Researchers, policymakers, and health agencies have tended to treat gay men as a relatively homogeneous population, with little attention given to its many subcultural identities. In this study, we focused on young gay men and investigated a range of health-related differences according to common subcultural identities, such as Bear, Cub, and Twink. In a nationwide cross-sectional online survey of 1,034 Australian gay men aged 18-39 years, 44% reported a subcultural identity, the two most common being Cub (9%) and Twink (20%). Logistic and linear regression analyses compared Cub-and Twink-identified men and those without a subcultural identity (Non-identified) on a range of health-related outcomes. After adjusting for differences in age and body mass index (BMI), Twink-identified men had the highest risk profile overall, including significantly higher rates of smoking tobacco and alcohol consumption. They were also significantly more likely to report engaging in receptive anal sex. In addition, Cub-identified men were significantly more likely to report being in an ongoing relationship while Non-identified men were significantly less likely to report experiences of discrimination in the past 12 months. While there were differences on measures of mental health between the three groups, these were no longer significant after adjusting for age and BMI. In all, we found numerous health-related differences according to subcultural identity that warrant further investigation by researchers, health agencies, and anyone concerned with further understanding and addressing health-related challenges of gay men. , with social groups, formal societies, and dedicated venues catering to this group since at least the 1980s (Manley, Levitt, & Mosher, 2007). As a subculture, many of these men have shared identities around embodying traditional forms of masculinity and resisting stereotypes of gay men as effeminate (Filiault & Drummond, 2007). With larger body mass 4 also being a core part of identity for these men, there is potential resistance to weight loss behaviors (Gough & Flanders, 2009), which may have a bearing on health-related outcomes.
KEYWORDSTwink-identified men on the other hand are typically lean, relatively young, and usually have shaved or naturally hairless bodies (Filiault & Drummond, 2007). They are arguably less organized as a social group than Bear-or Cub-identified men, but are nevertheless defined by commonly shared stereotypes as less traditionally masculine and more submissive. They also tend to be the most visible "type" on the gay scene, such as in gay bars and clubs (Filiault & Drummond, 2007), where drug use and engaging in risky sex can be relatively common (Halkitis & Parsons, 2002;Lea, Reynolds, & de Wit, 2013).To our knowledge, only one study has reported on links between health and subcultural identity (Willoughby et al., 2008). Conducted in the U.S. with 340 gay men, the study identified at least 12 subcultural identities, including Bear and Twink, with differences found on drug use and...