Partners met via sex parties have significantly greater odds for anal sex without condoms: An event-level analysis of men who have sex with men from bars/clubs, Craigslist.org, and sex parties
Methods: N=147 MSM completed time-line follow-back interviews about their sexual behavior and the venues where they met their male partners in the prior 30 days (n=1,836 sexual events, of which n=1,180 were with first-time (new) male partners). Mean age was 37, 23.6% were self-reported HIV-positive and 70.9% HIV-negative. Eighty-seven percent were gay identified.
Results: We used multivariate GEE models to account for the nested nature of the data. Controlling for the participant’s HIV status, the presumed HIV status of the partner (seroconcordant vs. serodiscordant), participant’s age, whether the sexual event occurred under the influence of club drugs, and the venue in which participant was recruited (i.e., online vs. gay bars/clubs vs. sex parties), meeting a partner via a sex party (n=461 events) presented significantly greater odds for AINC, compared to meeting a partner at a gay bar/club (n=97, AOR=.43), online (n=224, AOR=.42), in a bathhouse (n=90, AOR=.35), or via “other” venues (n=431, AOR=.35), all p < .01.
Conclusions: These findings highlight the need to innovative targeted HIV and STI prevention initiatives for men who attend sex parties. Such initiatives could include free condom distribution, on-site HIV and STI screening, and biomedical interventions (PrEP and TASP).
Learning Areas:Public health or related research
Social and behavioral sciences
Compare the odds for HIV and STI transmission risk behavior for MSM when casual male partners are met online, at bathhouses, via gay bars and clubs, and at sex parties.
Keyword(s): HIV Risk Behavior, Lesbian, Gay, Bisexual and Transgender (LGBT)
Qualified on the content I am responsible for because: I am the Principal Investigator of this study. I have been doing research on the sexual behavior of gay and bisexual men for over a decade.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.