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 interaction of drag queens and gay men in public and private spaces

This study examines the issue of internal segregation within the gay community, focusing on the ways by which the drag queen subculture is distanced from larger mainstream gay society. Through the use of institutional ethnography, symbolic interactionism, and a naturalist approach to sociology, the researchers sought to understand the subjective experience of the drag queen, in particular how drag queens perceive their interactions with mainstream gay society. Data for this study were collected through a series of observations conducted in a variety of spatial contexts and interviews with 18 drag queens. Findings indicate that spatial distance between the drag queens and the mainstream gay men is dependent on both the social context and the level of professionalization of the drag queen. Although drag queens' perceptions of their status in the gay community are also dependent on the latter, discussions of relationship difficulties and the quest for a long-term romantic partner illustrate that discrimination within the gay community is both widespread and complex.     

Part 1: HIV as'the line in the sand'

There is a growing rift between HIV-positive and HIV-negative gay men, which finds expression in social, economic, structural and political divisiveness that, if not resolved, may 'kill' the "gay liberation movement." While disasters generally tend to create organizational solidarity, the AIDS crisis has operated in reverse, spawning a variety of competitive AIDS service organizations, alienating seropositive gays from the mainstream gay community, and in turn disenfranchising seronegative gay men as human and financial resources are redirected toward persons living with HIV and AIDS. Serostatus has become a social marker of societal status, operating in a bimodal discriminatory manner. Seronegative gay men experience discrimination from within the gay community as funding for and services to this sector diminish. Seropositive gay men (and the organizations that provide for some of their needs) have culturally, economically and socially dismissed the socio/psychological needs of seronegative gay men (survivor guilt, safer sex education, etc.) in favour of providing social and resource-based services to seropositive gay men. As the disparities in service and advocacy increase, the social distance between the gay movement and the AIDS movement correspondingly increases. If this trend continues, the social gap will serve further to push HIV-positive and HIV-negative gay men into polarized camps, resulting in a wider separation of the gay movement and the AIDS movement. The stigmatization of HIV-positive people will subsequently increase both within and outside the gay movement, and any ability to present a unified Gay Liberation front will correspondingly diminish. Additionally, the emergent notion within and without the gay communities that to be gay is to be HIV-positive will solidify. This will (a) further stigmatize all gay men in the eyes of the non-gay population, and (b) exacerbate the rift between HIV-positive and HIV-negative gay men within the gay community, reversing the stigma of HIV such that to be HIV-negative will be a marker of non-gay identity. In short, seropositivity will become the defining element of gayness.     

"Asian" men on the scene: challenges to "gay communities"

This article examines common assumptions behind the notion of "gay community," contrasting these views with the experiences of homosexual men originating from Southeast Asia on the commercial gay scene in Melbourne, Australia. The narratives here reveal fragmented social networks involving various social groups, categories of people and an "In/Out" culture where informants were culturally marginal. Fitting into the scene culture involves processes of assimilation, and loss of connection even with supportive ethnic networks. While all men who look for a place to belong on the scene generally feel pressure to assimilate to a predominantly white middle-class gay culture, Southeast Asian men generally had more cultural distance to cover. Men who are not well assimilated face exclusion, invisibility and discrimination. Differences and discrimination within Southeast Asian based networks also contributed towards fragmented relations. This article raises questions about dominant gay cultural forms, assumptions of gay solidarity, and how ethnic minority men make sense of and negotiate their sexual and social experiences.     

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.     

Gender Role Identity in a Sample of Italian Male Homosexuals

ABSTRACT

Researchers have often considered the impact that online dating has had on gay communities; with some arguing that changes in social behavior may impact the spread of HIV. However, these conclusions are based on the premise that the Internet has fundamentally changed the way gay and bisexual men connect with their communities. Addressing this issue, we searched the PubMed and Web of Science databases for studies examining Internet use and interpersonal connectedness among gay and bisexual men to determine whether those who used the Internet to find sexual partners exhibited different patterns of community connectedness. Though sporadic, findings suggest that Internet use may be associated with lower gay identity, community attachment, and social embeddedness. However, recent reports have suggested that online sex seeking might be associated with greater, not less, interpersonal connectedness. We conclude that additional longitudinal analyses and consistent measurement of gay men’s social behavior are needed to draw more definite conclusions.     

Getting out in the "real world": young men, queer and theories of gay community

A recent opinion piece published in the Sydney Morning Herald expresses a widely held perception that, among young same-sex attracted men in Australia, "queer" has well and truly supplanted "gay" as the language and lens through which self and practice is generated. In this article, I discuss findings from a qualitative research project that studied notions of community among young gay men, and argue that this assumption should not be taken for granted. The article explores participants' understandings of the concept of "gay community," arguing that the young men studied share a common definition of community: one based on a conventional liberal model which prioritizes sameness and the cooperation of individuals to achieve common goals. This is of particular importance in that problems around "fitting in" with these understandings are also raised. In examining the potential place for queer alternatives to these formulations, however, the article finds that queer attracts little support among participants, raising questions about the bind young men may find themselves in if they prioritize sameness as fundamental to community, yet feel themselves to be excluded from community by their own or others' perceived difference.     

Community Cleavages: Gay and Bisexual Men’s Perceptions of Gay and Mainstream Community Acceptance in the Post-AIDS,Post-Rights Era

Changes in gay and bisexual men’s connectedness to the gay community are related to the declining public visibility of HIV/AIDS and greater acceptance for homosexuality and bisexuality in mainstream society. Little work, however, has focused on perceived acceptance for subgroups within the gay community or broader society. Using interviews (n = 20) and a survey (n = 202) of gay and bisexual men in a mid-sized Canadian city, we find perceived hierarchies of acceptance for the various subgroups as well as an age effect wherein middle-aged men perceive the least acceptance for all groups. These differences are linked with the uneven impact of social, political, and institutional changes relevant to gay and bisexual men in Canada.     

The bisexual identity: an idea without social recognition

Theories of sexuality reflect popular notions by treating sexual identity as a simple dichotomy. There is research evidence for the coexistence of homosexual and heterosexual interest and behavior in a significant portion of the population. This paper examines how various conceptualizations of human sexuality have failed to adequately deal with bisexuality. The lack of acknowledgement by both the larger heterosexual society and the emerging lesbian/gay community, and its impact on the individual bisexual is examined by using the sociological concept of marginality. Some of the differences in self-labeling by women and men are noted in the light of social sex-roles. Finally, the implications of society's acceptance of bisexuality for evolving forms of relationships are suggested.     

"Fag church": men who integrate gay and Christian identities

It is usually assumed that being gay or lesbian and being Christian is contradictory. The eight men who participated in this qualitative inquiry demonstrate otherwise. I investigated the ways in which these men integrated their gay and Christian identities meaningfully into their lives. From the interview data, I discerned and describe in this paper a variety of strategies that these men adopted in order to facilitate identity integration of seemingly mutually exclusive identities. In the bid for social and political equality with heterosexuals, gays and lesbians typically have not received support from Christians, at least not from politically active Christians, many of whom participate in explicitly antigay campaigns. Given such a contentious context, I discuss the personal and political implications of integrating gay and evangelical Christian identities.     

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.     

How to Be a Healthy Homosexual: HIV Health Promotion and the Social Regulation of Gay Men in the United Kingdom

ABSTRACT

Primary Objective: Health promotion has arisen as the main response to the problem of HIV prevention among gay men. Using the linked concepts of governmentality and health promotion as a neoliberal disciplinary technology, this article argues that health promotion in the time of AIDS has contributed to new forms of social regulation and governance for gay men. Methods and Procedures: This article presents an analysis of data from a study of U.K. HIV health promotion for gay men (interviews with health promoters and analyses of health promotion materials). Conclusions: This analysis of health promotion is helpful in describing an emerging form of governance dependent on incentive rather than censure (censure, pathology and “cure” are how we traditionally describe the use of medical knowledge in the regulation of homosexuality).     

Community in gay male experience and moral discourse

The three sociological conceptions of community are outlined: the imagined community, community as friendship, and community as local organizations or groups. The extent to which gay men in New York City experience a gay community in each of these ways is investigated by means of in-depth interviews. The type of moral discourse utilized by the gay men interviewed is also discussed. Finally, gay men in New York City are compared to the new Russian Jewish community in Brooklyn as to which is more "postmodern."     

Interpersonal contact experiences with gay men: a qualitative investigation of "fag hags" and gay-supportive heterosexual men

The purpose of this investigation was to understand how "fag hags" and gay-supportive heterosexual men (GSHM) describe the nature and quality of their interpersonal contact experiences with gay men. Eight archival interviews were analyzed using the methodologies outlined in Hill, Thompson, and Williams (1997); i.e., consensual qualitative research. The results yielded suggest that the nature of contact experiences relates to direct contact with gay men in institutional or social settings or via indirect, formative experiences. The possible roles that contact plays in attitudes formation include: (1) normalizing homosexuality, (2) challenging previously held myths and stereotypes, and (3) increasing a person's likelihood of having contact experiences with gay men and developing gay-supportive attitudes. Participants described the quality of the contact as taking place in the context of a friendship that developed between them and a gay male that strengthened after the gay friend came out. Furthermore, the impact of these contact experiences did not change fag hags' sense of morality, but "improved" their attitudes toward gay men. The results from this study have broader social implications in that they contribute to the much-needed discourse, from a qualitative perspective, on the ways in which people form gay-supportive attitudes. Future research should focus on describing the transformational nature of contact between gay men and heterosexuals in order to uncover any processes or stages that heterosexuals go through in developing gay-supportive attitudes.     

Negotiating multiple identities: how African-American gay and bisexual men persist at a predominantly White institution

This consensual qualitative research (CQR) study explores factors contributing to the persistence of African-American gay and bisexual men at a predominately White institution (PWI). Eight participants consistently noted that involvement with an African-American community was crucial to navigating the challenges of attending a PWI. Participants reported that their racial identity was more salient than their sexual orientation in creating social support, and they described feeling uncomfortable using lesbian, gay, bisexual, and transgender (LGBT) resources. Implications, including education about sexual orientation within African-American campus communities, LGBT outreach to communities of color, and continued institutional support for African-American campus organizations, are discussed.     

Memoir and performance: social change and self life-writing among men who are gay pornography producers and actors

Identity may be understood both as a life-story, either told or written as memoir or autobiography, and also as a practice such as producing or acting in gay pornographic film, but always within the context of social and historical change. Study of the memoirs of gay men who have been actors and/or producers of gay pornographic films across three generation cohorts provides an opportunity for understanding the interplay of social change and life circumstances in making gay identity. This perspective on identity is illustrated through the study of the memoirs of three men from different cohorts who have produced and acted in gay pornographic films: Wakefield Poole, born in 1936; Scott O'Hara, born in 1961; and Aaron Lawrence, born in 1971. Differences in style and content of both memoir and practice in gay pornographic films reflect changing social expectations regarding men who have sex with men following the emergence of the gay rights movement and the AIDS epidemic.     

Mental Health and Coping Patterns in Jewish Gay Men in Israel: The Role of Dual Identity Conflict,Religious Identity,and Partnership Status

This study examined the effects of dual-identity conflict, religious identity (religious/spiritual vs. sexual), and partnership status on the coping strategies and mental health of gay Jewish men in modern Israeli society. Participants were 73 religious and 71 secular gay men recruited via e-mail, social networking sites, and online resources targeting sexual minority men. Participants were assessed via measures of identity conflict, mental health, and coping strategies. Jewish gay men who reported more severe identity conflict also reported using less problem-focused and avoidance coping and more emotion-focused coping strategies and reported poorer mental health than their less identity-conflicted counterparts. Furthermore, gay men who self-identified as religious reported poorer mental health as well as less problem-focused coping and more emotion-focused coping compared to secular men. Religious gay men in romantic relationships reported lower intensities of dual-identity conflict and better mental health compared to their nonpartnered counterparts.     

A social psychological perspective on HIV/AIDS and gay or homosexually active Asian men

This paper employs findings in social psychological research to analyze HIV/AIDS-related issues among gay and homosexual Asian men living in western countries, specifically in Australia. This includes analyses of: (1) the impact of collectivistic cultural ideologies on self-conception and self-esteem; (2) self-identity related to the status of Asians as numerical and status minorities; (3) the existence of stereotypes of Asians in the gay communities and their consequences on individual Asians; and (4) issues related to self-esteem of gay Asian men as determined by their identification with the Asian and/or the gay communities and acculturation to the dominant Australian Anglo-Celtic culture.     

Japanese male gay and bisexual identity

Few studies have ever dealt with Japanese male gay and bisexual identity. This exploratory study investigated gay and bisexual identity through interviews of 34 Japanese gay and bisexual men. Though Japan has unique cultural aspects that are different from Western countries, it can be shown that Western concepts or models of homosexual identity are applicable to a considerable extent to Japanese gay and bisexual men. The results of this study suggest that there are two distinct types of Japanese men sexually interested in men, which the author will call "bisexual" and "gay." These two types are compared in terms of three aspects: self-identity, sexual preference, and social identity and role. A significant number of respondents have careers or vocations in the arts. This study touches on the correlation between art and male-male sexual orientation in Japan.     

From Navigation to Negotiation: An Examination of the Lived Experiences of Black Gay Male Alumni of Historically Black Colleges and Universities

This research presents an examination of Black gay men and their lived experiences while undergraduates at historically Black colleges and universities (HBCUs). Based on 10 in-depth interviews with self-identified Black gay men, the author presents four emergent themes, which reveal the complex ways in which Black gay men navigate and negotiate the intersections of their multiple identities as related to race, sexual orientation, and gender at HBCUs. The findings of this research have implications for larger discussions of community, Black masculinity, and gay identity in predominantly Black and non-Black contexts.