Abstract
This study compared sexual behavior of gay and bisexual men (N = 551) while at their primary residence to their behavior while vacationing at a gay resort community. Participants reported behavior for the days they spent in the resort and for their last 60 days in their home residences. Overall, 11 times more non-main partners were reported for unprotected anal intercourse (UAI) per day while in the resort as for the “at home” period. Regression analysis identified negative attitudes toward condoms, less concern about AIDS, and daily number of non-main, male partners at home with whom UAI occurred as significant predictors of the daily number of non-main male partners with whom holidaymakers engaged in UAI while in the resort area. The results suggest that sexual risk taking by men who have sex with men (MSM) while on holiday may be elevated over that at home and that prevention efforts need to be promoted in gay resorts. Behavioral surveillance research would be helpful in better characterizing the current social contexts of sexual risk taking by MSM. Theory-based studies of the nature of risk-taking and sexual decision-making on “gay holiday” could inform the development of empirically proven and conceptually grounded interventions.
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References
Apostolopoulous, Y., Sonmez, S., & Yu, C. H. (2002). HIV-risk behaviors of American spring break vacationers: A case of situational disinhibition? International Journal of STD & AIDS, 13, 733–743.
Bellis, M. A., Hughes, K., Thomson, R., & Bennett, A. (2004). Sexual behaviour of young people in international tourist resorts. Sexually Transmitted Infections, 80, 43–47.
Binson, D., Woods, W. J., Pollack, L., Paul, J., Stall, R., & Catania, J. A. (2001). Differential HIV risk in bathhouse and public cruising areas. American Journal of Public Health, 91, 1482–1486.
Bloom, F., Leichliter, J., Whittier, D. K., & Riley, C. (2003). Rapid assessment of syphilis in gay men: Portland, Oregon. Division of STD Prevention. National Centers for HIV, STD, and TB Prevention. Centers for Disease Control and Prevention, Atlanta, GA.
California Department of Health Services. (2003, February). Epidemiologic alert: Request for information on MSM syphilis cases with travel to or county of residence in Palm Springs, CA. Sexually Transmitted Disease Control Branch, Sacramento, CA.
Carter, S., Horn, K., Hart, G., Dunbar, M., Scoular, A., & Macintyre, S. (1997). The sexual behavior of international travelers at two Glasgow GUMS clinics. International Journal of STD & AIDS, 8, 336–338
Centers for Disease Control and Prevention. (2003). Primary and secondary syphilis–United States. Morbidity and Mortality Weekly Reports, 52, 81–86.
Chen, S. Y., Gibson S., Weide, D., & McFarland, W. (2003). Unprotected anal intercourse between potentially HIV-serodiscordant men who have sex with men, San Francisco. Journal of Acquired Immune Deficiency Syndrome, 33, 166–170.
Clift, M. S., & Forrest, S. P. (1999). Factors associated with gay men’s sexual behaviors and risk on holiday. AIDS Care, 11, 281–295.
Crosby, R., DiClemente, R. J., & Mettey, A. (2003). Correlates of recent unprotected anal sex among men having sex with men attending a large sex resort in the south. Sexually Transmitted Diseases, 39, 909–913.
Daniels, D. G., Kell, P., Nelson, M. R., & Barton, S. C. (1992). Sexual behavior among travelers. International Journal of STD & AIDS, 3, 437–438.
Fox, K. K., del Rio, C., Holmes, K. K., Hook, E. W., Judson, F. N., Knapp, J. S., et al. (2001). Gonorrhea in the HIV era: A reversal in trends among men who have sex with men. American Journal of Public Health, 91, 959–964.
Gillies, P., & Slack, R. (1996). Context and culture in HIV prevention: The importance of holidays? In S. Clift & S. J. Page (Eds.), Health and the international tourist (pp. 134–151). New York: Routledge.
Halkitis, P. N., Parsons, J. T., & Wilton, L. (2003). Bare backing among gay and bisexual men in New York City: Explanations for the emergence of intentional unsafe behavior. Archives of Sexual Behavior, 32, 351–357.
Hawkes, S., Hart, G. J., Bletsoe, E., Shergold, C., & Johnson, A. M. (1995). Risk behaviour and STD acquisition in genitourinary clinic attenders who have traveled. Genitourinary Medicine, 71, 351–354.
Henriksson, B. (1996). Risk factor love: Homosexuality, sexual interaction and HIV prevention Scandinavian Journal of Social Welfare, 5, 118–118.
Hogg, R. S., Weber, A. E., Chan, K., Martindale, S., Cook, S., Miller, M., et al. (2001). Increasing incidence of HIV infections among young gay and bisexual men in Vancouver. AIDS, 15, 1321–1322.
Katz, M. H., Schwarcz, S. K., Kellog, T. A., Klausner, J. D., Dilley, J. W., Gibson, S., et al. (2002). Impact of highly active antiretroviral treatment on HIV seroincidence among men who have sex with men: San Francisco. American Journal of Public Health, 92, 388–394.
Kellog, T., McFarland, W., & Katz, M. (1999). Recent increases in HIV seroconversion among repeat anonymous testers in San Francisco [Correspondence]. AIDS, 13, 2303–2304.
Kelly, J. A., St. Lawrence, J. S., Brasfield, T. L., Stevenson, L. Y., Diaz, Y. Y., & Hauth, A. C. (1990). AIDS risk behavior patterns among gay men in small cities. American Journal of Public Health, 80, 416–418.
Kippax, S., Campbell, D., van den Ven, P., Crawford, J., Prestage, G., Knox, S., et al. (1998). Cultures of sexual adventurism and markers of HIV seroconversion: A case control study in a cohort of Sydney gay men. AIDS Care, 10, 677–688.
Maticka-Tyndale, E., Herold, E. S., & Mewhinney, D. M. (1998). Casual sex on spring break: Intentions and behaviors of Canadian students. Journal of Sex Research, 35, 254–264.
Matteelli, A., & Carosi, G. (2001). Sexually transmitted diseases in travelers. Clinical Infectious Diseases, 32, 1063–1067.
Rietmeijer, C. A., Patnaik, J. L., Judson, F. N., & Douglas, J. M. (2003). Increases in gonorrhea and sexual risk behaviors among men who have sex with men: A 12-year trend analysis at the Denver metro health clinic. Sexually Transmitted Diseases, 30, 562–567.
Ross, M. W., & Ferreira-Pinto, J. B. (2000). Toward a public health of situations: The reconceptualization of risk. Cadernos de Saude Publica, 16, 59–71.
St. Lawrence, J. S., Hood, H. V., Brasfield, T. L., & Kelly, J. A. (1989). Differences in gay men’s AIDS risk knowledge and behavior patterns in high and low AIDS prevalence cities. Public Health Reports, 104, 391–395.
Tveit, K. S., Nilsen, A., & Nyfors, A. (1994). Casual sexual experience abroad in patients attending an STD clinic at high risk for HIV infection. Genitourinary Medicine, 70, 12–14.
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, 84, 198–204.
Webster, R. W., Darrow, W. D., Paul, J. P., Roaurk, R. A., Woods, W. J., & Stempel, R. R. (2003). HIV infection and associated risks among young men who have sex with men in a Florida resort community. Journal of Acquired Immune Deficiency Syndrome, 33, 223–231.
Whittier, D. K., Seeley, S., & St. Lawrence, J. S. (2003, July). A comparison of internet to traditional, paper and pencil data collection in a sexual risk assessment survey of gay and bisexual men. Poster session at the International Society for Sexually Transmitted Disease Research. Ottawa, Canada.
Whittington, W. L., Collis, T., Dithmer-Schrek, D., Handsfeild, H. H., Shalit, P., Wood, R. W., et al. (2002). Sexually transmitted diseases and human immunodeficiency virus among men who have sex with men. Clinical Infectious Diseases, 35, 1010–1017.
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Whittier, D.K., Lawrence, J.S. & Seeley, S. Sexual Risk Behavior of Men Who have Sex with Men: Comparison of Behavior at Home and at a Gay Resort. Arch Sex Behav 34, 95–102 (2005). https://doi.org/10.1007/s10508-005-1003-y
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DOI: https://doi.org/10.1007/s10508-005-1003-y