The case of "riding bareback": sexual practices and the paradoxes of identity in the era of AIDS

Barebacking, the deliberate practice of unprotected anal intercourse, is a new reality for many gay men. How does bareback sex create, maintain, and challenge personal and collective gay identities? Drawing from the works of Foucault, Weeks, Epstein, and popular gay literature, this essay explores these intersections and conflicts. Specifically, we examine the nature of identity and the conflicts and divisions in gay communities, analyze the barebacking phenomenon and its interconnection with the paradoxes of identity, and conclude by discussing the implications for HIV/AIDS education, suggestions for future research, and ways of engaging in community dialogue.     

"Safety" in gay men's personal ads, 1985-1996

A content analysis was conducted of a sample of gay men's personal ads over the period 1985-1996. Ads (591) were analysed, comparing those which contained references to "safety" and those which did not. Approximately 10% of ads included such a reference and this proportion did not change over time. "Safety" was not associated with the personal characteristics of advertisers or their desired partners but was more commonly mentioned by older men. There were strong associations between oral sex, anal sex and mentioning safety. However, the differential risks of HIV transmission associated with oral sex and anal sex were not reflected in the extent of reference to safety, suggesting uncertainty about the risks of HIV transmission associated with oral sex.     

Internalized Homophobia,HIV Knowledge,and HIV/AIDS Personal Responsibility Beliefs: Correlates of HIV/AIDS Discrimination among MSM in the Context of Institutionalized Stigma

ABSTRACT

There exists a paucity of research on the psychosocial risk factors of HIV/AIDS among men who have sex with men (MSM) in settings where they are stigmatized or face prosecution. The present study investigates discrimination against people living with HIV (PLHIV), internalized homophobia, HIV/AIDS personal responsibility beliefs and HIV knowledge in a purposive sample of 106 self-identified MSM obtained through a web-based survey disseminated by two voluntary welfare organizations. Results indicate that internalized homophobia is positively associated with discrimination against PLHIV. Internalized homophobia also substantially mediates the effect of HIV/AIDS personal responsibility beliefs on discrimination against PLHIV, highlighting the confounded nature of HIV/AIDS and homosexual stigma in a setting where stigma is deep-rooted and institutionalized. Internalized homophobia may thus serve as a barrier to the effectiveness of HIV prevention efforts among MSM in Singapore.     

The Effects of Three Types of Sexual Orientation Victimization on HIV Sexual Risk Behavior Among Black South African Men Who Have Sex With Men (MSM)

ABSTRACT

The goal of this study is to examine the relations between histories of three types of sexual orientation victimization (childhood, personal, and institutional) and HIV sexual risk behavior among Black South African men who have sex with men (MSM). Secondarily, this study examines whether marijuana use and problem drinking mediate the relations. Participants were 125 Black MSM recruited from neighborhoods in Eastern Cape Province, South Africa. Questionnaires administered through audio computerized self-interviewing assessed sexual orientation victimizations, problem drinking and marijuana use, and unprotected anal sex with casual partners. Data were analyzed using multiple regression and multiple mediation modeling.

Personal and institutional sexual victimizations were associated with condomless anal sex. Childhood sexual orientation victimization was positively associated with problem drinking. Neither problem drinking nor marijuana use mediated the relations between sexual orientation victimizations and having condomless anal sex with casual partners.     

"He was treating me like trash, and I was loving it...": perspectives in gay male pornography

As the topic of gay male pornography has received limited attention from social scientists, little is known about how gay men perceive this medium. In the current study, a focus group methodology was used whereby participants examined specific scenes from commercially available gay pornography in terms of the messages they disseminate about the body and gay sexuality, in general. Findings suggest that discussants tended to view the medium from a utilitarian perspective. They saw pornography as a masturbatory aid, and did not believe that it possessed much significance vis-à-vis gay men's attitudes and behaviours. Those who identified potentially negative influences of this medium saw them as transitory and most likely to occur among gay men other than themselves.     

Amnestic Heterosexism and Bystander Responses to Anti-Gay Bullying

Amnestic heterosexism (AH) reflects the belief that, in contemporary society, people who are lesbian, gay, or bisexual (LGB) no longer experience discrimination related to sexual orientation. We investigated potential associations between individuals’ AH beliefs and their responses to anti-gay bullying. Heterosexual undergraduates (N = 238) completed a measure of AH before responding to a scenario in which a man accuses another man of being a “fag.” As expected, those with greater AH beliefs perceived the situation as less severe/dangerous, felt less personally responsible to intervene, and were more blaming toward the target of bullying. In multivariate analyses, AH was indirectly associated with intent to confront the perpetrator via a path of reduced personal responsibility. Our results indicate that beliefs denying the existence of discrimination based on sexual orientation reduce feelings of personal responsibility to address anti-gay bullying. In turn, low personal responsibility inhibits confrontation of those who perpetrate bullying behaviors.     

Gay Community Involvement: Its Interrelationships and Associations With Internet Use and HIV Risk Behaviors in Swedish Men Who Have Sex With Men

We measured aspects of “community involvement” chosen for men who have sex with men (MSM) in Sweden (gay places, media accessed, Internet, gay festivals, and social engagement, measured as proportion of gay friends) in two Swedish Internet-based samples from 2006 (n?=?3,202) and 2008 (n?=?4,715). Data showed low to moderate reliability with a moderate (0.57) alpha coefficient. While there is moderate internal consistency, as might be anticipated from measures of actual community involvement, they can be treated as scales. The Internet scale indicated the lowest reliability, perhaps due to respondents having Internet sites of primary choice, rather than a high level of usage across several sites. A hypothesized lack of correlation between traditional domains of the gay community and the Internet did not appear: correlations between the Internet measure and the other measures were positive and significant, but among the lowest correlations obtained between the community measures, ranging from 0.06 to 0.24. Those who use the Internet extensively are less likely to be involved in other aspects of the community. Sexual risk was associated with high social engagement at sexual meeting sites and with Internet use. Gay community involvement, including the Internet community, may be complex and associated with both increase in HIV sexual risk behaviors (by measuring use of sexual risk sites) and preventive measures (HIV testing).     

Seroadaptive Strategies of Vancouver Gay and Bisexual Men in a Treatment as Prevention Environment

British Columbia’s treatment as prevention policy has provided free access to highly active antiretroviral therapy (HAART) to all HIV-positive provincial residents since 1996. One outcome is an increase in HIV-positive gay and bisexual men (GBM) with suppressed viral loads. Previous cross-sectional analyses indicated that some Vancouver GBM now recognize condomless anal sex with men on HAART who report a suppressed viral load as a seroadaptive strategy. To test the hypothesis that this new strategy, termed viral load sorting (VLS), is recognized and used among by GBM in the Momentum Health Study, we analyzed longitudinal data for HIV-negative/unknown (n = 556) and HIV-positive (n = 218) serostatus participants. Analyses indicated that both groups reported VLS, and that serostatus and Treatment Optimism Scale scores were significant determinants in frequency and use. Results exemplify the medicalization of sex and Rogers’ Diffusion Of Preventative Innovations Model, and they have important implications for HIV research and GBM sexual decision-making.     

Sexual Coercion Among Gay and Bisexual Men in Aotearoa/New Zealand

Until recently, sexual coercion among gay men has been regarded as virtually oxymoronic. Discourses of male sexuality as ever-present and driven, and discourses of masculinity that portray men as in control and invulnerable, converge to almost disavow the possibilities that sex could be unwanted by men, or that men could be vulnerable to being pressured into sex against their will. This article reports on interviews with 19 gay and bisexual men about their experiences of forced, coerced, or unwanted sex. We identified four general patterns in these accounts: (1) incidents involving physical force; (2) experiences in which a man's ability to refuse sex was compromised by intoxication; (3) dynamics where young and inexperienced men were coerced or pressured into unwanted sex; and (4) situations in which men felt obligated to engage in unwanted sex. Specific issues included barriers to reporting sexual assault, power dynamics in intergenerational sex, and the difficulty of refusing unwanted sex. Importantly, many of the factors identified as driving sexual coercion relate not to gay sexuality per se, but rather to masculine sexuality. Conversely, some of the factors relating to men's vulnerability to coercion were exacerbated by some features of gay sexual culture; in particular those aspects associated with existing in a marginalized territory within a wider heteronormative context.     

Sexual orientation identification of men who have sex with men in public settings in Canada

The present study attempts to determine how men who have sex with men (MSM) identify in terms of their sexual orientation. The sexual identity of MSM has important implications for the spread of HIV. The literature suggests that gay or bisexual identifying MSM are more likely to practice safer sex than heterosexually-identified MSM. A significant number of the MSM in public settings, such as parks, are believed to be heterosexual identifying. MSM in bathhouses are presumed to be gay or bisexual identifying. Parks have been the focus of safer sex outreach efforts targeted towards heterosexually-identified MSM. Sexual orientation self-identification was ascertained from park and bathhouse users via one-on-one interactions with outreach workers from 1996 to 1998. Chi-square analysis revealed no significant difference in the expressed sexual orientation of bath and park users, with both populations consisting mostly of gay-identified men. Heterosexually-identified MSM are not found in significant numbers in public settings. The current micro educational approach used to target these men may not be cost-effective. Alternative strategies are discussed.     

"Nobody's ever going to make a fag pretty woman": stigma awareness and the putative effects of stigma among a sample of Canadian male sex workers

The purpose of this study was to examine male sex workers' awareness of the social stigma surrounding involvement in the sex industry and the possible effects of that stigma. Personal interviews were conducted with 21 men (9 independent escorts who advertised via the Internet and 12 escorts/erotic masseurs who were on contract with an agency). Results indicated that a majority of interviewees believed sex work was stigmatized but attributed this stigma to society's tendency to conflate escort/erotic masseur with street-based prostitute and society's negative view of human sexuality in general and homosexuality in particular. It should be noted that interviewees did not necessarily perceive the gay community as more tolerant than the heterosexual community of persons involved in the male sex industry. In terms of how participants saw the sex trade, both prior to and during their involvement, multifarious viewpoints emerged (i.e., some engaged in "whore mythologizing" while others reported having no clearly defined perception of male sex workers). Finally, results suggested that some participants believed their involvement in a stigmatized industry was deleterious to them personally whereas others maintained that the consequences of being an escort/ erotic masseur were largely positive.     

A double epidemic: crystal methamphetamine drug use in relation to HIV transmission among gay men

Emerging research on methamphetamine use among gay men suggests that growth in the use of this drug could present serious problems for HIV/AIDS prevention within the gay community. This article summarizes current studies on the extent, role, and context of methamphetamine use among gay men and its relationship to high risk sexual behaviors related to HIV transmission. Methamphetamine is often used by gay men to initiate, enhance, and prolong sexual encounters. Use of the drug is, therefore, associated with particular environments where sexual contact among gay men is promoted, such as sex clubs and large "circuit" parties. Research with gay and bisexual men indicates that methamphetamine use is strongly associated with risky sexual behaviors that may transmit HIV. This relationship, coupled with emerging evidence that methamphetamine use is on the rise among gay men, suggests that the drug could exacerbate the HIV/AIDS epidemic among this community. The article offers recommendations for further research and suggestions for prevention programs regarding methamphetamine use by gay men.     

The impact of mass media family planning promotion on contraceptive behavior of women in Ghana

This paper examines the influence of media messages about family planning, and attitudes toward media promotion of family planning, on contraceptive behavior of married women in Ghana. It also examines the problem of reverse causation that arises in studies of this nature when the data used provide no information on the temporal order of the actual time that respondents were exposed to family planning information in the mass media and the time of adoption of contraceptive behavior. The results show that exposure to media messages on contraception exerts strong impact on current practice of, and intention to use, contraception. Women who had heard or seen advert on contraceptive brands, and women who favor broadcast of family planning messages in the media, are significantly more likely to adopt birth control behavior than women who had not heard or seen, and women who do not favor broadcast of such media messages, respectively. Regarding the problem of reverse causation, the study demonstrates that while being exposed to media messages significantly affects a woman's contraceptive behavior, the reverse does not seem to be the case. The policy implications of these results and how mass media could be used to promote family planning in Ghana are discussed.     

Gay Porn’s Bareback Momentum

ABSTRACT

A profound shift has occurred in the last decade in mainstream commercial gay pornography from condoms to “bareback” (condomless) depictions of anal sex between men. This article explores gay porn’s “bareback momentum” as demonstrated by the displacement of condoms in the 10 most visited gay porn Web sites (that have operated for 10 years or more). While all 10 began by releasing condom pornography, the study finds all except one (Falcon) have since gone bareback—represented visually as a timeline. The sites analyzed are, in order of popularity: Sean Cody, Helix Studios, Lucas Entertainment, Corbin Fisher, Bel Ami, Next Door Studios, Randy Blue, Falcon Studios, Cocky Boys, and Chaos Men. Textual analysis reads each site’s transition individually, yet connections between the sites are the article’s central concern, from which an emphasis on couples and break-up narratives is revealed. Falcon’s commitment to retain the condom is attributed to its brand identity.     

Using chopsticks to eat steak

"Rice queens," "small dicks," and "Asian take-aways," are just a few of the stereotypes that Asian gay men are faced with in Sydney's gay culture. Even though the author grew up in and quickly assimilated to the general Australian society, he felt like an outsider when he came out and moved into the gay community, where race-based sexual perceptions appear to dominate. This article is a personal exploration of how one Asian gay man came to find a place for himself within the predominantly white-oriented gay community. For the benefit of linguistically challenged readers, a glossary of Australian terms is provided at the end of this very serious article.     

What We Can’t See? Understanding the Representations and Meanings of UAI,Barebacking, and Semen Exchange in Gay Male Pornography

Since the late 1990s, the use of condoms within gay male pornography has been on the wane. Moving from a niche category into more mainstream forms of commercial pornography, unprotected anal sex has become a dominant theme within this sphere of gay male sexual representation. However, while the definition of what constitutes bareback pornography may at first sight appear unproblematic, this article argues that meanings and understandings of unprotected anal intercourse (UAI) are not constant across all genres of gay male pornography. Using textual analysis and focus group methods, the authors demonstrate how subcultural understandings of UAI are dependent on a variety of textual factors. These include the age, body type, and racial identities of the performers; the setting, context, and mise-en-scène of the pornographic scene; and the deployment of power relations between the insertive and receptive partners.

The article concludes by suggesting that the recognition of the diverse representations of “barebacking” found in contemporary gay male pornography should influence the ways in which health promotion strategies address discussions of UAI and bareback pornography.     

HIV/AIDS,Social Capital,and Online Social Networks

The prospects for online social networks as sites of information-gathering and affiliation for persons with AIDS and others concerned about HIV/AIDS not only represent the latest development in a trend toward circumventing traditional media and official information sources, but also may offer hope for a revitalization of HIV/AIDS discourse in the public sphere. This article provides an overview of three decades of information-seeking on the pandemic and its social and personal implications, as well as case studies of three examples of social networking surrounding HIV/AIDS. It finds preliminary evidence of the formation of strong and weak ties as described in Social Network Theory and suggests that the online accumulation of social capital by opinion leaders could facilitate dissemination of messages on HIV/AIDS awareness and testing.     

Part 2: Fear of contagion, fear of intimacy

In this second part of the trilogy, I review the concepts of panic, the Theory of Cognitive Dissonance, and how internally inconsistent opinions and attitudes can be made consistent (or consonant). The theory explains, in some measure, how AIDS has been socialized into our thinking about identity, and goes beyond a medical condition. The pervasive identification of gay men with HIV and AIDS has resulted for many in an over-identification with fears of contagion and on a societal level in a fear of all gays as pools of contagion. The conversion of dissonance to consonance has taken many forms; within the gay community it has resulted in the rejection of the "100% safe-100% of the time" safe-sex message, and the adoption (for many) of a new form of deviant label-someone who is not in conformity with the social norm of gay community sexual behavior. However, we shall see that this so-called norm is a sham-that many gay men do not, as a rule, practice safe(r) sex on a consistent basis. This information indicates that the educational efforts of the last decade have at best lost their potency, and at worst were less than efficacious to begin with. The dissonant messages have also informed both the construction of the gay community and its interpretation of what it means to be gay. The result has been a tri-lateral perception of HIV and AIDS as either a medical, political or a social phenomenon. This fragmented understanding has exacerbated the already polarized ASOs and GSOs in that each has determined its ideology based on a particular interpretation of HIV and AIDS. This polarization has been operationalized by the GSOs and ASOs primarily in the manner by which they define their target markets, and more importantly, in the manner by which they exclude certain gays from participation. At the extreme, some gay men feel entirely left out of the community, and are consequently unable to convert their dissonance regarding being gay into consonance, if only by developing some associational ties with the community. The central question of the sustainability of the gay movement is thus partly answered by restating the nature of the fractures in the community. Kiesler's determinants regarding change relate directly to the sustainability question-can GSOs and ASOs, given their pluralistic ideologies and constituencies, break free of the constraints that are posed by these determinants? Would the adherents and conscious constituents defect from their organizations, and form new ones (thus reifying the fractures that already exist)? On the other hand, is there a sense of community and identity that will function as a bonding agent to encourage coalition building and social reorganization? The matter may turn on the issue of selective rewards: can a coalition of ASOs and GSOs provide staff, volunteers and clients sufficient motivation for making the inevitable compromises? Given the selective nature of the rewards, as they now stand, the probability of being able to so do is remote. The influence of the non-gay community, as well as the attitudes and beliefs of the majority of gays who do not belong to any gay organizations, hampers success.     

Imagined comrades and imaginary protections: identity, community and sexual risk among men who have sex with men in China

This paper describes the recent development of identity and community among gay men in China. It focuses both on the ways emerging forms of gay identity relate to larger ideological and discursive shifts within society, and on the ways these new forms of identity and community affect situated social interaction among gay men themselves. In particular, it addresses the question of how these emerging forms of gay identity and gay community affect the ways gay men in China understand the threat of HIV and make concrete decisions about sexual risk and safety. Among the chief tactics used by gay men in China to forge identity and community involves appropriating and adapting elements from dominant discourses of the Party-State and the mass media. This strategy has opened up spaces within which gay men can claim "cultural citizenship" in a society in which they have been heretofore marginalized. At the same time, this strategy also implicated in the formation of attitudes and social practices that potentially increase the vunerability of Chinese gay men to HIV infection.     

On Holiday: A Risk Behavior Profile for Men Who Have Vacationed at Gay Resorts

Sexual risk behavior is higher when people vacation as compared to when they are at home. The current study uses survey data to compare sexual risk behavior of gay men who vacation at gay resorts to those who do not. Independent predictors of vacationing at gay resorts included income level, relationship status, ever having attended a circuit party, and HIV serostatus. For men who visit resorts to meet sex partners, independent predictors included relationship status, ever having attended a circuit party, HIV serostatus, number of male sex partners in the past six months, and number of anal insertive male partners using a condom. These results show a need for the development of structural interventions in the gay resort and hotel setting.