Online Program

Community affiliation, participation, gay identification and unprotected anal sex among young substance-using MSM in four u.s. cities

Monday, November 4, 2013

Pilgrim Spikes Jr., PhD, MPH, MSW, Division of HIV/AIDS Prevention/Prevention Research Branch, Centers For Diease Control and Prevention, Atlanta, GA
Gordon Mansergh, PhD, Division of HIV/AIDS Prevention, CDC, Atlanta, GA
Stephen Flores, PhD, Prevention Research Branch, Centers for Disease Control and Prevention; Division of HIV/AIDS Prevention, Atlanta, GA
Grant Colfax, MD, AIDS Office, HIV Prevention Section, San Francisco Department of Public Health, San Francisco, CA
Beryl Koblin, PhD, Laboratory of Infectious Disease Prevention, New York Blood Center, New York, NY
Introduction. HIV infection disproportionately affects men under the age of 30 years in the United States who have sex with men (MSM). Although a few studies have examined gay-related variables and their association with sexual risk behavior, there is a paucity of this type of research with young MSM. Methods. We examined the risk behaviors of a convenience sample of young (18-29 years) substance-using MSM (n=409). Data were collected from 2004–2008 on sociodemographics, most recent sexual risk behavior with a non-primary partner in the previous 3 months, and gay-related variables (i.e., gay [vs. bisexual], importance of gay identification to self, gay community affiliation, participation in MSM community events, and self-homophobia) using ACASI. Multivariate regression analyses were used to examine variables related to engaging in unprotected insertive anal (UIA) and unprotected receptive anal (URA) sex stratified by HIV status. Results. Nearly 36% reported URA and 30% UIA. For young HIV-negative MSM, gay self-identification was a significant predictor of engaging in URA (Odds Ratio [OR] = 3.5, 95% Confidence Interval [CI] = 1.2-10.8). Among HIV-positive young MSM, importance of gay identification was associated with engaging in UIA (OR=0.34; CI=0.13-0.89), and gay community affiliation was associated with UIA [OR=1.8; CI=1.1–3.0]. Conclusions. Associations with gay self-identification, its importance to young MSM self-concept, and community affiliation influences are inconsistent when examining serostatus and sexual risk in this population. Additional research is needed to explore the complexity of gay-related factors to better inform the development of interventions to decrease sexual risk of younger MSM.

Learning Areas:

Social and behavioral sciences

Learning Objectives:
Analyze sexual risk behaviors of young substance-using MSM by serostatus and their association with gay-related variables (i.e., identity, community affliation, and self-homophobia). Explore how gay identity for young substance using MSM may potentially influence prevention efforts

Keyword(s): Gay Men, HIV Risk Behavior

Presenting author's disclosure statement:

Not Answered

Back to: 3299.0: HIV and substance use