“White, Tall, Top, Masculine, Muscular”: Narratives of Intracommunity Stigma in Young Sexual Minority Men’s Experience on Mobile Apps

What forms of intracommunity stigma do young sexual minority men narrate as they participate in communities through mobile apps? In a content analysis of 32 interviews with a racially diverse sample of young sexual minority men (ages 19–25; 84.4% non-White) from four regions of the USA, a majority of men (62.5%) spontaneously discussed mobile apps (e.g., Grindr, Scruff) when asked about their experience of community more broadly. Men’s narratives revealed engagement with intracommunity stigma related to body size, race/ethnicity, gender expression, and sexual position (e.g., bottom). Stigma related to HIV status, substance use, and social class were not spontaneously narrated in response to questions about men’s experience in communities. Expressions of stigma were frequently experienced intersectionally, particularly regarding racialized stereotype expectations (e.g., “Asian men are twinks, effeminate”). We discuss the ways in which sexual minority men reproduce dominant ideologies related to racism, misogyny, and masculine body ideals as they engage with one another on mobile apps. To the extent that many young men rely on mobile apps for community connection, their experiences of community might serve to exacerbate, rather than ameliorate, the deleterious impact of stigma.

OP0309-PARE REUMASUTRA: RETHINKING SEXUALITY IN RHEUMATIC AND MUSCULOSKELETAL DISEASES

Background:Rheumatic and musculoskeletal diseases (RMDs) have a great impact on people’s quality of life affecting daily tasks. Research has shown that sexual relationships are also affected by RMDs. This occurs by one or a combination of: (1) the symptoms of the disease and (2) the side effects of the medication.Although we are all here because of sex, talking about sex and sexuality remains taboo. Physicians themselves report that embarrassment, lack of time, lack of knowledge about the topic, or age are barriers that prevent them from starting a conversation about the subject. Consequently, the sexual sphere of people with RMDs is neglected; producing uncertainty in the people affected by them and their partners.In 2016, we set ourselves the task of studying what has already been created. The only material we found was a book with drawings that showed several sexual positions. We realized that the existing material fell short and we knew that we could make an original contribution. That’s why using participatory action research (PAR) approach we decided to create Reumasutra (LLC): The kamasutra for people with rheumatic diseases.Objectives:To understand the complexities and the difficulties of sexuality in people with RMDs,To offer a solution to the problems previously identified,To (un)validate the proposed solution using the feedback of people with RMDs.Methods:PAR affirms that experience can be a basis of knowing and that experiential learning can lead to a legitimate form of knowledge that influences practice.PAR differs from conventional research in three ways. Firstly, it focuses on research whose purpose is to enable action. Secondly, PAR pays careful attention to power relationships, advocating for power to be deliberately shared between the researcher and the researched: blurring the line between them until the researched become the researchers. Thirdly, PAR contrasts with less dynamic approaches that remove data and information from their contexts, by advocating that those being researched should be involved in the process actively.Results:Our project is divided into three phases.In the first phase, interviews with people with RMDs were conducted. The interviewees expressed that sex remains a taboo topic, which is often ignored by physicians. Besides, we opened a suggestion box on the websitewww.reumaxxx.com. Last year, we received feedback from approximately >30.000 people. After evaluating the feedback, it was clear that the best way to educate in sex in RMDs was by showing real people practicing adapted sexual positions.For that task, we asked a couple with RMDs to validate the sexual positions that appear as drawings on the only book we found on the topic. Also, the couple added new sexual positions that they have been using and adapting to be sexually active despite having RMDs.In the second phase, we recruited sex surrogates with experience with people with functional diversity to recreate the sexual position previously validated. The sex surrogates received coaching in real-time from a person with RMDs. The positions were filmed in January 2020.For the last phase, we expect to upload the audiovisual content to the website. Afterward, we will send out surveys so that the users themselves can determine the validity and usefulness of the solution created.Conclusion:Mobility in rheumatic diseases is affected. Sex is dynamic and a person cannot properly learn a new dynamic reality using static resources. We need to cross the taboo line to offer real solutions anchored to the reality of people with RMDs.Acknowledgments:To Dr. Anne Campbell, John Campbell, Miss Estigia, Ivy de Luna, Sylvan, and Sally Fenaux and her crew.Disclosure of Interests:None declared

The Relationship Of Knowledge With Sexual Behavior Pregnant Woman Trimester III In The Work Area Of Puskesmas Basuki Rahmad Bengkulu City

Sexual intercourse will be better done in the third trimester because the physical and mental conditions of pregnant women support, of course with the right sexual position. This study aims to study the relationship of knowledge with sexual behavior of pregnant women in third trimester in the working area of ​​Puskesmas Basuki Rahmad Bengkulu City.This study uses a cross sectional design. The population in this study were all pregnant women in the third trimester in the working area of ​​the health center, basuki rahmad, bengkulu city. Sample appearance technique in this study uses purposive sampling. A sample of 35 third trimester pregnant women was obtained. data collection in this study uses a questionnaire.The results were obtained: 15 (42.9%) respondents had good knowledge, 24 (68.6%) respondents had sexual intercourse during the third trimester of pregnancy. There was a significant relationship between the knowledge of third trimester pregnant women with third trimester pregnant women sexual behavior. in the Puskesmas Basuki Rahmad Working Area, the City of Bengkulu with the category of moderate relations. To various parties, especially pregnant women in the third trimester to increase their knowledge about sexual relations during the third trimester of pregnancy and for health workers to improve the information provided to pregnant women both in terms of counseling and at the time of pregnancy examination.

The Risk of Impingement With Sexual Activity in Femoroacetabular Impingement Syndrome Due to Cam Morphology: Shape Matters

Background: Sexual difficulties and dysfunction are common in patients with femoroacetabular impingement syndrome (FAIS) secondary to hip pain and stiffness. Purpose: To determine the risk of impingement in patients with FAIS during common sexual positions using 3-dimensional computer-simulated collision detection before and after cam correction. Study Design: Descriptive laboratory study. Methods: Ten computed tomography scans of the pelvis and femur from patients with FAIS due to isolated cam morphology were retrospectively reviewed. Three-dimensional osseous models were developed using Mimics software. The cam deformity was then completely corrected. Simulations of hip range of motion for the most common sexual positions for men (n = 15) and women (n = 14) were conducted before and after cam resection. Impingement was determined for each sexual position. Position safety was defined as ≤20% of models demonstrating impingement in a position. Descriptive and simple comparative statistics were calculated. Results: There was no sexual position that was impingement free in all models before cam correction. After cam correction, 11 (37.9%) of 29 total positions were impingement free. There was a significant decrease in impingement from before to after cam correction (40.7% vs 11.4%, respectively, of all female positions [ P < .0001]; 26.0% vs 6.7%, respectively, of all male positions [ P < .0001]). There was a significant increase in the number of “safe” positions from before to after cam correction (4 vs 11, respectively, of all female positions [ P = .008]; 7 vs 15, respectively, of all male positions [ P = .001]). Conclusion: After cam correction, there was a significant reduction in the impingement rate and a significant increase in the number of “safe” sexual positions. Clinical Relevance: Impingement in patients with cam morphology is common during sexual activity. Surgical correction of cam morphology significantly reduces the rate of impingement. Although this laboratory imaging-only study did not account for patient symptoms, this likely translates to significant symptomatic improvement during sexual activity after surgical cam correction.

Indicators of HIV-risk resilience among men who have sex with men: a content analysis of online profiles

Background: HIV-risk resilience, or positive adaptation in the face of risk, is increasingly being recognised as an important characteristic among men who have sex with men (MSM). However, resilience in the context of online partner seeking remains underexplored among MSM. Methods: Using content analysis methodology, this study operationalised indicators of HIV-risk resilience in the profiles of 933 MSM using a sexual networking website. HIV-risk resilience included endorsing foreplay only (non-penetrative sex) or a versatile sexual position; being “out” (e.g. disclosed sexual orientation), having a profile photo, seeking friendship, seeking a relationship, serosorting, not endorsing alcohol or drug use, safer sexual adventurism (e.g. role playing, bondage), and safer sex. Results: The majority of men were between 18 and 35 years old (76.0%) and 73.3% were racial/ethnic minorities. The mean number of resilience components endorsed was 5.2 (s.d. = 1.5; range 0–9). Nearly half (48.0%) reported being “out” and 68.7% had a profile photo. The majority of men were seeking relationships (66.5%) and/or friendships (69.7%), were sexually versatile (53.3%), and preferred safer sex only (76.3%). The majority did not endorse drug use (82.0%) and 25.4% did not endorse alcohol use. Nearly one-quarter (21.4%) endorsed sexual adventurism and 2.5% were serosorting by partner’s HIV negative status. Conclusion: HIV-risk resilience may be common among MSM using sexual networking websites and may manifest in safer sex intentions. Rather than exclusively focusing on sexual risk reduction, health promotion efforts targeting MSM online should acknowledge, measure, and leverage existent HIV-risk resilience strategies in this group.