Estimating population distribution and HIV prevalence among homosexual and bisexual men

Sexual Health ◽  
2006 ◽  
Vol 3 (1) ◽  
pp. 37 ◽  
Author(s):  
Daniel Madeddu ◽  
Andrew Grulich ◽  
Juliet Richters ◽  
Jason Ferris ◽  
Jeffrey Grierson ◽  
...  

Objectives: To estimate the extent of the homosexual and bisexual male population in inner Sydney and HIV prevalence within this population. Methods: Data from the 2000/2001 Sydney Gay Community Periodic Survey (SGCPS) and the Australian Study of Health and Relationships were used. Results: A re-analysis of responses from men in some inner east and inner west postcode areas of Sydney indicated that: the proportion of men who identified as homosexual or bisexual ranged from 4.4% to 48.1%; from 9.8% to 51.5% of men reported same-sex experiences during their lifetime; and 12.9% to 52.8% of men had ever experienced feelings of same-sex attraction. HIV prevalence among respondents to the SGCPS in these same areas varied from 9.1% to 21.3%. Conclusion: These findings indicate elevated proportions of men with same-sex identity, experience or attraction living in these inner Sydney locations compared with other geographic areas and illustrate how gay communities cluster.

Sexual Health ◽  
2008 ◽  
Vol 5 (2) ◽  
pp. 97 ◽  
Author(s):  
Garrett Prestage ◽  
Jason Ferris ◽  
Jeffrey Grierson ◽  
Rachel Thorpe ◽  
Iryna Zablotska ◽  
...  

Objectives: To assess the size, distribution and changes in the population of homosexual and bisexual men in Australia, and the capacity of available measures to make this estimation. Methods: We used data from five sources: the Australian Study of Health and Relationships, the Gay Community Periodic Surveys, HIV Futures, the Health in Men cohort study, the Australian National HIV and AIDS Registries and the Australian Household Census. Results: We estimated that in 2001 there were ~74 000 homosexual and bisexual men in New South Wales (NSW), ~42 000 in Victoria and ~37 000 in Queensland. There was, however, some discrepancy between datasets in the estimates of the overall proportions and distribution of homosexual and bisexual men across states. We also estimated HIV prevalence rates among homosexual and bisexual men in 2001 at ~8% in NSW, 5% in Victoria and 4% in Queensland. There were insufficient data to estimate whether the state-specific populations of homosexual men were changing with time. Conclusion: There are ~75% more homosexual and bisexual men in NSW than in Victoria and about twice as many as in Queensland. There are about two-thirds as many HIV-positive men in NSW as in Victoria and Queensland combined. Improved collection of population-based data on homosexuality are required.


2019 ◽  
Vol 30 (4) ◽  
pp. 622-633 ◽  
Author(s):  
Max Hopwood ◽  
Elena Cama ◽  
John de Wit ◽  
Carla Treloar

The mental health of gay and bisexual men in mixed-orientation marriages is poorly understood. In this article, the authors explore the development of anxiety and depression among gay and bisexual men in heterosexual marriages. Sixteen men, living in the Australian states of New South Wales, Queensland, Victoria, and Tasmania were interviewed throughout 2016 and 2017. An analysis of interviews identified four main themes, namely, compulsory heterosexuality, existential distress, compartmentalization, and integration and resolution. Participants reported experiencing anxiety and depression, which were exacerbated by the stigmatization of same-sex attraction and by an overwhelming distress from feelings of shame and guilt regarding their marital infidelity. Findings indicate that gay and bisexual men in mixed-orientation marriages develop anxiety and depression in response to the exigencies of compulsory heterosexuality and the compartmentalizing of same-sex attraction and identity during heterosexual marriage. Coming-out as same-sex attracted resolved men’s distress by facilitating an integrative self-structure.


2014 ◽  
Vol 9 (4) ◽  
pp. 274-288 ◽  
Author(s):  
Laura A. Jadwin-Cakmak ◽  
Emily S. Pingel ◽  
Gary W. Harper ◽  
José A. Bauermeister

Few studies have examined the relationship between young gay and bisexual men (YGBM) and their fathers. Based on a phenomenological framework, this study investigated the role of fathers in YGBM’s coming-out experience, focusing on how fathers responded to disclosure of same-sex attraction, how fathers’ responses compared with sons’ expectations, and what sons perceived as having influenced their fathers’ responses. Semistructured in-depth interviews with 30 gay and bisexual men aged 18 to 24 years were conducted as part of a larger study; topics explored in the interview included experiences coming out to family and others. Nineteen participants’ narratives included discussion about their fathers and were included in the current analyses. The YGBM who were interviewed perceived a complex range of responses upon coming out to their fathers, ranging from enthusiastic acceptance to physical violence. Participants spoke of fathers who were accepting in different manners and who often held contradictory attitudes about same-sex attraction. Fathers’ responses commonly differed from sons’ expectations, which were informed by homophobic talk and gendered expectations. Sons spoke about what informed their expectations as well as what they perceived as influencing their fathers’ responses, including gender norms, beliefs regarding the cause of same-sex attraction, religious and sociopolitical views, and concerns about HIV/AIDS. Particularly striking was the pervasive influence of hegemonic masculinity throughout the YGBM’s stories. The implications of these findings for future research and intervention development are discussed, as well as study strengths and limitations.


Sexual Health ◽  
2008 ◽  
Vol 5 (2) ◽  
pp. 103 ◽  
Author(s):  
Garrett Prestage ◽  
Fengyi Jin ◽  
Iryna Zablotska ◽  
John Imrie ◽  
John M. Kaldor ◽  
...  

Objectives: In Australia, HIV notification rates in homosexual men, previously much higher in New South Wales, have become similar across the eastern states. We examined whether trends in HIV prevalence in community-based samples of homosexual men were consistent with the trends in HIV notifications. Methods: We examined data on self-reported HIV status from annual cross-sectional, self-completed anonymous surveys of homosexual men conducted between 1998 and 2006 in Sydney, Melbourne and Brisbane. Men were recruited at gay community venues, clinics and large gay community events. We calculated age-specific and age-standardised HIV prevalence rates. Comparisons of HIV prevalence between the three cities and across time were carried out using age-specific rates, and using logistic regression, controlling for age. Results: Men recruited from clinics had a much higher prevalence of HIV (P < 0.001) and were excluded from further analyses. Among the 50 239 completed questionnaires obtained at non-clinic sites, there was a marked decline in aged-standardised HIV prevalence in Sydney (from 14.2 to 8.98%, P < 0.001), a small decline in Brisbane (from 8.51 to 6.94%, P = 0.012) and no change in Melbourne (from 8.35 to 8.06%, P = 0.848). There were significant declines in men aged less than 50 years in Sydney, and in men aged less than 30 years in Brisbane. In Melbourne there was no significant trend in HIV at any age. Conclusion: HIV prevalence among young homosexual men has declined in Sydney, and these data suggest that HIV incidence among homosexual men is now similar in the eastern state capitals of Australia.


Author(s):  
MAKSYM KASIANZUK ◽  
SVIATOSLAV SHEREMET ◽  
OLESIA TROFYMENKO

The proposed article aims to summarize available quantitative and qualitative data on same-sex partnerships in Ukraine, including data on the presence of children in such partnerships, over the last twenty years (1999–2018). The increasing number of publications on various aspects of the existence of same-sex couples in English demonstrates the relevance of the topic. The information available in Ukraine is the richest in comparison with other post-Soviet countries of the Central and Eastern Europe and Central Asia region. At the same time, LGBT families remain out of the academic community in Ukraine, and the data collected are mostly contained in the so-called "gray literature" (mainly research reports by public organizations), and are not introduced into scientific circulation. It is shown that, depending on the composition of the sample and the definition of same-sex partnership used by the researchers, this percentage most often falls within the range of 16–28% of surveyed homosexual and bisexual men residing in the capital and regional centers of Ukraine. Quantitative information on women partnerships is extremely limited (one survey of a small sample), and there is no quantitative data for the couples, where one or both partners are transgenders. Quantitative information on children in same-sex partnerships is also very limited, and the data in the literature (with all the methodological disadvantages indicated) ranges from 14% to 29% of LGB, which have children, but it is unknown whether these children were raised in same-sex couples. With regard to quality information, the situation is different — a little bit more is known about the status of women and partly transgender partnerships (including the issue of children in such families) than about male couples. Separate data demonstrates a significant similarity in the same-sex partnership structure to the typical heterosexual egalitarian family model (two partners and their children), taking into account more egalitarian marriage roles, lack of formal status, and associated socio-economic risks. Further research (including national level) should be based on a common understanding of what constitutes “same-sex partnership”, what are the characteristics of same-sex partnership (civil, family), what characteristics of civil partnership turn it into a“family”, etc.


Sexual Health ◽  
2017 ◽  
Vol 14 (3) ◽  
pp. 221 ◽  
Author(s):  
Garrett Prestage ◽  
Benjamin Bavinton ◽  
Denton Callander ◽  
Steven P. Philpot ◽  
Iryna Zablotska ◽  
...  

Background Among gay and bisexual men (GBM), ‘serosorting’ is common and involves restricting sex, or at least condomless sex, to partners of the same HIV status. The prevalence of men conveying their serosorting preferences regarding partners they meet online remains unclear. Methods: This study reviewed 57 178 Australian online profiles obtained directly from a popular gay website. Logistic regression was used to identify factors associated with preferences for meeting HIV-positive partners. Results: Men could indicate their preferences from a list of 22 types of partners; 4358 profiles (7.6%) indicated an interest in meeting HIV-positive men. There were 1959 profiles (3.4%) listing a preference for 21 of the 22 types of men, including 1498 men (2.6%) that specifically excluded HIV-positive men. Men who specifically excluded HIV-positive men on their profiles were younger (mean age 34.7 years), less likely to identify as gay (25.6%) and more likely to always prefer ‘safer sex’ (55.3%) than those who specifically included them (mean age 39.6 years; 62.8% gay-identified; 30.9% preferred safer sex; P < 0.001). Men who specifically excluded HIV-positive partners on their profiles were also more likely to live outside major capital cities (P < 0.001). Conclusions: Being younger, living outside major cities, not identifying as gay, always preferring safer sex and either Caucasian or Asian background were associated with excluding HIV-positive men as potential sex partners. These factors may reflect lower social and community engagement with the gay community. The disinclination to include HIV-positive men as potential sex partners may be due to fear of infection, stigma or poor information about HIV.


2008 ◽  
Vol 23 (5) ◽  
pp. 617-636 ◽  
Author(s):  
Kim Bartholomew ◽  
Katherine V. Regan ◽  
Monica A. White ◽  
Doug Oram

Previous studies of abuse in male same-sex relationships have been limited by convenience samples and/or by incomplete assessments of partner abuse. We examined patterns of same-sex partner abuse in a random sample of 284 gay and bisexual men. Respondents reported on perpetration and receipt of physical, psychological, and sexual abuse over multiple time frames, as well as injuries resulting from abuse. Almost all respondents reported psychological abuse, more than one-third reported physical abuse, and 10% reported having engaged in unwanted sexual activity because of partner force or threats of force. More than half of recipients of partner violence reported sustaining injury. We found strong associations between different forms of abuse, and between severity of abuse receipt and perpetration.


2016 ◽  
Vol 29 ◽  
pp. 66-72 ◽  
Author(s):  
Toby Lea ◽  
Limin Mao ◽  
Max Hopwood ◽  
Garrett Prestage ◽  
Iryna Zablotska ◽  
...  

2016 ◽  
Vol 11 (3) ◽  
pp. 726-736 ◽  
Author(s):  
Jaclyn M. White Hughto ◽  
John E. Pachankis ◽  
Adam I. Eldahan ◽  
Danya E. Keene

Social–sexual networking technologies have been reported to yield both psychosocial benefits and sexual risks for gay and bisexual men, yet little research has explored how technology interacts with the social–geographical environment to shape the health of gay and bisexual men in the relatively understudied environment of small cities. This article draws on 29 semistructured interviews examining the use of social–sexual networking technologies among racially diverse gay and bisexual men in two small cities. Questions probed participants’ use of technology to meet sexual partners, engagement in the gay community, and the role of virtual and nonvirtual spaces in relation to health. Findings suggest that social networking technologies can help men navigate the challenges of small cities, including small and insular gay communities, lack of dedicated gay spaces, and sexual minority stigma. However, participants also describe declines in gay community visibility and cohesion, which they attribute to technology use. The article concludes by discussing the intersections of virtual and physical space in small cities as sites for the production of health and illness.


2021 ◽  
Author(s):  
Yu-Te Huang ◽  
Bobo Hi-Po Lau ◽  
Marty W. Forth ◽  
Stuart Gietel-Basten

Abstract Background: Despite the globally rising recognition of same-sex relationships, sexual minority men continue to report lower childbearing desire and intention compared to their heterosexual counterparts, even though both groups tend to consider parenting as valuable. This study capitalized on the prospective process of legalization of same-sex marriage (SSM) in Taiwan to capture changes in gay and bisexual men’s desire and attitudes towards parenthood as a function of the legalization of SSM. Methods: 863 respondents (Mean age = 27.9 years ±5.8) completed an online survey shortly before and 1½ years after the legalization of SSM. They reported their childbearing desire, marital status, and attitudes towards childbearing and marriage. Results: Contrary to our expectation of an increase in childbearing desire due to enhanced legal recognition of same-sex relationships, our study found that fewer participants in the follow-up survey expressed a childbearing desire (59.0% vs 74.2%), and the perceived importance of childbearing dropped mildly (3.48 to 3.26, Cohen’s d=0.269). Those who expressed a consistent childbearing desire attached greater importance to SSM and regarded SSM as a source of a sense of security and recognition by friends/family. The perceived importance of SSM was mildly positively related to the perceived importance of childbearing. Conclusion: Although the decrease in childbearing desire and its perceived importance may be attributable to a lack of access to family building options (e.g., surrogacy and adoption) and the COVID-19 pandemic, our findings illustrate that parenthood can be a logical next-step for Taiwanese male same-sex couples and call for the development of affordable family building options for these men.


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