The role of drugs during group sex among gay men in Australia

Sexual Health ◽  
2009 ◽  
Vol 6 (4) ◽  
pp. 310 ◽  
Author(s):  
Garrett Prestage ◽  
Jeffrey Grierson ◽  
Jack Bradley ◽  
Michael Hurley ◽  
Jeff Hudson
Keyword(s):  
Drug Use ◽  
Confidence Interval ◽  
Sexual Risk ◽  
Gay Men ◽  
Odds Ratio ◽  
Sexual Experience ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Gay Community ◽  
Group Sex

Background: Drug use has been associated with risk behaviour among gay men. We examined the use of drugs and sexual risk behaviour among homosexually-active men who engaged in group sex in Australia. Methods: We used an anonymous, self-complete survey about participants’ most recent occasion of group sex with other men and in-depth interviews with a small number of these survey participants. The 746 men who reported having engaged in group sex within the previous 6 months were included in these analyses. Results: Among 746 men who engaged in group sex within the previous 6 months, 63.0% reported using illicit drugs at the group sex encounter. Men commonly reported using drugs specifically to enhance their sexual experience and to intensify the pleasure of that experience. After controlling for each drug type and other risk factors, only use of methamphetamine (odds ratio = 1.74, confidence interval = 1.06–2.88, P = 0.030) and having more than five drinks (odds ratio = 2.41, confidence interval = 1.34–4.33, P = 0.003) were independently associated with unprotected anal intercourse with non-HIV seroconcordant partners in multivariate analysis. Conclusion: Methamphetamine and heavy alcohol use are associated with increased sexual risk behaviour among men who engage in group sex. Within more ‘adventurous’ gay community subcultures, drug use is often for the explicit purpose of enhancing the sexual experience and this complex relationship may be key to understanding HIV risk among these men.

Sexual risk behaviour and knowledge of HIV status among community samples of gay men in the UK

AIDS ◽  
2008 ◽  
Vol 22 (9) ◽  
pp. 1063-1070 ◽  
Author(s):  
Lisa M Williamson ◽  
Julie P Dodds ◽  
Danielle E Mercey ◽  
Graham J Hart ◽  
Anne M Johnson
Keyword(s):  
Sexual Risk ◽  
Gay Men ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Hiv Status ◽  
The Uk

scholarly journals Correlations between drug use, HIV disclosure and interpersonal communication on sexual risk behaviour of HIV-positive men who have sex with men

2020 ◽  
Vol 14 (S13) ◽  
Author(s):  
Lussy Afriyanti ◽  
Agung Waluyo ◽  
Sri Yona
Keyword(s):  
High Risk ◽  
Drug Use ◽  
Sexual Risk ◽  
Interpersonal Communication ◽  
Sexual Behaviour ◽  
Risk Behaviour ◽  
Educational Status ◽  
Hiv Disclosure ◽  
Hiv Positive ◽  
Sexual Risk Behaviour

Abstract Background The Human Immunodeficiency Virus (HIV) epidemic is a global health problem whose number of cases are always higher among men who have sex with men (MSM). Most existing MSM have moderate and very high risk behaviour in HIV transmission. This study was designed to identify correlations between drug use, HIV disclosure and interpersonal communication patterns on sexual risk behaviour among HIV-positive MSM. Methods This study used a cross sectional design with a purposive sampling technique for participants who visited the voluntary counselling and testing (VCT) clinic in a referral hospital and snowball sampling technique for participants in the work area of a community health centre in Batam involving 126 HIV-positive MSM. Data were collected by 5 part questionnaire, namely demographic questionnaire, drug screening questionnaire, brief scale for HIV self disclosure, communication pattern questionnaire-short form, and safe sex behaviour questionnaire. Bivariate analysis was applied to determine whether there is a relationship between drug use, HIV disclosure, interpersonal communication and demographic characteristics (ethnicity, educational status) with sexual risk behaviour of MSM. Logistic regression analysis was used to explore the variables that most associated variable to sexual risk behaviour. The results The results showed that there was significant correlation between HIV disclosure and sexual risk behaviour (p = 0.019, α = 0.05, OR = 2.530) and significant correlation between interpersonal communication patterns and sexual risk behaviour (p = 0.016, α = 0.05, OR = 2.589). There is no significant correlation between demographic characteristics, namely: ethnicity and educational status with sexual behaviour at risk of MSM. In multiple logistic regression analysis, educational status was the factor that most associated with sexual risk behaviour among HIV-positive MSM (p = 0.027, α = 0.05, OR = 2.807, 95% CI = 1.125–7.006). Conclusions HIV disclosure and interpersonal communication patterns have a significant negative correlation with sexual risk behaviour among HIV-positive MSM. MSM with low HIV disclosure have high risk sexual behaviour opportunities. MSM with the closed interpersonal communication pattern also has a high risk of sexual behaviour. Education status was the most associated variable to sexual risk behaviour of HIV-positive MSM. Nurses as professional health workers need to improve comprehensive assessment, personal counselling and plan specific learning model by involving HIV-positive MSM in reducing HIV transmission from risky behaviour.

Dominant situational determinants of sexual risk behaviour in gay men

AIDS ◽  
1994 ◽  
Vol 8 (1) ◽  
pp. 101-106 ◽  
Author(s):  
Margaret Kelaher ◽  
Michael W. Ross ◽  
Richard Rohrsheim ◽  
Michael Drury ◽  
Andrew Clarkson
Keyword(s):  
Sexual Risk ◽  
Gay Men ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour

scholarly journals Latent classes of sexual risk and corresponding STI and HIV positivity among MSM attending centres for sexual health in the Netherlands

2019 ◽  
Vol 96 (1) ◽  
pp. 33-39 ◽  
Author(s):  
Isabel A L Slurink ◽  
Birgit H B van Benthem ◽  
Martijn S van Rooijen ◽  
Roel C A Achterbergh ◽  
Fleur van Aar
Keyword(s):  
Sexual Health ◽  
Sexual Risk ◽  
Risk Behaviour ◽  
Low Risk ◽  
Hiv Positive ◽  
Sexual Risk Behaviour ◽  
Latent Classes ◽  
Related Factors ◽  
Risky Behaviours ◽  
Group Sex

ObjectivesContinuing high STI positivity among men who have sex with men (MSM) attending centres for sexual health (CSH) indicates that high-risk behaviour is ongoing. The objective of this study was to gain a better insight into risk behaviours among MSM attending CSH and to explore STI and HIV positivity by subgroups.MethodsWe used national data routinely collected during CSH consultations for this study. From September to December 2017, questions on group sex, substance use and sex with HIV-positive partners were asked at each CSH consultation. We analysed latent classes of client-related factors and sexual risk behaviour among MSM attending CSH in this period. We examined STI positivity and prevalence ratios by latent classes.ResultsA total of six classes were identified in order of increasing risk: ‘overall low-risk behaviour’ (n=2974; 22.0%), ‘Western origin and multiple sex partners’ (MSP) (n=4182; 30.9%), ‘Non-Western origin and MSP’ (n=2496; 18.5%), ‘living with HIV’ (n=827; 6.1%), ‘group sex and HIV-positive partners’ (n=1798; 13.3%) and ‘group sex and chemsex’ (n=1239; 9.2%). The any STI positivity ranged from 14.0% in the overall low-risk behaviour class to 35.5% in the group sex and chemsex class. HIV positivity did not differ significantly between classes. The Western origin and MSP class was largest and accounted for the majority of STI and HIV infections.ConclusionsAlthough STI positivity increased with increased risky behaviours, considerable STI positivity was found in all six latent classes. Comparable HIV positivity between classes indicates risk reduction strategies among subgroups engaged in risky behaviours. The differences in risk behaviour and STI positivity require preventive strategies tailored to each subgroup.

scholarly journals Risk behaviour among Aboriginal and Torres Strait Islander gay men: comparisons with other gay men in Australia

Sexual Health ◽  
2006 ◽  
Vol 3 (3) ◽  
pp. 163 ◽  
Author(s):  
Chris G. Lawrence ◽  
Patrick Rawstorne ◽  
Peter Hull ◽  
Andrew E. Grulich ◽  
Scott Cameron ◽  
...  
Keyword(s):  
Drug Use ◽  
Gay Men ◽  
Torres Strait Islander ◽  
Illicit Drugs ◽  
Risk Behaviour ◽  
Anal Intercourse ◽  
Cross Sectional ◽  
Gay Community ◽  
Increased Risk ◽  
Torres Strait

Objectives: To determine any differences in HIV-risk and drug-use behaviour among Aboriginal and Torres Strait Islander gay men and other gay men in Australia. Methods: The Gay Community Periodic Survey is a repeated cross-sectional prevalence study of the sexual and drug use behaviours of Australian gay men conducted since 1996. Responses from Aboriginal and Torres Strait Islander (ATSI) gay men were compared with those from non-ATSI gay men for the years 2000–2004. Results: Of 34 708 responses collected in major Australian cities over a 6-year period, 1208 identified as Aboriginal or Torres Strait Islander. There was little difference between ATSI and non-ATSI men in the reported prevalence of HIV, though ATSI gay men were more likely than non-ATSI gay men to engage in unprotected anal intercourse with casual partners and to inject illicit drugs but were more likely to have been recently tested for HIV. Conclusions: These ATSI gay men were at increased risk of HIV and other blood-borne viruses, though this may be due to differences in socio-economic status as much as cultural background. These findings indicate the continued need for targeted sexual and injecting-drug-use health interventions among this population.

Sexual risk behaviour increases and is associated with HIV optimism among HIV-negative and HIV-positive gay men in Sydney over the 4 year period to February 2000

AIDS ◽  
2000 ◽  
Vol 14 (18) ◽  
pp. 2951-2953 ◽  
Author(s):  
Paul Van de Ven ◽  
Garrett Prestage ◽  
June Crawford ◽  
Andrew Grulich ◽  
Susan Kippax
Keyword(s):  
Sexual Risk ◽  
Gay Men ◽  
Risk Behaviour ◽  
Hiv Positive ◽  
Sexual Risk Behaviour ◽  
Hiv Optimism ◽  
Hiv Negative

Viagra use and sexual risk behaviour among gay men in London

AIDS ◽  
2000 ◽  
Vol 14 (13) ◽  
pp. 2051 ◽  
Author(s):  
Lorraine Sherr ◽  
Graham Bolding ◽  
Mark Maguire ◽  
Jonathan Elford
Keyword(s):  
Sexual Risk ◽  
Gay Men ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour
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