
  16. Van de Ven, P., Kippax, S., Crawford, J., Rawstorne, P., Prestage, G., Grulich, A., et al. (2002). In a minority of gay men, sexual risk practice indicates strategic positioning for perceived risk reduction rather than unbridled sex. AIDS Care, 14(4), 471–480. doi:10.1080/09540120220133008.PubMedGoogle Scholar
  17. Xia, Q., Molitor, F., Osmond, D. H., Tholandi, M., Pollack, L. M., Ruiz, J. D., et al. (2006). Knowledge of sexual partner’s HIV serostatus and serosorting practices in a California population-based sample of men who have sex with men. AIDS, 20(16), 2081–2089. doi:10.1097/01.aids.0000247566.57762.b2.PubMedCrossRefGoogle Scholar
  18. Zablotska, I., Prestage, G., Grulich, A. E., & Imrie, J. (2008). Differing trends in sexual risk behaviors in three Australian states: New South Wales, Victoria and Queensland, 1998–2006. Sexual Health, 5(2), 125–130. doi:10.1071/SH07076.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Garrett P. Prestage
    • 1
    • 2
  • Jeff Hudson
    • 3
  • Ian Down
    • 4
  • Jack Bradley
    • 1
  • Nick Corrigan
    • 4
  • Michael Hurley
    • 2
  • Andrew E. Grulich
    • 1
  • David McInnes
    • 5
  1. 1.National Centre in HIV Epidemiology and Clinical ResearchUniversity of New South WalesDarlinghurst, SydneyAustralia
  2. 2.Australian Research Centre in Sex Health and SocietyLa Trobe UniversityMelbourneAustralia
  3. 3.Faculty of MedicineUniversity of SydneySydneyAustralia
  4. 4.AIDS Council of NSWSydneyAustralia
  5. 5.School of CommunicationsUniversity of Western SydneySydneyAustralia

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