Changes in Gay Men’s Participation in Gay Community Life: Implications for HIV Surveillance and Research

Zablotska, Iryna; Holt, Martin; Prestage, Garrett

doi:10.1007/s10461-011-9919-9

Cited by 99 publications

(89 citation statements)

References 22 publications

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“…As has been found in other samples of GBM (Roxburgh et al, 2015;Zablotska et al, 2012), men in this study reported rates of substance use that were substantially higher than in the adult male population as a whole. Whereas general population studies have found that about one in six (17.3%) adult men report recently using any illicit drug use, with 2.5% using recently using crystal methamphetamine (Roxburgh et al, 2015), half (50.5%) of men in the Flux study were found to recently use illicit drugs with 12.0% recently using crystal methamphetamine.…”

Section: Discussionsupporting

confidence: 80%

“…The characteristics of both the enrolled and the anonymous paricipants in the Flux sample, while somewhat younger, are otherwise comparable to those of other samples of Australian GBM (Lea et al, 2013b;Prestage et al, 2009a;Zablotska, Holt, & Prestage, 2012). We have demonstrated the ability to collect sensitive information while protecting participants' confidentiality and that participants will provide valid personal contact details to enable successful follow-up.…”

Section: Discussionmentioning

confidence: 67%

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Following Lives Undergoing Change (Flux) study: Implementation and baseline prevalence of drug use in an online cohort study of gay and bisexual men in Australia

Hammoud¹,

Jin²,

Degenhardt³

et al. 2017

International Journal of Drug Policy

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 67%

Following Lives Undergoing Change (Flux) study: Implementation and baseline prevalence of drug use in an online cohort study of gay and bisexual men in Australia

Hammoud¹,

Jin²,

Degenhardt³

et al. 2017

International Journal of Drug Policy

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“…A measure of social engagement with gay men was included, it consisted of two items: time spent with gay friends with responses on a four-point scale ranging from 'none' to 'a lot'; and the proportion of friends who are gay, with responses on a five-point scale ranging from 'none' to 'all' (20). The items were added together to obtain a total score.…”

Section: Questionnairementioning

confidence: 99%

Partnership agreements less likely among young gay and bisexual men in Australia – data from a national online survey of gay and bisexual men’s relationships

et al. 2017

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Younger men were more likely to report having a monogamous partnership, but they were also less likely to report condomless anal intercourse (CLAI) with their PRP. In multivariate analysis of partnership arrangements, having a non-monogamous partnership with their PRP was associated with being older (AOR=1.03; 95%CI=1.02-1.04; p<0.001). Nearly two thirds (62.9%) of men with monogamous partnerships had a clear spoken agreement with their PRP about whether they could have sex with other men, largely regardless of age. While slightly fewer than half the men with selfdescribed open partnerships (46.0%) actually described it as a 'relationship', younger men were particularly less likely to do so. Conclusions: Due to less communication with partners about sexual agreements, when young gay men engage in sexual risk behaviour they may beat an increased risk of HIV and other sexually transmitted infections. 3 IntroductionAge has been identified as a key factor in HIV infection among gay men internationally, and young men have been identified as being at increased risk (1,2).Also, it has been estimated that up to two thirds of new infections among gay men occurred in the context of a partnership with a 'primary' or 'regular partner ' (3,4), although this proportion has been lower in Australia with 30-40% of new infections having been reported as due to sex with a regular partner (5,6). Given this context, does age affect how gay men communicate within their part partnerships? Gay men's partnerships have been a traditional focus for HIV prevention efforts. Most condomless anal intercourse (CLAI) between gay men occurs with a primary partner (92.6%), although it is likely that much of it represents minimal risk for HIV transmission (7). Negotiated safety agreements within gay men's partnerships have been key to HIV prevention in Australia for nearly twenty years (8) and have been found to be an effective HIV prevention strategy (9). The negotiation of risk is a complex and dynamic process that is mediated by a number of individual factors including knowledge, beliefs and emotions. Partnerships, regardless of their length or form, are the social unit within which much negotiation about risk occurs.Communication between primary partners is critical to the effective negotiation of risk by gay men (10) In negotiated safety agreements between seroconcordant HIV negative men in a primary partnership, CLAI is permitted within the partnership but not outside of the primary partnership (11). To be effective, such agreements require clear communication of HIV status, testing history, and sexual history.It has been argued that gay men are less constrained by societal and familial pressures to conform to a particular, usually monogamous, partnership configuration (12).Discussion about sexual non-exclusivity within gay partnerships is common and often 4 openly discussed between couples (10). Nonetheless, for many gay men, monogamy forms the basis of a secure and satisfying partnership, and within which condom use often is eliminated bas...

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“…There is also a demonstrated significant protective outcome associated with social engagement among gay men with respect to lower risk for dementia, depression, and psychosocial risks (Glass et al, 2006). Conversely, social engagement has also been associated with HIV-positive serostatus, unprotected anal intercourse with regular partners, and drug use (Zablotska, Holt, & Prestage, 2012).…”

Section: Social Engagementmentioning

confidence: 99%

Moving Toward a Holistic Conceptual Framework for Understanding Healthy Aging Among Gay Men

Halkitis

Kapadia

Ompad

et al. 2015

Journal of Homosexuality

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In the last four decades, we have witnessed vast and important transitions in the social, economic, political, and health contexts of the lived experiences of gay men in the United States. This dynamic period, as evidenced most prominently by the transition of the gay rights movement to a civil rights movement, has shifted the exploration of gay men's health from one focusing primarily on HIV/AIDS into a mainstream consideration of the overall health and wellbeing of gay men. Against this backdrop, aging gay men in the United States constitute a growing population, for whom further investigations of health states and health-related disparities are warranted. In order to advance our understanding of the health and wellbeing of aging gay men, we outline here a multilevel, ecosocial conceptual framework that integrates salient environmental, social, psychosocial, and sociodeomgraphic factors into sets of macro-, meso-, and micro-level constructs that can be applied to comprehensively study health states and health care utilization in older gay men.

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Changes in Gay Men’s Participation in Gay Community Life: Implications for HIV Surveillance and Research

Cited by 99 publications

References 22 publications

Following Lives Undergoing Change (Flux) study: Implementation and baseline prevalence of drug use in an online cohort study of gay and bisexual men in Australia

Following Lives Undergoing Change (Flux) study: Implementation and baseline prevalence of drug use in an online cohort study of gay and bisexual men in Australia

Partnership agreements less likely among young gay and bisexual men in Australia – data from a national online survey of gay and bisexual men’s relationships

Moving Toward a Holistic Conceptual Framework for Understanding Healthy Aging Among Gay Men

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