Scenes as Micro-Cultures: Examining Heterogeneity of HIV Risk Behavior Among Gay, Bisexual, and Other Men Who Have Sex with Men ... View Full Text


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Article Info

DATE

2017-04-20

AUTHORS

Syed W. Noor, Barry D. Adam, David J. Brennan, David A. Moskowitz, Sandra Gardner, Trevor A. Hart

ABSTRACT

Using latent class analysis (LCA), we examined patterns of participation in multiple scenes, how sexual risk practices vary by scene, and psychosocial factors associated with these patterns among 470 gay, bisexual, and other men who have sex with men (GBM) recruited from Toronto. We calculated posterior probability of being in a class from participation in nine separate scenes. We used Entropy, the Bayesian information criterion and the Lo–Mendel–Rubin likelihood ratio test to identify the best fit model. Fit indices suggested a four-class solution. Half (50%) of the GBM reported no or minimal participation in any scene, 28% reported participating in the dance club scene, 16% reported participating in the BDSM, bear, and leather scenes, and 6% reported participating in circuit, party and play, and sex party scenes. Compared to GBM who did not participate in scenes, GBM participating in the BDSM-Bear-Leather scene were more likely to be older, white, to report higher sexual self-esteem, and to engage in condomless anal sex; Party and Play scene members were more likely to be of Asian origin, and to use drugs before and during sex, whereas Dance Club scene members were more likely to be younger and to report lower self-esteem but higher hope. LCA allowed us to identify distinct social niches or micro-cultures and factors characterizing these micro-cultures. GBM differ in their risk for HIV and STIs according to characteristics associated with participation in distinct micro-cultures associated with scenes. Tailored interventions may be needed that focus on reducing HIV risk and promoting sexual health in specific contexts such as the BDSM-Bear-Leather and Party and Play. More... »

PAGES

309-321

References to SciGraph publications

  • 2007-12. Psychosocial health problems increase risk for HIV among urban young men who have sex with men: Preliminary evidence of a syndemic in need of attention in ANNALS OF BEHAVIORAL MEDICINE
  • 2009-01-22. Barebacking: A Review of the Literature in ARCHIVES OF SEXUAL BEHAVIOR
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  • 2014-02-08. Use of Latent Class Analysis Approach to Describe Drug and Sexual HIV Risk Patterns among Injection Drug Users in Houston, Texas in AIDS AND BEHAVIOR
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  • 2015-09-21. Group Sex and Prevalent Sexually Transmitted Infections Among Men Who Have Sex with Men in ARCHIVES OF SEXUAL BEHAVIOR
  • 2014-04-18. Factors Influencing HIV Serodisclosure Among Men Who Have Sex with Men in the US: An Examination of Online Versus Offline Meeting Environments and Risk Behaviors in AIDS AND BEHAVIOR
  • 2013-04-24. Physical, Behavioral, and Psychological Traits of Gay Men Identifying as Bears in ARCHIVES OF SEXUAL BEHAVIOR
  • 2015-02-26. Understanding Gay Community Subcultures: Implications for HIV Prevention in AIDS AND BEHAVIOR
  • 2012-02-10. A Review of the Literature on Event-Level Substance Use and Sexual Risk Behavior Among Men Who Have Sex with Men in AIDS AND BEHAVIOR
  • 2005-02-28. Longitudinal patterns of methamphetamine, popper (amyl nitrite), and cocaine use and high-risk sexual behavior among a cohort of San Francisco men who have sex with men in JOURNAL OF URBAN HEALTH
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    URI

    http://scigraph.springernature.com/pub.10.1007/s10508-017-0948-y

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    DIMENSIONS

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    PUBMED

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    34 schema:description Using latent class analysis (LCA), we examined patterns of participation in multiple scenes, how sexual risk practices vary by scene, and psychosocial factors associated with these patterns among 470 gay, bisexual, and other men who have sex with men (GBM) recruited from Toronto. We calculated posterior probability of being in a class from participation in nine separate scenes. We used Entropy, the Bayesian information criterion and the Lo–Mendel–Rubin likelihood ratio test to identify the best fit model. Fit indices suggested a four-class solution. Half (50%) of the GBM reported no or minimal participation in any scene, 28% reported participating in the dance club scene, 16% reported participating in the BDSM, bear, and leather scenes, and 6% reported participating in circuit, party and play, and sex party scenes. Compared to GBM who did not participate in scenes, GBM participating in the BDSM-Bear-Leather scene were more likely to be older, white, to report higher sexual self-esteem, and to engage in condomless anal sex; Party and Play scene members were more likely to be of Asian origin, and to use drugs before and during sex, whereas Dance Club scene members were more likely to be younger and to report lower self-esteem but higher hope. LCA allowed us to identify distinct social niches or micro-cultures and factors characterizing these micro-cultures. GBM differ in their risk for HIV and STIs according to characteristics associated with participation in distinct micro-cultures associated with scenes. Tailored interventions may be needed that focus on reducing HIV risk and promoting sexual health in specific contexts such as the BDSM-Bear-Leather and Party and Play.
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