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Archives of Sexual Behavior

, Volume 40, Issue 4, pp 829–834 | Cite as

Preference for and Maintenance of Anal Sex Roles Among Men Who Have Sex with Men: Sociodemographic and Behavioral Correlates

  • Chongyi Wei
  • H. Fisher RaymondEmail author
Original Paper

Abstract

Self-labeling of, and preference for, anal sex roles is an important aspect of identities and cultures among men who have sex with men (MSM) populations. In this article, we examined sociodemographic and behavioral correlates of preference for and maintenance of anal sex roles, and risk for HIV infection. Using time-location sampling, we conducted a cross-sectional survey of racially diverse MSM in San Francisco. Of the 386 men who reported an anal sex role preference, 41% preferred being “versatile” while 21 and 37% preferred being “bottom” and “top” only. Lower educated men, Asian/Pacific Islander men, and men born in Asia/Philippines were more likely to prefer being “bottom.” Among all racial/ethnic groups, men in general did not maintain their preferences 100% of the time in their reported sexual behavior, and none of the racial/ethnic groups maintained their preference at greater or lesser levels than any other group. There were no significant differences in all the behavioral risks between men who maintained their preferences and those who did not. Yet, prevalence of HIV infection was two times higher among men who were strictly “bottom.” Linguistically and/or culturally appropriate HIV prevention information/interventions at an appropriate educational level should be provided to those from the developing world and those of lower socioeconomic status, who may lack the knowledge of differential risks associated with anal sex activities.

Keywords

Sexual roles Anal sex Race/ethnicity Men who have sex with men (MSM) 

References

  1. Agronick, G., O’Donnell, L., Stueve, A., Doval, A. S., Duran, R., & Vargo, S. (2004). Sexual behaviors and risks among bisexually and gay-identified young Latino men. AIDS and Behavior, 8, 185–197.PubMedCrossRefGoogle Scholar
  2. Bohl, D. D., Raymond, H. F., Arnold, M. P., & McFarland, W. (2009). Concurrent sexual partnerships and racial disparities in HIV infection among men who have sex with men. Sexually Transmitted Infections, 85, 367–369.PubMedCrossRefGoogle Scholar
  3. Bowleg, L. (2004). Love, sex, and masculinity in sociocultural context: HIV concerns and condom use among African American men in heterosexual relationships. Men and Masculinities, 72, 166–186.CrossRefGoogle Scholar
  4. Carrier, J. M. (1977). “Sex role preference” as an explanatory variable in homosexual behavior. Archives of Sexual Behavior, 6, 53–65.PubMedCrossRefGoogle Scholar
  5. Centers for Disease Control and Prevention. (2005). HIV prevalence, unrecognized infection and HIV testing among men who have sex with men—five U.S. cities, June 2004–April 2005. MMWR Morbidity Mortality Weekly Reports, 54, 597–601.Google Scholar
  6. Coxon, A. P. M., Coxon, N. H., Weatherburn, P., Hunt, A. J., Hickson, F., Davies, P. M., et al. (1993). Sex role separation in sexual diaries of homosexual men. AIDS, 7, 877–882.PubMedCrossRefGoogle Scholar
  7. Diaz, R. M. (1998). Latino gay men and HIV: Culture, sexuality, and risk behavior. New York: Routledge.Google Scholar
  8. Finlinson, H. A., Colon, H. M., Robles, R. R., & Soto, M. (2006). Sexual identity formation and AIDS prevention: An exploratory study of non-gay-identified Puerto Rican MSM from working class neighborhoods. AIDS and Behavior, 10, 531–539.PubMedCrossRefGoogle Scholar
  9. Han, C. (2008). A qualitative exploration of the relationship between racism and unsafe sex among Asian Pacific Islander gay men. Archives of Sexual Behavior, 37, 827–837.PubMedCrossRefGoogle Scholar
  10. MacKellar, D., Gallagher, K. M., Finlayson, T., Sanchez, T., Lansky, A., & Sullivan, P. S. (2007). Surveillance of HIV risk and prevention behaviors of men who have sex with men–a national application of venue based, time-space sampling. Public Health Reports, 122(Suppl. 1), 39–47.PubMedGoogle Scholar
  11. Magnani, R., Sabin, K., Saidel, T., & Heckathorn, D. (2005). Review of sampling hard-to-reach and hidden populations for HIV surveillance. AIDS, 19, 67–72.CrossRefGoogle Scholar
  12. Malebranche, D. J., & Bryant, L. (2005). Masculinity & HIV risk among Black MSM. Oral abstract presented at the National HIV Prevention Conference, Atlanta, GA.Google Scholar
  13. Nemoto, T., Operario, D., Soma, T., Bao, D., Vajrabukka, A., & Cristostomo, V. (2003). HIV risk and prevention among Asian/Pacific Islander men who have sex with men: Listen to our stories. AIDS Education and Prevention, 15, 7–20.PubMedCrossRefGoogle Scholar
  14. Raymond, H. F., & McFarland, W. (2009). An examination of the rates of receptive anal intercourse among Asian/Pacific Islander men who have sex with men in San Francisco [Letter-to-the-Editor]. Archives of Sexual Behavior, 38, 168–169.PubMedCrossRefGoogle Scholar
  15. Sanderson, T. (1994). A–Z of gay sex. London: Other Way Press.Google Scholar
  16. Siegel, K., Schrimshaw, E. W., Lekas, H., & Parsons, J. T. (2008). Sexual behaviors of non-gay identified non-disclosing men who have sex with men and women. Archives of Sexual Behavior, 37, 720–735.PubMedCrossRefGoogle Scholar
  17. Stokes, J. P., Vanable, P., & McKirnan, D. J. (1997). Comparing gay and bisexual men on sexual behavior, condom use, and psychosocial variables related to HIV/AIDS. Archives of Sexual Behavior, 26, 383–397.PubMedCrossRefGoogle Scholar
  18. Valleroy, L. A., MacKellar, D. A., Karon, J. M., Rosen, D. H., McFarland, W., Shehan, D. A., et al. (2000). HIV prevalence and associated risks in young men who have sex with men. Journal of the American Medical Association, 284, 198–204.PubMedCrossRefGoogle Scholar
  19. Wegesin, D., & Meyer-Bahlburg, H. F. L. (2000). Top/bottom self-label, anal sex practices, HIV risk and gender role identity in gay men in New York City. Journal of Psychology & Human Sexuality, 12, 43–62.CrossRefGoogle Scholar
  20. Weinrich, J. D., Grant, I., Jacobson, D. L., Robinson, R., McCutchan, J. A., & The HNRC Group. (1992). Effects of recalled childhood gender nonconformity on adult genitoerotic role and AIDS exposure. Archives of Sexual Behavior, 21, 559–585.PubMedCrossRefGoogle Scholar
  21. Wheeler, D. P. (2006). Exploring HIV prevention needs for nongay-identified Black and African American men who have sex with men: A qualitative exploration. Sexually Transmitted Diseases, 33(Suppl. 7), 11–16.CrossRefGoogle Scholar
  22. Whitehead, T. L. (1997). Urban low-income African American men, HIV/AIDS, and gender identity. Medical Anthropology Quarterly, 11, 411–447.PubMedCrossRefGoogle Scholar
  23. Willcox, R. R. (1981). Sexual behaviour and sexually transmitted disease patterns in male homosexuals. British Journal of Venereal Diseases, 57, 167–169.PubMedGoogle Scholar
  24. Wolitski, R. J., & Branson, B. M. (2002). Gray area behaviors and partner selection strategies. In A. O’Leary (Ed.), Beyond condoms: Alternative approaches to HIV prevention (pp. 173–198). New York: Kluwer Academic/Plenum Publishers.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Department of Behavioral and Community Health Sciences, Graduate School of Public HealthUniversity of PittsburghPittsburghUSA
  2. 2.San Francisco Department of Public HealthSan FranciscoUSA

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