Condom use in men who have sex with men: A literature review
Stephen Neville
School of Health and Social Sciences, Massey University, Albany, Auckland, New Zealand
Jeffery Adams
Centre for Social and Health Outcomes Research and Evaluation, Massey University, Auckland, New Zealand
PP: 130 - 139
Abstract
The aim of this paper is to present a review of the literature on the key issues impacting on the decisions, by men who have sex with men, to use, or not use, condoms for anal intercourse. 250 publications were accessed, reviewed, read and sorted; 200 of these were research based and 50 were opinion pieces of work. In addition, 240 of the 250 had undergone a peer review process.
The review presented here shows that men who have sex with men communities are a heterogeneous group and their reasons for engaging in unprotected anal intercourse are inter-related and diverse. Six main themes related to sexual risk behaviour and condom use were identified: the availability of HIV treatments, physical issues, psychosocial issues, intentional practices, internet and substance use. Nurses need to understand these factors if they are to effect positive changes in condom use and address the complex challenges inherent in tackling increased rates of HIV infection.
Keywords
gay men’s health, men’s health, men who have sex with men, condom use, sexual risk behaviour
References
Adams J, Braun V and McCreanor T (2007) Warning voices in a policy vacuum: Professional accounts of gay men's health in Aotearoa New Zealand. Social Policy Journal of New Zealand 30: 199-215.
Adams J and Neville S (2008) MSM Talk: Qualitative research about condom use amongst men who have sex with men in Auckland. Centre for Social and Health Outcomes Research and Evaluation, Massey University, Auckland.
Aguinaldo J and Myers T (2008) A discursive approach to dis-inhibition theory: The normalization of unsafe sex among gay men. Qualitative Health Research 18: 167-181.
AIDS Epidemiology Group (2006) Confidential sixty-eighth quarterly report of the AIDS Epidemiology Group. AIDS Epidemiology Group, University of Otago Medical School, Dunedin.
Airhihenbuwa C and Obregon R (2000) A critical assessment of theories/models used in health communication for HIV/AIDS. Journal of Health Communication 5: 5-15.
Bakeman R, Peterson P and The Community Intervention Trial for Youth Study Team (2007) Do beliefs about HIV treatments affect peer norms and risky sexual behaviour among African-American men who have sex with men? International Journal of STD and AIDS 18: 105-108.
Benotsch E, Kalichman S and Cage M (2002) Men who have met sex partners via the internet: Prevalence, predictors, and implications for HIV prevention. Archives of Sexual Behavior 31: 177-183.
Bouhnik A, Preau M, Schiltz M, Peretti-Watel P, Obadia Y, Lert F, Spire B and The VESPA Group (2006) Unsafe sex with casual partners and quality of life among HIV-infected gay men: Evidence from a large representative sample of outpatients attending French hospitals. Journal of Acquired Immune Deficiency Syndrome 42: 597-603.
Carballo-Dieguez A and Bauermeister J (2004) 'Barebacking': Intentional condomless anal sex in HIV-risk contexts. Reasons for and against it. Journal of Homosexuality 47: 1-16.
Carballo-Dieguez A, Miner M, Dolezal C, Rosser B and Jacoby S (2006) Sexual negotiation, HIV-status disclosure, and sexual risk behavior among Latino men who use the internet to seek sex with other men. Archives of Sexual Behavior 35: 473-481.
Colfax G, Mansergh G, Guzman R, Vittinghoff E, Marks G, Rader M and Buchbinder S (2000) Drug use and sexual risk behaviour among gay and bisexual men who attend circuit parties: A venue-based comparison. Journal of Acquired Immune Deficiency Syndromes 28: 373-379.
Davis M, Hart G, Bolding G, Sherr L and Elford J (2006) Sex and the internet: Gay men, risk reduction and serostatus. Culture, Health and Sexuality 8: 161-174.
Dolezal C, Carballo-Dieguez A, Nieve-Rosa L and Diaz F (2000) Substance use and sexual risk behaviour: Understanding their association among four ethnic groups of Latino men who have sex with men. Journal of Substance Abuse 11: 323-336.
Elford J (2002) Surfing for sex. Focus: A guide to AIDS research and counselling 17: 1-4.
Fields S, Wharton M, Marrero A, Little A, Pannell K and Morgan J (2006) Internet chat rooms: Connecting with a new generation of young men of color at risk for HIV infection who have sex with other men. Journal of the Association of Nurses in AIDS Care 17: 53-60.
Gauthier D and Forsyth C (1999) Bareback sex, bug chasers, and the gift of death. Deviant Behavior: An Interdisciplinary Journal 20: 85-100.
Gillmore M, Morrison D, Leigh B, Hoppe M, Gaylord J and Rainey D (2002) Does 'High = High Risk'? An event-based analysis of the relationship between substance use and unprotected anal sex among gay and bisexual men. AIDS and Behavior 6: 361-370.
Griffin R, Snook W, Hoff G, Cai J and Russell J (2006) Failure to embrace the barrier/condom use message. Journal of the Association of Nurses in AIDS Care 17: 24-29.
Halloran J (2006) Increasing survival with HIV: Impact on nursing care. AACN Clinical Issues 17: 8-17.
Hayes L, O'Brien-Pallas L, Duffield C, Shamian J, Buchan J, Hughes F, Spence Laschinger H, North N and Stone P (2006) Nurse turnover: A literature review. International Journal of Nursing Studies 43: 237-263.
Halkitis P, Siconolfi D, Fumerton M and Barlup K (2008) Facilitators of barebacking among emergent adult gay and bisexual men: Implications for HIV prevention. Journal LGBT Health Research 4(1): 11-26.
Halkitis P, Wilton L and Drescher J (2005) Introduction: Why barebacking. Journal of Gay and Lesbian Psychotherapy 9: 1-8.
Henrickson M (2007) Reaching out, hooking up: Lavender netlife in a New Zealand study. Sexuality Research and Social Policy 4(2): 38-49.
Henrickson M, Neville S, Jordan C and Donaghey S (2007) Lavender Islands: The New Zealand study. Journal of Homosexuality 53: 223-248.
Hsu L, Wittinghoff E, Katz M and Schwarcz S (2001) Predictors of Highly Active Antiretroviral Therapy (HAART) among persons with AIDS in San Francisco, 1996-1999. Journal of Acquired Immune Deficiency Syndromes 28: 345-350.
Huebner D, Davis M, Nemeroff C and Aiken L (2002) The impact of internalized homophobia on HIV preventive interventions. American Journal of Community Psychology 30: 327-348.
Huebner D and Gerend M (2001) The relation between beliefs about drug treatments for HIV and sexual risk behavior in gay and bisexual men. Annals of Behavioral Medicine 23: 304-312.
Katzman J, Gulati H, Higa D, Welch Q and Wood R (2007) A 'Community Manifesto' for gay and bisexual men: An appeal to control HIV/STDs. Journal of Public Health Management Practice 13: 244-251.
Kelly J, Murphy D, Sikkema K, McAuliffe T, Roffman R, Soloman L, Winett R and Kalichman S (1997) Randomised, controlled, community-level HIV-prevention intervention for sexual-risk behaviour among homosexual men in US cities. The Lancet 350: 1500-1505.
Kim A, Kent C, McFarland W and Klausner J (2001) Cruising on the internet highway. Journal of Acquired Immune Deficiency Syndrome 28: 89-93.
Kral A, Lorvick J, Ciccarone D, Wenger L, Gee L, Martinez A and Edlin B (2005) HIV prevalence and risk behaviors among men who have sex with men and inject drugs in San Francisco. Journal of Urban Health 82: 43-50.
Lombardo A and Leger Y (2007) Thinking about 'Think Again' in Canada: Assessing a social marketing HIV/AIDS prevention campaign. Journal of Health Communication 12: 377-397.
Mansergh G, Marks G, Colfax G, Guzman R, Rader M and Buchbinder S (2002) 'Barebacking' in a diverse sample of men who have sex with men. AIDS 16: 653-659.
Mansergh G, Shouse R, Marks G, Guzman R, Rader M, Buchbinder S and Colfax G (2006) Methamphetamine and sildenafil (Viagra) use are linked to unprotected receptive and insertive anal sex, respectively, in a sample of men who have sex with men. Sex Transmitted Infections 82: 131-134.
McCormack B (2004) Person-centredness in gerontological nursing: An overview. International Journal of Older People Nursing 13: 31-38.
Moskowitz D and Roloff M (2007) The existence of a bug chasing subculture. Culture, Health and Sexuality 9: 347-357.
Murray J and Adam B (2001) Aging, sexuality, and HIV issues among older gay men. The Canadian Journal of Human Sexuality 10: 75-90.
Mustanski B (2007) Are sexual partners met online associated with HIV/STI risk behaviours? Retrospective and daily diary data in conflict. AIDS Care 19: 822-827.
Neville S and Henrickson M (2006) Perceptions of lesbian, gay and bisexual people of primary healthcare services. Journal of Advanced Nursing 55: 407-415.
Neville S and Henrickson M (2008) HIV/AIDS. In E. Chang and A. Johnson (Eds.), Chronic illness and disability. Principles for nursing practice, pp.409-423. Elsevier Australia, Chatswood NSW.
O'Leary A, Wolitski R, Remien R, Woods W, Parsons J, Moss S and Lyles C (2005) Psychosocial correlates of transmission risk behavior among HIV-seropositive gay and bisexual men. AIDS 19: S67-S75.
Peterson J and Bakeman R (2006) Impact beliefs about HIV treatment and peer condom norms on risky sexual behavior among gay and bisexual men. Journal of Community Psychology 34: 37-46.
Purcell D, Parsons J, Halkitis P, Mizuno Y and Woods W (2001) Substance use and sexual transmission risk behavior of HIV-positive men who have sex with men. Journal of Substance Abuse 13: 185-200.
Reback C, Larkins S and Shoptaw S (2004) Changes in the meaning of sexual risk behaviors among gay and bisexual male methamphetamine abusers before and after drug treatment. AIDS and Behavior 8: 87-97.
Reece M, Dodge B, Herbenick D, Fisher C and Alexander A (2007) Experiences of condom fit and feel among African-American men who have sex with men. Sexually Transmitted Infections 83: 454-457.
Reilly T and Woo G (2001). Predictors of high risk sexual behavior among people living with HIV/AIDS. AIDS and Behavior 5: 205-217.
Reiter G (2000) Comprehensive clinical care: Managing HIV as a chronic illness. AIDS Clinical Care 12: 13-19.
Remien R and Borkowski T (2005) Wishful thinking? HIV treatment optimism and sexual behavior among HIV-positive gay and bisexual men. In Halkitis P, Gomez C and Wolitski R (Eds), HIV + sex. The psychological and interpersonal dynamics of HIV-seropostive gay and bisexual men's relationships (pp.201-216). American Psychological Association, Washington.
Rietmeijer C, Patnaik J, Judson F and Douglas J (2003) Increases in gonorrhea and sexual risk behaviors among men who have sex with men: A 12-year trend analysis at the Denver Metro Health Clinic. Sexually Transmitted Diseases 30: 562-567.
Ross M, Henry D, Freeman A, Caughy M and Dawson A (2004) Environmental influences on safer sex in young gay men: A situational presentation approach to measuring influences on sexual health. Archives of Sexual Behavior 33(3): 249-257.
Rowniak S (2009) Safe sex fatigue, treatment optimism, and serosorting: New challenges to HIV prevention among men who have sex with men. Journal of the Association of Nurses in AIDS Care 20(1): 31-38.
Salyers Bull S, Piper P and Rietmeijer C (2002) Men who have sex with men and also inject drugs - Profiles of risk related to the synergy of sex and drug injection behaviors. Journal of Homosexuality 42: 31-50.
Saxton P, Dickson N and Hughes A (2006) GAPSS 2006: Findings from the gay Auckland periodic sex survey. New Zealand AIDS Foundation: Auckland.
Schneider Z, Whitehead D and Elliott D (2007) Nursing and Midwifery Research: Methods and Appraisal for Evidence-Based Practice. Elsevier, Marrickville, Australia.
Schwarcz S, Scheer S, McFarland W, Katz M, Valleroy L, Chen S and Catania J (2007) Prevalence of HIV infection and predictors of high-transmission sexual risk behaviors among men who have sex with men. American Journal of Public Health 97: 1067-1075.
Semple S, Patterson T and Grant I (2002) Motivations associated with methamphetamine use among HIV+ men who have sex with men. Journal of Substance Abuse Treatment 22: 149-156.
Shernoff M (2006) Without Condoms. Unprotected Sex, Gay Men and Barebacking. Routledge, New York.
Shidlo A, Yi H and Dalit B (2005) Attitudes toward unprotected anal intercourse: Assessing HIV-negative gay or bisexual men. Journal of Gay and Lesbian Psychotherapy 9: 149-169.
Smith A, Grierson J, Pitts M and Pattison P (2006) Individual characteristics are less important than event characteristics in predicting protected and unprotected anal intercourse among homosexual and bisexual men in Melbourne, Australia. Sexually Transmitted Infections 82: 474-477.
Stall R, Paul J, Greenwood G, Pollack L, Bein E, Crosby G, Mills T, Binson D, Coates T and Catania J (2001) Alcohol use, drug use and alcohol-related problems among men who have sex with men: The Urban Men's Health Study. Addiction 96: 1589-1601.
Stall R and Purcell D (2000) Intertwining epidemics: A review of research on substance use among men who have sex with men and its connection to the AIDS epidemic. AIDS Behavior 4: 181-192.
Stolte I, Dukers N, Geskus R, Coutinho R and de Witt J (2004) Homosexual men change to risky sex when perceiving less threat of HIV/AIDS since availability of highly active antiretroviral therapy: A longitudinal study. AIDS 18: 303-309.
Suarez T and Miller J (2001) Negotiating risks in context: A perspective on unprotected anal intercourse and barebacking among men who have sex with men - Where do we go from here? Archives of Sexual Behavior 14: 287-300.
Sullivan P, Drake A and Sanchez T (2007) Prevalence of treatment optimism-related behavior and associated factors among men who have sex with men in 11 states, 2000-2001. AIDS Behavior 11: 123-129.
The Joint United Nations Programme on HIV/AIDS (UNAIDS) (2006) 2006 Report on the Global AIDS Epidemic. Joint United Nations Programme on HIV/AIDS, Geneva.
Wong C and Tang C (2004) Sexual practices and psychosocial correlates of current condom use among Chinese gay men in Hong Kong. Archives of Sexual Behavior 33: 159-167.
Young R and Meyer I (2005) The trouble with 'MSM' and 'WSW'. Erasure of the sexual-minority person in public health discourse. American Journal of Public Health 95: 1144-1149.
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