Abstract
Participation of MSM in group sex events (GSEs) is an understudied phenomenon. Studies on GSEs identified significant proportions of MSM engaging in unprotected anal intercourse (UAI). We sought to identify the prevalence of group sex participation among MSM in Washington, DC and to characterize these experiences. Data were collected for NHBS-MSM-3 in 2011. More than one-quarter of MSM (27.2 %) reported engaging in group sex in the prior year, with one-third reporting no condom use with their sex partners (33.0 %). In multivariable logistic regression, men who participated in a GSE in the prior year were significantly younger, more likely to be white, and to have used crystal meth, poppers, and downers in the past year. The high prevalence of UAI during GSEs, especially in view of the fact that HIV-positive MSM were significantly less likely to report condom use, offers an opportunity to develop risk reduction interventions specific to GSE attendees.
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References
Binson D, Pollack LM, Blair J, Woods WJ. HIV transmission risk at a gay bathhouse. J Sex Res. 2010;47:580–8.
Woods WJ, Euren J, Pollack LM, Binson D. HIV prevention in gay bathhouses and sex clubs across the United States. J Acquir Immune Defic Syndr. 2010;55(Suppl 2):S88–90.
Reidy WJ, Spielberg F, Wood R, Binson D, Woods WJ, Goldbaum GM. HIV risk associated with gay bathhouses and sex clubs: findings from 2 seattle surveys of factors related to HIV and sexually transmitted infections. Am J Public Health. 2009;99(Suppl 1):S165–72.
Woods WJ, Binson D, Blair J, Han L, Spielberg F, Pollack LM. Probability sample estimates of bathhouse sexual risk behavior. J Acquir Immune Defic Syndr. 2007;45:231–8.
Binson D, Woods WJ, Pollack L, Paul J, Stall R, Catania JA. Differential HIV risk in bathhouses and public cruising areas. Am J Public Health. 2001;91:1482–6.
Mimiaga MJ, Reisner SL, Bland SE, et al. Sex parties among urban MSM: an emerging culture and HIV risk environment. AIDS Behav. 2011;15:305–18.
Prestage G, Down I, Grulich A, Zablotska I. Sex partying among gay men in Sydney, Melbourne and Brisbane, Australia. AIDS Behav. 2011;15:298–304.
Sowell RL, Lindsey C, Spicer T. Group sex in gay men: its meaning and HIV prevention implications. J Assoc Nurses AIDS Care. 1998;9:59–71.
Crosby R, Mettey A. A descriptive analysis of HIV risk behavior among men having sex with men attending a large sex resort. J Acquir Immune Defic Syndr. 2004;37:1496–9.
Crosby R, DiClemente RJ, Mettey A. Correlates of recent unprotected anal sex among men having sex with men attending a large sex resort in the South. Sex Transm Dis. 2003;30:909–13.
Friedman SR, Bolyard M, Khan M, et al. Group sex events and HIV/STI risk in an urban network. J Acquir Immune Defic Syndr. 2008;49:440–6.
Finlayson TJ, Le B, Smith A, et al. HIV Risk, Prevention, and Testing Behaviors Among Men Who Have Sex With Men—National HIV Behavioral Surveillance System, 21 U.S. cities, United States, 2008. MMWR Surveill Summ. 2011;60:1–34.
Centers for Disease Control and Prevention (CDC). HIV testing among men who have sex with men—21 cities, United States, 2008. MMWR Morb Mortal Wkly Rep. 2011;60:694–9.
Carey JW, Mejia R, Bingham T, et al. Drug use, high-risk sex behaviors, and increased risk for recent HIV infection among men who have sex with men in Chicago and Los Angeles. AIDS Behav. 2009;13:1084–96.
Buchacz K, McFarland W, Kellogg TA, et al. Amphetamine use is associated with increased HIV incidence among men who have sex with men in San Francisco. AIDS. 2005;19:1423–4.
Hirshfield S, Remien RH, Humberstone M, Walavalkar I, Chiasson MA. Substance use and high-risk sex among men who have sex with men: a national online study in the USA. AIDS Care. 2004;16:1036–47.
Molitor F, Truax SR, Ruiz JD, Sun RK. Association of methamphetamine use during sex with risky sexual behaviors and HIV infection among non-injection drug users. West J Med. 1998;168:93–7.
Shoptaw S, Reback CJ. Methamphetamine use and infectious disease-related behaviors in men who have sex with men: implications for interventions. Addiction. 2007;102(Suppl 1):130–5.
Thiede H, Jenkins RA, Carey JW, et al. Determinants of recent HIV infection among Seattle-area men who have sex with men. Am J Public Health. 2009;99(Suppl 1):S157–64.
Buchbinder SP, Vittinghoff E, Heagerty PJ, et al. Sexual risk, nitrite inhalant use, and lack of circumcision associated with HIV seroconversion in men who have sex with men in the United States. J Acquir Immune Defic Syndr. 2005;39:82–9.
Prestage G, Degenhardt L, Jin F, et al. Predictors of frequent use of amphetamine type stimulants among HIV-negative gay men in Sydney, Australia. Drug Alcohol Depend. 2007;91:260–8.
Prestage G, Fogarty AS, Rawstorne P, et al. Use of illicit drugs among gay men living with HIV in Sydney. AIDS. 2007;21(Suppl 1):S49–55.
Prestage G, Jin F, Kippax S, Zablotska I, Imrie J, Grulich A. Use of illicit drugs and erectile dysfunction medications and subsequent HIV infection among gay men in Sydney, Australia. J Sex Med. 2009;6:2311–20.
Prestage G, Grierson J, Bradley J, Hurley M, Hudson J. The role of drugs during group sex among gay men in Australia. Sex Health. 2009;6:310–7.
Hurley M, Prestage G. Intensive sex partying amongst gay men in Sydney. Cult Health Sex. 2009;11:597–610.
Chen YH, Raymond HF, Grasso M, Nguyen B, Robertson T, McFarland W. Prevalence and predictors of conscious risk behavior among San Franciscan men who have sex with men. AIDS Behav. 2013;17(4):1338–43.
Acknowledgments
For their assistance and expertise throughout the study, the authors acknowledge Dr. Elizabeth DiNenno, Dr. Alexa Oster, Dr. Gabriela Paz-Bailey, and Dr. Isa Miles from the Centers for Disease Control and Prevention; the WORD UP Community Advisory Board Members; and interviewers Alice Cates, Megan Condrey, Avery Barber, Cody Barnett, Luz Montanez, Ashley Rowe, Richard Teran, and Ann Vannavong. This study could not have been conducted without the enormous support of our community partners and the venue owners and managers at all the sampled locations. For their participation in and support of NHBS, the study team would like to acknowledge the participants of the study and the citizens of DC, without whom this study would not have been possible.
Funding Source
This study was funded by the District of Columbia Department of Health (DC DOH), HIV/AIDS, Hepatitis, STD, and TB Administration (HAHSTA), Contract Number DCPO-2011-C-0073, funded in part by Grant Number PS000966-01, from the US Department of Health and Human Services (DHHS)/Centers for Disease Control and Prevention (CDC). All co-authors have reviewed and approved of the final draft of the paper including those from DC DOH/HAHSTA. The content of this publication does not necessarily reflect the views or policies of DHHS/CDC and responsibility for the content rests solely with the authors.
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Phillips, G., Magnus, M., Kuo, I. et al. Correlates of Group Sex Among a Community-Based Sample of Men Who Have Sex With Men (MSM) in Washington, DC. AIDS Behav 18, 1413–1419 (2014). https://doi.org/10.1007/s10461-013-0527-8
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DOI: https://doi.org/10.1007/s10461-013-0527-8