Understanding the demographic characteristics of urban men who have sex with men

We examined migration, closetedness, and family structure explanations of demographic profiles of urban men who have sex with men (MSM) using data from the Urban Men's Health Study and the Public Use Microdata Sample of the U.S. Census. The data suggested that the demographic profiles of urban MSM reflect a large in-migrating white, often young adult, population without children. Closetedness, an oft-cited bias in MSM population studies, did not significantly impact demographic patterns with minor exceptions. MSM urban subpopulations have demographics that differ substantially from the general population of the cities in which they reside.     

HIV disclosure and subsequent sexual behaviors among men who have sex with men who meet online

To assess HIV disclosure discussions and related sexual behaviors among men who have sex with men (MSM) who meet sex partners online, 28 qualitative interviews with Seattle-area MSM were analyzed using grounded theory methods and themes and behavior patterns were identified. MSM found a greater ease in communicating and could prescreen partners through the Internet. However, no consistent relationship was found between HIV disclosure and subsequent behaviors: some were safer based on disclosure while perceived HIV status led others to risky behaviors. Interventions need to promote accurate disclosure while acknowledging its limitations and the need for men to self-protect.     

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.     

Consideration of future consequences and unprotected anal intercourse among men who have sex with men

This study of men who have sex with men (MSM) examined whether tendencies to consider the future consequences of one's actions were associated with sexual behaviors that place oneself at risk for HIV infection. A total of 339 HIV-negative MSM responded to the Consideration of Future Consequences Scale (CFC; Strathman et al., 1994) and to questions about their anal intercourse practices in the past year. In bivariate analyses, men with a stronger future orientation were less likely to engage in anal intercourse unprotected by a condom (p < .05). Multivariate analyses revealed that CFC accounted for significant variance in three of four measures of unprotected anal sex after statistically controlling for demographic covariates (education, income, ethnicity, age). CFC was a better predictor of sexual behavior and accounted for more unique variance than any of the demographic factors. Additional research is needed to confirm that CFC is an antecedent of behavior and to examine the feasibility and efficacy of focusing on CFC in HIV prevention interventions.     

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.     

A social geography of sex: men who have sex with men (MSMs) and gay bars on the U.S./Mexican border

In discussions of male homosexuality in Hispanic/Latin American and Anglo/North American contexts, ethnicity is often afforded a key role in structuring sexual identity, with a distinction being made between sexual role patterning (Hispanic, Latin American) and sexual object choice patterning (Anglo, North American). I argue instead that the key factor in shaping distinct patterns of sexual identity among Men who have Sex with Men (MSMs), within the broad though still circumscribed comparative context of Latin American and North America, is the role of particular sites, especially gay bars, in producing gay identity and community.     

Confronting internalized oppression in sex therapy with lesbians

This paper focuses on a much-neglected aspect of therapy with lesbian clients: treatment of sexual dysfunction. It examines roots of dysfunction that can be found in cultural homophobia and misogyny, and presents a theoretical framework for intervention in the sexual problems of lesbian clients.     

The politics of invisibility: homophobia and low-income HIV-positive women who have sex with women

HIV-positive women who have sex with women (WSW) have been overlooked by government researchers, health care providers and the AIDS service community. In addition to stigmas against homosexuality and HIV in larger society, low-income, African-American and Latina HIV-positive WSWs face culturally-based stigmas and are disproportionately affected by poverty, drug addiction, homelessness, sex work and abuse. Through an analysis of sixteen intensive interviews with low-income HIV-positive WSWs of color, I critically examine the physical, emotional and psychological needs of this population and their methods of coping with HIV. I also examine the participants' percepHIV-positive women who have sex with women (WSW) have been overlooked by government researchers, health care providers and the AIDS service community. In addition to stigmas against homosexuality and HIV in larger society, low-income, African-American and Latina HIV-positive WSWs face culturally-based stigmas and are disproportionately affected by poverty, drug addiction, homelessness, sex work and abuse. Through an analysis of sixteen intensive interviews with low-income HIV-positive WSWs of color, I critically examine the physical, emotional and psychological needs of this population and their methods of coping with HIV. I also examine the participants' percepHIV-positive women who have sex with women (WSW) have been overlooked by government researchers, health care providers and the AIDS service community. In addition to stigmas against homosexuality and HIV in larger society, low-income, African-American and Latina HIV-positive WSWs face culturally-based stigmas and are disproportionately affected by poverty, drug addiction, homelessness, sex work and abuse. Through an analysis of sixteen intensive interviews with low-income HIV-positive WSWs of color, I critically examine the physical, emotional and psychological needs of this population and their methods of coping with HIV. I also examine the participants' perceptions of available support networks and patterns of disclosure in order to raise awareness of their struggle against HIV and homophobia and to assist in empowering the low-income HIV-positive WSW community.     

Exploring the physical, mental and social well-being of gay and bisexual men who cruise for sex on a college campus

A mixed methods design was used to collect data from 30 men who were currently, or had a history of, participating in anonymous public sex in college campus venues. Data were analyzed to assess the extent to which participation in these behaviors was associated with both positive and negative outcomes across the areas of physical health, mental health and social well-being. Findings indicated that cruising for sex on a college campus simultaneously presents challenges to, and supports, the health of gay and bisexual men. Recommendations for interfacing with these men by campus and community health providers are given.     

The relationship between sexism and attitudes toward homosexuality in a sample of Turkish college students

This study examined the relationship of sexism, having traditional and conservative values, and contact with homosexual individuals to attitudes toward homosexuality. Two hundred seven male and female students from Middle East Technical University completed Hudson and Rickett's Homophobia scale, Glick and Fiske's Ambivalent Sexism Inventory and questions about: (1) their sexual preferences, (2) whether they described themselves as traditional and conservative, and (3) whether they knew a homosexual or not. Sexist attitudes, being more traditional and conservative, and not knowing any homosexual individuals all predicted more negative attitudes toward homosexuality. The correlation between hostile sexism and anti-homosexual attitudes was higher than the correlation between benevolent sexism and anti-homosexual attitudes. In addition, male, as compared to female, respondents were both more sexist and held more negative attitudes toward homosexuality.     

Hazardous journey in intimacy: HIV transmission risk behaviors of young men who are victims of past sexual abuses and who have sexual relations with men

The aim of this research was to explore the behavioral patterns and dynamics that may increase vulnerability towards HIV transmission among young men who have been sexually molested as children and who have sexual relations with men. In recent years, researchers have found that a larger number of gay or bisexual men have been sexually abused as children than other men. In this study, we wanted to explore the possible links between sexual victimization of young men and risky sexual behaviors related to HIV transmission among these men.     

The mediating effects of attitudes toward homosexuality between secure attachment and disclosure outcomes among gay men

Past research has found that a stronger secure attachment style, developed in childhood, enhances one's ability to acknowledge negative feelings, cope with negative life events, and develop satisfying social relationships. Because an integral part of the "coming out" process for gay men is the ability to seek support from the gay community in order to reevaluate negative beliefs toward homosexuality, a gay man's attachment style may strongly impact this critical stage of his life. Results demonstrated that men who more strongly endorsed a secure attachment style reported more positive attitudes toward their own homosexuality, and that these more positive attitudes could mediate the relation between more secure attachment style, greater levels of self-disclosure regarding their homosexuality, and greater self-esteem. Implications of these data for internalized homophobia, the coming-out process, and effective social functioning are discussed.     

The relationship between culture, personality, and sexual jealousy in men in heterosexual and homosexual relationships

This study proposes a new approach to sexual jealousy, that of attitude theory. Within that framework, it examines the roles of culture and personality in the development of sexual jealousy. Using 194 men representing 62 male homosexual couples and 81 heterosexual couples, three hypotheses were analyzed: (1) that jealousy measured by a standard attitude measure, the semantic differential technique, will significantly positively correlate with scores on a standard jealousy measure, Eugene Mathes' Interpersonal Jealousy Scale; (2) that men in heterosexual couples will have higher levels of sexual jealousy than men in homosexual couples; and (3) that sexual jealousy is inversely correlated with self-actualization personality. All three hypotheses were supported, suggesting that sexual jealousy, viewed as an attitude, is mediated by culture and personality.     

Japan's progressive sex: male homosexuality, national competition, and the cinema

This essay serves as a broad investigation of the origins of what came to be called the "gay boom" in 1990's Japanese cinema: a culmination of print media, television, and especially films which made the gay male not merely a visible (political) subject but also the site of displaced contestations of gendered (female) desire. The most visible transnational signifier of the "gay boom" was the 1992 film Okoge, a film which, in keeping with a Japanese trend which relocates the gay male as a safe displacement of female desire, posits the heterosexual female as the audience's point of identification in a film about the lives of gay Japanese men. Using this as a starting point, this essay seeks to explore how male homosexuality and gender construction operate within both Japanese nationalism and the transnational discourse of Japanese cinema's dissemination.     

Mental health concerns of gay and bisexual men seeking mental health services

Little data exist about the mental health needs of gay and bisexual men. This is due to limitations of existing studies such as small and nonrepresentative samples, failure to assess sexual orientation, and concerns about stigmatization, possibly causing sexual minority individuals to be reluctant to disclose their sexual orientation to researchers. Fenway Community Health is a large urban health center that serves the LGBT community. The large number of gay and bisexual men who present for mental health treatment allows for a unique opportunity to gain insight into mental health, prevention, and intervention needs for this group. The current study is a review of the mental health information from all of the gay and bisexual men who reported that they were HIV-negative during their mental health intake over a six-month period at Fenway Community Health (January to June 2000; N = 92). The most frequent presenting problems were depression, anxiety, and relationship issues. Additionally, presenting problems included current or past abuse, substance abuse, finance and employment, recent loss, and family issues. The most frequent diagnoses were depression, anxiety disorders, and adjustment disorders. These findings support the notion that presenting problems and mental health concerns among gay and bisexual men are similar to those frequently reported by individuals in other mental health facilities, however, specific psychosocial stressors are unique to this population.     

The relationship of self-reported sex-role characteristics and attitudes toward homosexuality

The present study investigated the relationship between self-reported sex-role characteristics and attitudes toward homosexuality using the Bem Sex Role Inventory, the Personal Attributes Questionnaire and the Attitudes toward Homosexuality Scale. Relationships occur for both males and females who are exhibiting greater amounts of cross-sex traits. Females with more instrumental characteristics were more accepting while males with more expressive characteristics were more rejecting. These findings are discussed in relation to those of Weinberger and Millham (1979) who also investigated this relationship, as well as to research investigating the relationship between attitudes toward homosexuality and attitudes toward sex roles and feminism.     

Mental health differences between men and women caregivers,BRFSS 2009

This study uses data from the 2009 Behavioral Risk Factors Surveillance System (BRFSS) to examine differences between male and female caregivers by demographics, health-related quality of life (HRQOL), and the effect of social support on HRQOL. Roughly two-thirds of caregivers were women, and demographic characteristics differed among men and women caregivers. Women caregivers reported significantly more mentally and physically unhealthy days than men, but there were no differences between men and women in general health or life satisfaction. Men were significantly more likely to report that they rarely or never received social support. Despite this, the effect of social support on HRQOL was stronger in men than in women. Implications of these findings for caregiver support programs are discussed.     

Correlates of internalized homophobia and homosexual identity formation in a sample of gay men

Eighty-six behaviourally homosexual men, at various stages of homosexual identity formation (HIF), were participants in a study that examined correlates of internalized homophobia (IH) and HIF. Results indicated higher levels of internalized homophobia were correlated with lower stages of HIF. In addition, internalized homophobia was significantly related to lower levels of self-esteem, to lower levels of self-concepts of physical appearance and emotional stability, and to higher levels of sex guilt. Post hoc regression analysis revealed that perceived level of repression against homosexuals predicted internalized homophobia and sex-guilt, which were mediator variables to the resolution of HIF. This research supports theory, that suggests internalized homophobia is a major developmental difficulty in gay men.