TY - JOUR
T1 - Sexual Agreement Classifications for Gay and Bisexual Men and Implications for Harm Reduction HIV Prevention
AU - Wilkerson, J. Michael
AU - Smolenski, Derek J.
AU - Morgan, Richard
AU - Rosser, B. R. Simon
N1 - Funding Information:
This study was funded by the National Institute on Alcohol Abuse and Alcoholism, funding number R01AA016270-01A1.
PY - 2012/6
Y1 - 2012/6
N2 - HIV prevention educators frequently encourage gay and bisexual men (GBM) to negotiate condom use prior to sexual engagement. Identifying groups of GBM based on their presexual agreements can aid efforts to tailor interventions. Using cross-sectional data from 1,188 GBM who reported having sex with a nonprimary sex partner in the 90 days prior to the survey, the authors identified presexual agreement patterns. For both HIV-positive and HIV-negative GBM, two groups existed: men agreeing to no anal sex and men agreeing to anal sex with condoms. Among HIV-negative participants, there was a group agreeing to anal sex without specifying condom use. Among HIV-positive participants, there was a group agreeing to anal sex without condoms; this was the largest group of HIV-positive participants. Despite a presexual agreement to use condoms, substance use during sex increased the risk of unprotected anal sex. Suggestions for applying harm reduction to HIV prevention based on agreement classifications are discussed.
AB - HIV prevention educators frequently encourage gay and bisexual men (GBM) to negotiate condom use prior to sexual engagement. Identifying groups of GBM based on their presexual agreements can aid efforts to tailor interventions. Using cross-sectional data from 1,188 GBM who reported having sex with a nonprimary sex partner in the 90 days prior to the survey, the authors identified presexual agreement patterns. For both HIV-positive and HIV-negative GBM, two groups existed: men agreeing to no anal sex and men agreeing to anal sex with condoms. Among HIV-negative participants, there was a group agreeing to anal sex without specifying condom use. Among HIV-positive participants, there was a group agreeing to anal sex without condoms; this was the largest group of HIV-positive participants. Despite a presexual agreement to use condoms, substance use during sex increased the risk of unprotected anal sex. Suggestions for applying harm reduction to HIV prevention based on agreement classifications are discussed.
KW - HIV prevention interventions
KW - bisexual men
KW - gay men
KW - harm reduction approach
KW - sexual communication
UR - http://www.scopus.com/inward/record.url?scp=84861826803&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84861826803&partnerID=8YFLogxK
U2 - 10.1177/1090198111413917
DO - 10.1177/1090198111413917
M3 - Article
C2 - 21765058
AN - SCOPUS:84861826803
VL - 39
SP - 303
EP - 314
JO - Health Education Monographs
JF - Health Education Monographs
SN - 1090-1981
IS - 3
ER -
