AIDS and Behavior

, Volume 16, Issue 3, pp 664–668 | Cite as

Gay Men are Less Likely to Use Condoms with Casual Sex Partners They Know ‘Well’

  • Garrett Prestage
  • Fengyi Jin
  • Andrew Grulich
  • John de Wit
  • Iryna Zablotska
Original Paper

Abstract

Health in Men (HIM) was an open cohort study of 1,427 HIV-negative homosexual men in Sydney. The majority of respondents’ unprotected anal intercourse (UAIC) events were with partners whose HIV status they did not know. Nonetheless, with casual partners with whom they engaged in UAIC, respondents indicated that they knew ‘well’ 28.9% of the HIV-negative partners and 26.2% of HIV-positive partners, but only 7.6% of the HIV status unknown partners. Respondents were more likely to have engaged in UAIC with partners they knew well (McNemar P < 0.001). The challenge for HIV prevention is that many gay men’s decisions about condom use may be driven as much by their relationship with individual partners as their commitment to ‘safe sex’.

Keywords

Gay men HIV Casual partners Familiarity Sexual behaviour Unprotected anal intercourse 

Notes

Acknowledgments

The authors thank the men who participated in the Health in Men study over the years.

Funding source

Funding for this study was provided by the New South Wales Health Department (Sydney), the Commonwealth Department of Health and Ageing (Canberra), and the US National Institutes of Health (NIH/NIAID/DAIDS: HVDDT Award N01-AI-05395).

Conflict of interest

None.

References

  1. 1.
    Prestage GP, Mao L, Kippax S, Jin F, Hurley M, Grulich A, Imrie J, Kaldor J, Zablotska I. Use of viral load to negotiate condom use among gay men in Sydney, Australia. AIDS Behav. 2009;13:645–51.PubMedCrossRefGoogle Scholar
  2. 2.
    Suarez TP, Kelly JA, Pinkerton SD, Stevenson YL, Hayat M, Smith MD, et al. Influence of a partner’s HIV serostatus, use of highly active antiretroviral therapy, and viral load on perceptions of sexual risk behavior in a community sample of men who have sex with men. J Acquir Immune Defic Syndr. 2001;28:471–7.PubMedGoogle Scholar
  3. 3.
    Van de Ven P, Kippax S, Crawford J, Rawstorne P, Prestage G, Grulich A, Murphy D. In a minority of gay men, sexual risk practice indicates strategic positioning for perceived risk reduction rather than unbridled sex. AIDS Care. 2002;14:471–80.PubMedCrossRefGoogle Scholar
  4. 4.
    Jin F, Crawford J, Prestage GP, Zablotska I, Imrie J, Kippax SC, Kaldor JM, Grulich AE. Unprotected anal intercourse, risk reduction behaviours, and subsequent HIV infection in a cohort of homosexual men. AIDS. 2009;23:243–52.PubMedCrossRefGoogle Scholar
  5. 5.
    Wolitzki RJ, Reitmeijer CAM, Goldbaum GM, Wilson RM. HIV serostatus disclosure among gay and bisexual men in four American cities: general patterns and relation to sexual practices. AIDS Care. 1998;10(5):599–610.CrossRefGoogle Scholar
  6. 6.
    Koblin BA, Chesney MA, Husnik MJ, Bozeman S, Celum CL, Buchbinder S, Mayer K, McKirnan D, Judson FN, Huang Y, Coates TJ, EXPLORE Study Team. High-risk behaviors among men who have sex with men in 6 US cities: baseline data from the EXPLORE study. Am J Public Health. 2003;93:926–32.PubMedCrossRefGoogle Scholar
  7. 7.
    Davidovich U, de Wit JBF, Stroebe W. Behavioral and cognitive barriers to safer sex between men in steady relationships: implications for prevention strategies. AIDS Educ Prev. 2004;16(4):304–14.PubMedCrossRefGoogle Scholar
  8. 8.
    Serovich JM, Mosack KE. Reasons for HIV disclosure or nondisclosure to casual sexual partners. AIDS Educ Prev. 2003;15(1):70–80.PubMedCrossRefGoogle Scholar
  9. 9.
    Zablotska I, Grulich A, De Wit J, Prestage G. Casual sexual encounters among gay men: familiarity, trust and unprotected anal intercourse. AIDS Behav. 2010;15(3):607–12. doi:10.1007/s10461-010-9675-2.CrossRefGoogle Scholar
  10. 10.
    Holt M, Rawstorne P, Worth H, Bittman M, Wilkinson J, Kippax S. Predictors of HIV disclosure among untested, HIV-negative and HIV-positive Australian men who had anal intercourse with their most recent casual male sex partner. AIDS Behav. 2009;1–12 doi:10.1007/s10461-009-9645-8.
  11. 11.
    Prestage GP, Van de Ven PG, Mao L, Grulich AE, Kippax SC, Kaldor JM. Contexts for last occasions of unprotected anal intercourse among HIV-negative gay men in Sydney: the health in men (HIM) cohort. AIDS Care. 2005;17:23–32.PubMedCrossRefGoogle Scholar
  12. 12.
    Jin F, Prestage GP, Mao L, Kippax SC, Pell CM, Donovan B, Templeton DJ, Taylor J, Mindel A, Kaldor JM, Grulich AE. Transmission of herpes simplex types 1 and 2 in a prospective cohort of HIV negative homosexual men: the HIM study. J Infect Dis. 2006;194:561–70.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Garrett Prestage
    • 1
  • Fengyi Jin
    • 1
  • Andrew Grulich
    • 1
  • John de Wit
    • 2
  • Iryna Zablotska
    • 1
  1. 1.Kirby Institute for Infection and Immunity in SocietyUniversity of New South WalesDarlinghurst, SydneyAustralia
  2. 2.National Centre in HIV Social ResearchUniversity of New South WalesSydneyAustralia

Personalised recommendations