AIDS and Behavior

, Volume 15, Issue 3, pp 607–612 | Cite as

Casual Sexual Encounters Among Gay Men: Familiarity, Trust and Unprotected Anal Intercourse

  • Iryna B. Zablotska
  • Andrew E. Grulich
  • John De Wit
  • Garrett Prestage
Original Paper

Abstract

Familiarity with and a history of prior sex with casual partners is associated with unprotected anal intercourse and may increase the risk of HIV transmission among gay men. Using data from the Sydney Gay Community Periodic Survey 2007, we explored the relationship between familiarity and unprotected anal intercourse with the last casual partner (UAI-LC). 51% of the men knew their last casual partner and 49% had previously had sex with him. Men were more inclined to engage in UAI-LC if they had previously had sex with this partner. HIV-negative men were more likely to have UAI-LC with a more familiar partner independent of his serostatus. Familiarity with and a previous history of sex between casual partners may result in a false sense of trust and may increase the risk of HIV transmission. HIV prevention services should address this issue and develop programs to improve men’s skills in negotiating safer sex.

Keywords

HIV HIV disclosure Familiarity Unprotected anal intercourse with casual partners Condom use 

Notes

Acknowledgements

The authors would like to acknowledge the key community partners—the Australian Federation of AIDS Organisations (AFAO), the National Association of People Living with HIV/AIDS (NAPWA), the AIDS Council of New South Wales (ACON) and Positive Life NSW for being instrumental in the establishment of the behavioural surveillance in Australia and being a part of the partnership in HIV response. Many thanks go to all study participants for sharing their life experiences with the research team. We are also grateful to the New South Wales State Health Department, for their financial support to the studies and committed efforts in HIV prevention. Iryna B. Zablotska contributed to formulating research issue and design of this analysis, assumed principal responsibility for data analysis and preparation of the paper. Garrett Prestage and Andrew E. Grulich contributed to study design, data collection and assisted with the interpretation of results and preparation of the paper. John de Wit contributed to the preparation of this paper. All authors have seen and approved the final version of the paper. The Gay Community Periodic Survey in NSW was funded by the New South Wales Department of Health.

References

  1. 1.
    Coates TJ, Stall RD, Catania JA, Kegeles SM. Behavioral factors in the spread of HIV infection. AIDS. 1988;2(Suppl 1):S239–46.PubMedCrossRefGoogle Scholar
  2. 2.
    Choi KH, Coates TJ. Prevention of HIV infection. AIDS. 1994;8(10):1371–89.PubMedCrossRefGoogle Scholar
  3. 3.
    Race KD. Revaluation of risk among gay men. AIDS Educ Prev. 2003;15(4):369–81.PubMedCrossRefGoogle Scholar
  4. 4.
    Grulich AE, Kaldor JM. Trends in HIV incidence in homosexual men in developed countries. Sex Health. 2008;5(2):113–8.PubMedCrossRefGoogle Scholar
  5. 5.
    Sullivan PS, Hamouda O, Delpech V, et al. Reemergence of the HIV epidemic among men who have sex with men in North America, Western Europe, and Australia, 1996–2005. Ann Epidemiol. 2009;19(6):423–31.PubMedCrossRefGoogle Scholar
  6. 6.
    Kippax S, Race K. Sustaining safe practice: twenty years on. Soc Sci Med. 2003;57(1):1–12.PubMedCrossRefGoogle Scholar
  7. 7.
    Jin F, Crawford J, Prestage GP, et al. Unprotected anal intercourse, risk reduction behaviours, and subsequent HIV infection in a cohort of homosexual men. AIDS. 2009;23(2):243–52.PubMedCrossRefGoogle Scholar
  8. 8.
    Prestage G, Mao L, McGuigan D, et al. HIV risk and communication between regular partners in a cohort of HIV-negative gay men. AIDS Care. 2006;18(2):166–72.PubMedCrossRefGoogle Scholar
  9. 9.
    Prestage G, Jin F, Zablotska I, et al. Trends in agreements between regular partners among gay men in Sydney, Melbourne and Brisbane, Australia. AIDS Behav. 2008;12(3):513–20.PubMedCrossRefGoogle Scholar
  10. 10.
    Kippax S, Noble J, Prestage G, et al. Sexual negotiation in the AIDS era: negotiated safety revisited. AIDS. 1997;11(2):191–7.PubMedCrossRefGoogle Scholar
  11. 11.
    Theodore PS, Duran RE, Antoni MH, Fernandez MI. Intimacy and sexual behavior among HIV-positive men-who-have-sex-with-men in primary relationships. AIDS Behav. 2004;8(3):321–31.PubMedCrossRefGoogle Scholar
  12. 12.
    Davidovich U, de Wit J, Albrecht N, Geskus R, Stroebe W, Coutinho R. Increase in the share of steady partners as a source of HIV infection: a 17-year study of seroconversion among gay men. AIDS. 2001;15(10):1303–8.PubMedCrossRefGoogle Scholar
  13. 13.
    Gold RS, Skinner MJ, Hinchy J. Gay men’s stereotypes about who is HIV infected: a further study. Int J STD AIDS. 1999;10(9):600–5.PubMedCrossRefGoogle Scholar
  14. 14.
    Zablotska IB, Imrie J, Prestage G, et al. Gay men’s current practice of HIV seroconcordant unprotected anal intercourse: serosorting or seroguessing? AIDS Care. 2009;21:501–10.PubMedCrossRefGoogle Scholar
  15. 15.
    O’Leary A. Guessing games: sex partner serostatus assumptions among HIV-positive gay and bisexual men. In: Halkitis PN, Gomez CA, Wolitski RJ, editors. Positive living: the sexual lives of seropositive gay and bisexual men. Washington, DC: American Psychological Association; 2007.Google Scholar
  16. 16.
    Prestage G, Van de Ven P, Grulich A, Kippax S, McInnes D, Hendry O. Gay men’s casual sex encounters: discussing HIV and using condoms. AIDS Care. 2001;13(3):277–84.PubMedCrossRefGoogle Scholar
  17. 17.
    Van de Ven P, Prestage G, French J, Knox S, Kippax S. Increase in unprotected anal intercourse with casual partners among Sydney gay men in 1996–98. Aust N Z J Public Health. 1998;22(7):814–8.PubMedCrossRefGoogle Scholar
  18. 18.
    McFarland W, Caceres CF. HIV surveillance among men who have sex with men. AIDS. 2001;15(Suppl 3):S23–32.PubMedCrossRefGoogle Scholar
  19. 19.
    Skov T, Deddens J, Petersen MR, Endahl L. Prevalence proportion ratios: estimation and hypothesis testing. Int J Epidemiol. 1998;27(1):91–5.PubMedCrossRefGoogle Scholar
  20. 20.
    Zablotska I, Frankland A, Prestage G, Down I, Ryan D. Sydney gay community periodic survey: February 2008. Sydney: National Centre in HIV Social Research, The University of New South. 2008. http://nchsr.arts.unsw.edu.au/pdf%20reports/sydney_gcps_feb2008.pdf.
  21. 21.
    Jin F, Prestage GP, Ellard J, Kippax SC, Kaldor JM, Grulich AE. How homosexual men believe they became infected with HIV: the role of risk reduction behaviors. J Acquir Immune Defic Syndr. 2007;46(2):245–7.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Iryna B. Zablotska
    • 1
    • 2
  • Andrew E. Grulich
    • 1
  • John De Wit
    • 2
  • Garrett Prestage
    • 1
  1. 1.National Centre in HIV Epidemiology and Clinical ResearchUniversity of New South WalesSydneyAustralia
  2. 2.National Centre in HIV Social ResearchUniversity of New South WalesSydneyAustralia

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