Literature DB >> 23809410

HIV risk in group sexual encounters: an event-level analysis from a national online survey of MSM in the U.S.

Christian Grov1, H Jonathon Rendina, Ana Ventuneac, Jeffrey T Parsons.   

Abstract

INTRODUCTION: Researchers have investigated group sexual encounters (GSEs) as potential sources for HIV/STI transmission among men who have sex with men (MSM); however, much of this work has focused on organized sex parties. AIM: To compare behavioral and social characteristics of groups of men who engaged in three types of GSEs: threesomes, spontaneous group sex, and organized sex parties.
METHODS: In 2012, 1,815 U.S.-based MSM completed an online survey. MAIN OUTCOME MEASURE: We compared men based on their most recent type of GSE: threesome (68.2%), spontaneous group sex (19.7%), or organized sex party (12.1%).
RESULTS: Using multinomial logistic regression, with type of GSE as the dependent variable, MSM who were HIV-positive, used stimulants (cocaine, methamphetamine, crack), consumed five or more alcoholic drinks, and reported receptive unprotected anal intercourse (UAI) during the most recent GSE had significantly higher odds of having had spontaneous group sex as compared to a threesome. MSM who were HIV-positive, not in a relationship, and did not report receptive UAI during the most recent GSE had significantly higher odds of having attended an organized sex party as compared to a threesome. MSM who were in a relationship, had consumed five or more alcoholic drinks, had used stimulants, and reported receptive UAI during the most recent GSE had significantly higher odds of having had spontaneous group sex as compared to an organized sex party. Compared to others, those having engaged in a GSE were more likely to report recent UAI (65% vs. 45%).
CONCLUSIONS: Men having engaged in a GSE were at greater risk for behaviors that transmit HIV and STIs. Unique social and behavioral characteristics inherent to threesomes, spontaneous group sex, and sex parties highlight the need to identify prevention strategies to help those who participate in GSEs reduce their risk for HIV and STI transmission.
© 2013 International Society for Sexual Medicine.

Entities:  

Keywords:  Gay and Bisexual Men; Group Sex; Men Who Have Sex with Men; Sex Parties; Substance Use; Unprotected Anal Intercourse

Mesh:

Year:  2013        PMID: 23809410      PMCID: PMC3775898          DOI: 10.1111/jsm.12227

Source DB:  PubMed          Journal:  J Sex Med        ISSN: 1743-6095            Impact factor:   3.802


  31 in total

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7.  Gay men who engage in group sex are at increased risk of HIV infection and onward transmission.

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8.  Sexual agreements among gay male couples.

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  25 in total

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4.  Misclassification of sexual health risks in a self-identified low risk cohort of men who have sex with men (MSM) enrolled in a community based PrEP program.

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5.  Recruiting vulnerable populations to participate in HIV prevention research: findings from the Together 5000 cohort study.

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6.  Characteristics of men who have sex with men (MSM) who attend sex parties: results from a national online sample in the USA.

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7.  Types of Group Sex and Their Association with Different Sexual Risk Behaviors Among HIV-Negative Men Who Have Sex with Men.

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8.  Men who have sex with men's attitudes toward using color-coded wristbands to facilitate sexual communication at sex parties.

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10.  Life Chaos and Perceived Social Support Among Methamphetamine-Using Men Who Have Sex With Men Engaging in Transactional Sexual Encounters.

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