Very little information exists with regard to sex party behaviors in young men who have sex with men (YMSM), often defined as men ranging in age from 13 to 29 years. The current analysis examines sex party attendance and behavior in a sample of 540 emergent adult gay, bisexual, and other YMSM in New York City, ages 18–29 years. Findings indicate that 8.7% (n = 47) of the sample had attended a sex party 3 months prior to assessment. Sex party attendees reported that parties included both HIV-positive and HIV-negative men; attendees also reported unprotected sex and limited access to condoms and lubricant. As compared with those who did not attend sex parties, those who did indicated significantly more lifetime and recent (last 3 months) casual sex partners, drug use (both number of different drugs used and total lifetime use), psychosocial burden (history of partner violence and number of arrests), and total syndemic burden (a composite of unprotected anal sex, drug use and psychosocial burden). These results indicate that while only a small percentage of the overall sample attended sex parties, the intersection of both individual risk factors coupled with risk factors engendered within the sex party environment itself has the potential to be a catalyst in the proliferation of the HIV/AIDS epidemic in urban settings. Lastly, given that sex parties are different than other sex environments, commercial and public, with regard to how they are accessed, public health strategies may need to become more tailored in order to reach this potentially highly risky group.
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Altman LK. Rare cancer seen in 41 homosexuals. New York Times. July 7, 1981. p 3.
CDC. HIV Surveillance Report, 2008. Atlanta, GA: Centers for Disease Control and Prevention; 2010.
NYCDOHMH. New HIV Diagnoses Rising in New York City among Men who Have Sex with Men. New York, NY: New York City Department of Health and Mental Hygiene; 2007.
Goodenow C, Netherland J, Szalacha L. AIDS-related risk among adolescent males who have sex with males, females, or both: evidence from a statewide survey. Am J Public Health. 2002; 92(2): 203.
Crepaz N, Marks G, Mansergh G, Murphy S, Miller LC, Appleby PR. Age-related risk for HIV infection in men who have sex with men: examination of behavioral, relationship, and serostatus variables, 12(5). Dresden, Germany: AIDS education and prevention: official publication of the International Society for AIDS Education. 2000; 405.
Pollock JA, Halkitis PN. Environmental factors in relation to unprotected sexual behavior among gay, bisexual, and other MSM. AIDS Educ Prev. 2009; 21(4): 340–55.
Friedman SR, Bolyard M, Khan M, et al. Group sex events and HIV/STI risk in an urban network. J Acquir Immune Defic Syndr. 2008; 49(4): 440.
Grov C, Parsons JT, Bimbi DS. Sexual risk behavior and venues for meeting sex partners: an intercept survey of gay and bisexual men in LA and NYC. AIDS Behav. 2007; 11(6): 915–26.
Clatts MC, Goldsamt LA, Yi H. An emerging HIV risk environment: a preliminary epidemiological profile of an MSM POZ Party in New York City. Sex Transm Infect. 2005; 81(5): 373–6.
Binson D, Woods WJ, Pollack L, Paul J, Stall R, Catania JA. Differential HIV risk in bathhouses and public cruising areas. Am J Public Health. 2001; 91(9): 1482.
Baker P. Fantabulosa: the dictionary of polari and gay slang. London, England: Continuum International Publishing Group; 2004.
Bullock D. Lesbian cruising: an examination of the concept and methods. J Homosex. 2004; 47(2): 1.
Elwood WN, Greene K. Risks both known and unknown: a quanlitative method to assess the role of situation in HIV/STD risk and prevention. J Homosex. 2005; 50(1): 135–54.
Leap W. Public Sex/Gay Space. New York, NY: Columbia University Press; 1999.
Silverstein C, Picano F. The Joy of Gay Sex. New York, NY: Harper Collins; 2004.
Elwood WN, Greene K, Carter KK. Gentlemen don t speak: communication norms and condom use in bathhouses. J Appl Commun Res. 2003; 31(4): 277–97.
Elwood WN, Williams ML. Sex, drugs, and situation. J Psychol Hum Sex. 1998; 10(2): 23–44.
Frankis J, Flowers P. Men who have sex with men (MSM) in public sex environments (PSEs): a systematic review of quantitative literature. AIDS Care. 2005; 17(3): 273–88.
Frankis JS, Flowers P. Cruising for sex: sexual risk behaviours and HIV testing of men who cruise, inside and outwith public sex environments (PSE). AIDS Care. 2006; 18(1): 54–9.
Reece M, Dodge B. Exploring the physical, mental and social well-being of gay and bisexual men who cruise for sex on a college campus. J Homosex. 2004; 46(1): 111–36.
Xia Q, Tholandi M, Osmond DH, et al. The effect of venue sampling on estimates of HIV prevalence and sexual risk behaviors in men who have sex with men. Sex Transm Dis. 2006; 33(9): 545.
Halkitis PN, Moeller RW, Pollock JA. Sexual practices of gay, bisexual, and other nonidentified MSM attending New York City gyms: patterns of serosorting, strategic positioning, and context selection. J Sex Res. 2008; 45(3): 253–61.
Halkitis PN, Moeller RW, Siconolfi D. Young men who have sex with men (YMSM) HIV prevention project: findings from the quantitative survey of 18–29 year-old YMSM. Report prepared for the New York City Department of Health and Mental Hygiene, New York City; 2009.
Relf MV, Huang B, Campbell J, Catania J. Gay identity, interpersonal violence, and HIV risk behaviors: an empirical test of theoretical relationships among a probability-based sample of urban men who have sex with men. J Assoc Nurses AIDS Care. 2004; 15(2): 14–26.
Halkitis PN, Parsons JT. Recreational drug use and HIV risk sexual behavior among men frequenting urban gay venues. J Gay Lesbian Soc Serv. 2002; 14(4): 19–38.
Binson D, Woods WJ, Pollack L, Sheon N. Bringing HIV/STI testing programmes to high-risk men. Int J STD AIDS. 2005; 16(9): 600.
Blank S, Gallagher K, Washburn K, Rogers M. Reaching out to boys at bars: utilizing community partnerships to employ a wellness strategy for syphilis control among men who have sex with men in New York City. Sex Transm Dis. 2005; 32(10): S65.
Bolding G, Davis M, Sherr L, Hart G, Elford J. Use of gay Internet sites and views about online health promotion among men who have sex with men. AIDS Care. 2004; 16(8): 993–1001.
Taylor M, Montoya JA, Cantrell R, et al. Interventions in the commercial sex industry during the rise in syphillis rates among men who have sex with men (MSM). Sex Transm Dis. 2005; 32(10): S53–9.
Woods WJ, Binson D, Mayne TJ, Gore LR, Rebchook GM. Facilities and HIV prevention in bathhouse and sex club environments. J Sex Res. 2001; 38(1): 68–74.
Woods WJ, Binson DK, Mayne TJ, Gore LR, Rebchook GM. HIV/sexually transmitted disease education and prevention in US bathhouse and sex club environments. AIDS. 2000; 14(5): 625.
Tourangeau R, Smith TW. Asking sensitive questions: the impact of data collection mode, question format, and question context. Public Opin Q. 1996; 60(2): 275.
Turner CF, Ku L, Rogers SM, Lindberg LD, Pleck JH, Sonenstein FL. Adolescent sexual behavior, drug use, and violence: increased reporting with computer survey technology. Science. 1998; 280(5365): 867.
Des Jarlais DC, Paone D, Milliken J, et al. Audio-computer interviewing to measure risk behaviour for HIV among injecting drug users: a quasi-randomised trial. Lancet. 1999; 353(9165): 1657–1661.
Gribble JN, Miller HG, Rogers SM, Turner CF. Interview mode and measurement of sexual behaviors: methodological issues. J Sex Res. 1999; 36(1): 16–24.
Van Beneden CA, O’Brien K, Modesitt S, Yusem S, Rose A, Fleming D. Sexual behaviors in an urban bathhouse 15 years into the HIV epidemic. J Acquir Immune Defic Syndr. 2002; 30(5): 522.
Wohlfeiler D. Structural and environmental HIV prevention for gay and bisexual men. AIDS. 2000; 14: S52.
Daskalakis D, Silvera R, Bernstein K, et al. Implementation of HIV testing at 2 New York City bathhouses: from pilot to clinical service. Clin Infect Dis. 2009; 48: 1609–16.
Huebner DM, Binson D, Woods WJ, Dilworth SE, Neilands TB, Grinstead O. Bathhouse-based voluntary counseling and testing is feasible and shows preliminary evidence of effectiveness. J Acquir Immune Defic Syndr. 2006; 43(2): 239.
Rose VJ, Raymond HF, Kellogg TA, McFarland W. Assessing the feasibility of harm reduction services for MSM: the late night breakfast buffet study. Harm Reduction J. 2006; 3(1): 29.
Kalichman SC, Tannenbaum L, Nachimson D. Personality and cognitive factors influencing substance use and sexual risk for HIV infection among gay and bisexual men. Psychol Addict Behav. 1998; 12(4): 262–271.
Lewis LA, Ross MW. A select body: the gay dance party subculture and the HIV/AIDS pandemic. London, England: Burns & Oates; 1995.
Ostrow DG. Substance use, HIV, and gay men. Focus (San Francisco Calif). 1996; 11(7): 1.
Koblin BA, Husnik MJ, Colfax G, et al. Risk factors for HIV infection among men who have sex with men. AIDS. 2006; 20(5): 731.
McKirnan DJ, Tolou-Shams M, Turner L, Dyslin K, Hope B. Elevated risk for tobacco use among men who have sex with men is mediated by demographic and psychosocial variables. Subst Use Misuse. 2006; 41(8): 1197–1208.
Halkitis PN. Reframing HIV prevention for gay men in the United States. Am Psychol. 2010; 65(8): 752–763.
Ekstrand ML, Stall RD, Paul JP, Osmond DH, Coates TJ. Gay men report high rates of unprotected anal sex with partners of unknown or discordant HIV status. AIDS. 1999; 13(12): 1525.
Mimiaga MJ. Sexual mixing patterns and partner characteristics of Black MSM in Massachusetts at increased risk for HIV infection and transmission. J Urban Health. 2009; 86(4): 602.
Prestage GP, Hudson J, Down I, et al. Gay men who engage in group sex are at increased risk of HIV infection and onward transmission. AIDS Behav. 2009; 13(4): 724–730.
Stall R, Friedman M, Catania JA. Interacting epidemics and gay men’s health: a theory of syndemic production among urban gay men. In: Wolitski R, Stall R, Valdiserri R, eds. Unequal Opportunity: Health Disparities Affecting Gay and Bisexual Men in the United States. New York, NY: Oxford University Press; 2008:251–275.
Stall R, Mills TC, Williamson J, et al. Association of co-occurring psychosocial health problems and increased vulnerability to HIV/AIDS among urban men who have sex with men. Am J Public Health. 2003; 93(6): 939.
Mustanski B, Garofalo R, Herrick A, Donenberg G. Psychosocial health problems increase risk for HIV among urban young men who have sex with men: preliminary evidence of a syndemic in need of attention. Ann Behav Med. 2007; 34(1): 37–45.
McKirnan DJ, Ostrow DG, Hope B. Sex, drugs and escape: a psychological model of HIV-risk sexual behaviours. AIDS Care. 1996; 8(6): 655–70.
Shilts R. And the Band Played On: Politics, People, and the AIDS Epidemic. New York, NY: St. Martin’s Griffin; 2007.
Angelos J. Liaisons dangereuses. New York Times. February 17, 2008.
Paz-Bailey G, Meyers A, Blank S, et al. A case-control study of syphilis among men who have sex with men in New York City. Sex Transm Dis. 2004; 31(10): 581–7.
Halkitis PN, Wilton L, Drescher J. Barebacking: Psychosocial and Public Health Approaches. Oxford, England: Informa HealthCare; 2006.
Kurtz SP. Arrest histories of high-risk gay and bisexual men in Miami: unexpected additional evidence for syndemic theory. J Psychoactive Drugs. 2008; 40(4): 513.
Lee SS. An exploratory study on the social and genotypic clustering of HIV infection in men having sex with men. AIDS. 2009; 23(13): 1755.
Koa NY, Leeb HC, Hungd CC, et al. Effects of structural intervention on increasing condom availability and reducing risky sexual behaviours in gay bathhouse attendees. AIDS Care. 2009; 21(12): 1499–507.
Daskalakis D, Silvera R, Ramos, et al. Point of risk HIV testing: targeted screening for HIV infection utilizing combined serologic and nucleic acid testing in a population of highly sexually active men who have sex with men attending commercial sex venues in New York City. 2010.
This work was funded by a grant from the NYCDOHMH, contract no. 08-NYU-1
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Solomon, T.M., Halkitis, P.N., Moeller, R.M. et al. Sex Parties among Young Gay, Bisexual, and Other Men Who Have Sex with Men in New York City: Attendance and Behavior. J Urban Health 88, 1063–1075 (2011). https://doi.org/10.1007/s11524-011-9590-5
- Sex parties
- Commercial sex