Skip to main content

Advertisement

Log in

Differential HIV Risk Behavior among Men who have Sex with Men Seeking Health-Related Mobile Van Services at Diverse Gay-Specific Venues

  • Original Paper
  • Published:
AIDS and Behavior Aims and scope Submit manuscript

Abstract

Distinguishing between gay venues may provide important information to better understand patterns of environmental influence and HIV/STI behavioral risk among MSM. Massachusetts MSM accessing State Health Department mobile van services (n = 214) at Gay Pride events, bars/clubs, and private safer sex parties completed a one-time, cross-sectional survey via ACASI. In the past 12 months, private safer sex party attendees reported a higher mean number of anonymous partners, were more likely to report meeting sex partners via the Internet, and were more likely to report sex while drunk; in logistic regression analyses, they were less likely to report both unprotected insertive and receptive anal sex in the past year relative to men from other venues. Private safer sex parties may represent a strategy used by some MSM to reduce HIV/STI risk. Differentiating risk behavior by venue type provides valuable information with which to effectively target interventions to reach MSM at greatest risk.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Bartholow, B. N., Goli, V., Ackers, M., et al. (2006). Demographic and behavioral contextual risk groups among men who have sex with men participating in a phase 3 HIV vaccine efficacy trial: Implications for HIV prevention and behavioral/biomedical intervention trials. Journal of Acquired Immune Deficiency Syndromes, 43, 594–602.

    PubMed  Google Scholar 

  • Bingham, T. A., Harawa, N. T., Johnson, D. F., et al. (2003). The effect of partner characteristics on HIV infection among African American men who have sex with men in the Young Men’s Survey, Los Angeles, 1999–2000. AIDS Education and Prevention, 15, 39–52. doi:10.1521/aeap.15.1.5.39.23613.

    Article  PubMed  Google Scholar 

  • Binson, D., Michaels, S., Stall, R., Coates, T., Gagnon, J., & Catania, J. (1995). Prevalence and social distribution of men who have sex with men: United States and its urban centers. Journal of Sex Research, 32, 245–254.

    Google Scholar 

  • Binson, D., Woods, W. J., Pollack, L., Paul, J., Stall, R., & Catania, J. A. (2001). Differential HIV risk in bathhouses and public cruising areas. American Journal of Public Health, 91, 482–1486.

    Article  Google Scholar 

  • Binson, D., Woods, W. J., Pollack, L., & Sheon, N. (2005). Bringing HIV/STI testing programmes to high-risk men. International Journal of STD & AIDS, 9, 600–604. doi:10.1258/0956462054944462.

    Article  Google Scholar 

  • Bolding, G., Davis, M., Hart, G., Sherr, L., & Elford, J. (2005). Gay men who look for sex on the Internet: Is there more HIV/STI risk with online partners? AIDS (London, England), 19, 961–968. doi:10.1097/01.aids.0000171411.84231.f6.

    Google Scholar 

  • Centers for Disease Control and Prevention. (2003). HIV/STD risks in young men who have sex with men who do not disclose their sexual orientation-six U.S. cities, 1994–2000. Morbidity and Mortality Weekly Report, 52, 81–86.

    Google Scholar 

  • Centers for Disease Control and Prevention. (2004). STDs in men who have sex with men. In: STD Surveillance 2004: Special focus profiles. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.

  • Centers for Disease Control and Prevention. (2006). Sexually transmitted disease surveillance, 2005. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.

  • Centers for Disease Control and Prevention. (2007). HIV/AIDS surveillance report, 2005 (Vol. 17). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.

  • Chesney, M. A., Koblin, B. A., Barresi, P. J., et al. (2003). An individually tailored intervention for HIV prevention: Baseline data from the EXPLORE study. American Journal of Public Health, 93, 933–938.

    Article  PubMed  Google Scholar 

  • Clatts, M. C., Goldsamt, L. A., & Yi, H. (2005). An emerging HIV risk environment: A preliminary epidemiological profile of an MSM POZ Party in New York City. Sexually Transmitted Infections, 81, 373–376. doi:10.1136/sti.2005.014894.

    Article  PubMed  CAS  Google Scholar 

  • Colfax, G., Coates, T. J., Husnik, M. J., et al. (2005). Longitudinal patterns of methamphetamine, popper (amyl nitrite), and cocaine use and high-risk sexual behavior among a cohort of San Francisco men who have sex with men. Journal of Urban Health, 82, i62–i70. doi:10.1093/jurban/jti025.

    PubMed  Google Scholar 

  • Crepaz, N., Hart, T. A., & Marks, G. (2004). Highly active antiretroviral therapy and sexual risk behavior: A meta-analytic review. Journal of the American Medical Association, 292, 224–236. doi:10.1001/jama.292.2.224.

    Article  PubMed  CAS  Google Scholar 

  • Easterbrook, P. J., Chmiel, J. S., Hoover, D. R., et al. (1993). Racial and ethnic differences in human immunodeficiency virus type 1 (HIV-1) seroprevalence among homosexual and bisexual men. American Journal of Epidemiology, 138, 415–429.

    PubMed  CAS  Google Scholar 

  • Easton, D., Iverson, E., Cribbin, M., et al. (2007). Space: The new frontier in HIV prevention for young men who have sex with men. AIDS Education and Prevention, 19, 465–478. doi:10.1521/aeap.2007.19.6.465.

    Article  PubMed  Google Scholar 

  • Eaton, L. A., Kalichman, S. C., Cain, D. N., et al. (2007). Serosorting sexual partners and risk for HIV among men who have sex with men. American Journal of Preventive Medicine, 33, 479–485. doi:10.1016/j.amepre.2007.08.004.

    Article  PubMed  Google Scholar 

  • Elwood, W. N., Green, K., & Carter, K. K. (2003). Gentlemen don’t speak: Communication norms and condom use in bathhouses. Journal of Applied Communication Research, 31, 277–298. doi:10.1080/1369681032000132564.

    Article  Google Scholar 

  • Fergus, S., Lewis, M. A., Darbes, L. A., & Butterfield, R. M. (2005). HIV risk and protection among gay male couples: The role of gay community integration. Health Education & Behavior, 32, 151–171. doi:10.1177/1090198104271964.

    Article  Google Scholar 

  • Greenwood, G. L., White, E. W., Page-Shafer, K., Bein, E., Osmond, D. H., Paul, J., et al. (2001). Correlates of heavy substance use among young gay and bisexual men: The San Francisco Young Men’s Health Study. Drug and Alcohol Dependence, 61, 105–112. doi:10.1016/S0376-8716(00)00129-0.

    Article  PubMed  CAS  Google Scholar 

  • Grov, C., Parsons, J. T., & Bimbi, D. S. (2007). Sexual risk behavior and venues for meeting sex partners: An intercept survey of gay and bisexual men in LA and NYC. AIDS and Behavior, 11, 915–926. doi:10.1007/s10461-006-9199-y.

    Article  PubMed  Google Scholar 

  • Gupta, A., & Ferguson, J. (1992). Beyond ‘culture’: Space, identity, and the politics of difference. Cultural Anthropology, 7(1), 6–23. doi:10.1525/can.1992.7.1.02a00020.

    Article  CAS  Google Scholar 

  • Halkitis, P. N., Palamar, J. J., & Mukherjee, P. P. (2007). Poly-club-drug use among gay and bisexual men: A longitudinal analysis. Drug and Alcohol Dependence, 89, 153–160. doi:10.1016/j.drugalcdep.2006.12.028.

    Article  PubMed  Google Scholar 

  • Halkitis, P. N., & Parsons, J. T. (2002). Recreational drug use and HIV-risk sexual behavior among men frequenting gay social venues. Journal of Gay & Lesbian Social Services, 14, 19–38. doi:10.1300/J041v14n04_02.

    Article  Google Scholar 

  • Harawa, N. T., Greenland, S., Bingham, T. A., et al. (2004). Associations of race/ethnicity with HIV prevalence and HIV-related behaviors among young men who have sex with men in 7 urban centers in the United States. Journal of Acquired Immune Deficiency Syndromes, 35, 526–536. doi:10.1097/00126334-200404150-00011.

    Article  PubMed  Google Scholar 

  • Kelly, J. A., Murphy, D. A., Bahr, G. R., et al. (1993). Factors associated with severity of depression and high-risk sexual behavior among persons diagnosed with human immunodeficiency virus (HIV) infection. Health Psychology, 12, 215–219. doi:10.1037/0278-6133.12.3.215.

    Article  PubMed  CAS  Google Scholar 

  • Klausner, J., Wolf, W., Fisher-Ponce, L., Zolt, I., & Katz, M. (2000). Tracing a syphilis outbreak through cyberspace. Journal of the American Medical Association, 284, 447–449. doi:10.1001/jama.284.4.447.

    Article  PubMed  CAS  Google Scholar 

  • Klitzman, R., Exner, T., Correale, J., et al. (2007). It’s not just what you say: Relationships of HIV disclosure and risk reduction among MSM in the post-HAART era. AIDS Care, 19, 749–756. doi:10.1080/09540120600983971.

    Article  PubMed  CAS  Google Scholar 

  • Koblin, B. A., Chesney, M. A., Husnik, M. J., et al. (2003). High-risk behaviors among men who have sex with men in 6 US cities: Baseline data from the EXPLORE study. American Journal of Public Health, 93, 926–932.

    Article  PubMed  Google Scholar 

  • Koblin, B. A., Husnik, M. J., Colfax, G., et al. (2006). Risk factors for HIV infection among men who have sex with men. AIDS (London, England), 20, 731–739. doi:10.1097/01.aids.0000216374.61442.55.

    Google Scholar 

  • Kok, G., Hospers, H. J., Harterink, P., et al. (2007). Social-cognitive determinants of HIV risk-taking intentions among men who date men through the Internet. AIDS Care, 19, 410–417. doi:10.1080/09540120600813137.

    Article  PubMed  CAS  Google Scholar 

  • Krieger, N. (1994). Epidemiology and the web of causation: Has anyone seen the spider? Social Science Medicine, 39, 887–903. doi:10.1016/0277-9536(94)90202-X.

    Article  PubMed  CAS  Google Scholar 

  • MacKellar, D. A., Valleroy, L. A., Secura, G. M., et al. (2007). Perceptions of lifetime risk and actual risk for acquiring HIV among young men who have sex with men. AIDS and Behavior, 11, 263–270. doi:10.1007/s10461-006-9136-0.

    Article  PubMed  Google Scholar 

  • Mansergh, G., Colfax, G. N., Marks, G., et al. (2001). The Circuit Party Men’s Health Survey: findings and implications for gay and bisexual men. American Journal of Public Health, 91, 953–958.

    Article  PubMed  CAS  Google Scholar 

  • Mayer, K. H., Mimiaga, M. J., VanDerwarker, R., Goldhammer, H., & Bradford, J. B. (2007). Fenway Community Health’s model of integrated community-based LGBT care, education, and research. In I. H. Meyer & M. E. Northridge (Eds.), The health of sexual minorities (pp. 693–715). New York: Springer Science & Business Media, LLC.

    Chapter  Google Scholar 

  • McAuliffe, T., Kelly, J., & Sikkema, K. (1999). Sexual HIV risk behavior levels among young and older gay men outside of AIDS epicenters: Findings of a 16-city sample. AIDS and Behavior, 3, 111–119. doi:10.1023/A:1025431822394.

    Article  Google Scholar 

  • Mills, T. C., Stall, R., & Pollack, L. (2001). Health-related characteristics of men who have sex with men: A comparison of those living in “gay ghettos” with those living elsewhere. American Journal of Public Health, 91, 980–983.

    Article  PubMed  CAS  Google Scholar 

  • Mimiaga, M. J., Goldhammer, H., Belanoff, C., Tetnu, A. M., & Mayer, K. H. (2007). Men who have sex with men: Perceptions about sexual risk, HIV and sexually transmitted disease testing, and provider communication. Sexually Transmitted Diseases, 34, 113–119. doi:10.1097/01.olq.0000225327.13214.bf.

    Article  PubMed  Google Scholar 

  • Morin, S. F., Steward, W. T., Charlebois, E. D., et al. (2005). Prediction HIV transmission risk among HIV-infected men who have sex with men: Findings from the healthy living project. Journal of Acquired Immune Deficiency Syndromes, 40, 226–235. doi:10.1097/01.qai.0000166375.16222.eb.

    Article  PubMed  Google Scholar 

  • O’Leary, A., Fisher, H. H., Purcell, D. W., et al. (2007). Correlates of risk patterns and race/ethnicity among HIV-positive men who have sex with men. AIDS and Behavior, 11, 706–715. doi:10.1007/s10461-006-9205-4.

    Article  PubMed  Google Scholar 

  • Ostrow, D. G., Silverberg, M. J., Cook, R. L., et al. (2008). Prospective study of attitudinal and relationship predictors of sexual risk in the multicenter AIDS cohort study. AIDS and Behavior, 12, 127–138. doi:10.1007/s10461-007-9223-x.

    Article  PubMed  Google Scholar 

  • Parsons, J. T., & Halkitis, P. N. (2002). Sexual and drug-using practices of HIV-positive men who frequent public and commercial sex environments. AIDS Care, 14, 815–826. doi:10.1080/0954012021000031886.

    Article  PubMed  CAS  Google Scholar 

  • Plankey, M. W., Ostrow, D. G., Stall, R., et al. (2007). The relationship between methamphetamine and popper use and risk of HIV seroconversion in the multicenter AIDS cohort study. Journal of Acquired Immune Deficiency Syndromes, 45, 85–92. doi:10.1097/QAI.0b013e3180417c99.

    Article  PubMed  CAS  Google Scholar 

  • Pollack, L. M., Osmond, D. H., Paul, J. P., & Catania, J. A. (2005). Evaluation of the Center for Disease Control and Prevention’s HIV behavioral surveillance of men who have sex with men: sampling issues. Sexually Transmitted Diseases, 32, 581–589. doi:10.1097/01.olq.0000175419.02839.d6.

    Article  PubMed  Google Scholar 

  • Preston, D. B., D’Augelli, A. R., Kassab, C. D., et al. (2007). The relationship of stigma to the sexual risk behavior of rural men who have sex with men. AIDS Education and Prevention, 19, 218–230. doi:10.1521/aeap.2007.19.3.218.

    Article  PubMed  Google Scholar 

  • Purcell, D. W., Parsons, J. T., Halkitis, P. N., Mizuno, Y., & Woods, W. J. (2001). Substance use and sexual transmission risk behavior of HIV-positive men who have sex with men. Journal of Substance Abuse, 13, 185–200. doi:10.1016/S0899-3289(01)00072-4.

    Article  PubMed  CAS  Google Scholar 

  • Rietmeijer, C. A., & Lloyd, L. V. (2005). Net, bath and beyond: Serosorting, unprotected anal intercourse, and gonorrhea among MSM who preferentially seek sex partners on the Internet, in Bathhouses, or in other environments. Paper presented at the 2005 National HIV Prevention Conference, Atlanta, Georgia, June 12–15.

  • Stall, R. D., Hays, R. B., Waldo, C. R., et al. (2000). Gay ‘90s: A review of research in the 1990s on sexual behavior and HIV risk among men who have sex with men. AIDS (London, England), 14, s101–s114. doi:10.1097/00002030-200001070-00019.

    Google Scholar 

  • Stall, R., Mills, T. C., Williamson, J., et al. (2003). Association of co-occurring psychosocial health problems and increased vulnerability to HIV/AIDS among urban men who have sex with men. American Journal of Public Health, 93, 939–942.

    Article  PubMed  Google Scholar 

  • Strathdee, S. A., Hogg, R. S., Martindate, S. L., et al. (1998). Determinants of sexual risk-taking among young HIV-negative gay and bisexual men. Journal of Acquired Immune Deficiency Syndromes, 19, 61–66.

    CAS  Google Scholar 

  • Sullivan, P. S., Drake, A. J., & Sanchez, T. H. (2007). Prevalence of treatment optimism-related risk behavior and associated factors among men who have sex with men in 11 states, 2000–2001. AIDS and Behavior, 11, 123–129. doi:10.1007/s10461-006-9100-z.

    Article  PubMed  Google Scholar 

  • Taylor, M., Aynalem, G., Smith, L., Bemis, C., Kenney, K., & Kerndt, P. (2004). Correlates of Internet use to meet sex partners among men who have sex with men diagnosed with early syphilis in Los Angeles County. Sexually Transmitted Diseases, 31, 552–556. doi:10.1097/01.olq.0000137902.71284.b0.

    Article  PubMed  Google Scholar 

  • Van Kesteren, N. M., Hospers, H. J., Van Empelen, P., et al. (2007). Sexual decision-making in HIV-positive men who have sex with men: How moral concerns and sexual motives guide intended condom use with steady and casual sex partners. Archives of Sexual Behavior, 36, 437–449. doi:10.1007/s10508-006-9125-4.

    Article  PubMed  Google Scholar 

  • Wallerstein, N. (2002). Empowerment to reduce health disparities. Scandinavian Journal of Public Health, 30, s72–s77.

    Google Scholar 

  • Wolitski, R. J., Jones, K. T., Wasserman, J. L., et al. (2006). Self-identification as ‘down low’ among men who have sex with men (MSM) from 12 US cities. AIDS and Behavior, 10, 519–529. doi:10.1007/s10461-006-9095-5.

    Article  PubMed  Google Scholar 

  • Woods, W. J., Binson, D. K., Mayne, T. J., Gore, L. R., & Rebchook, G. M. (2001). Facilities and HIV prevention in bathhouse and sex club environments. Journal of Sex Research, 38, 68–74.

    Article  Google Scholar 

  • Xia, Q., Tholandi, M., Osmond, D. H., Pollack, L. M., Zhou, W., Ruiz, J. D., et al. (2006). The effect of venue sampling on estimates of HIV prevalence and sexual risk behaviors in men who have sex with men. Sexually Transmitted Diseases, 33, 545–550. doi:10.1097/01.olq.0000219866.84137.82.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

This study was funded by a research grant from the Massachusetts Department of Public Health awarded to Dr. Matthew Mimiaga. We would like to thank the Massachusetts Department of Public Health HIV/AIDS Bureau, The Bureau of Substance Abuse Services and the Crystal Meth Partnership Initiative for reviewing the study protocol and instrument. We would also like to thank the staff of the HIV Innovations/Project Health MOVES team and collaborating partners at Northeastern University Bouvé College of Health Science School of Nursing who made this study possible.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sari L. Reisner.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Reisner, S.L., Mimiaga, M.J., Skeer, M. et al. Differential HIV Risk Behavior among Men who have Sex with Men Seeking Health-Related Mobile Van Services at Diverse Gay-Specific Venues. AIDS Behav 13, 822–831 (2009). https://doi.org/10.1007/s10461-008-9430-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10461-008-9430-0

Keywords

Navigation