Factors Influencing Gay Men's Attitudes,Subjective Norms,and Intentions With Respect to Performing Sexual Behaviors1

In a recent paper (Fishbein et al., 1992) gay men's attitudes and subjective norms were found to be accurate predictors of their intentions to perform a variety of sexual behaviors. In addition, the relative importance of norms as determinants of intention was found to be greater in Seattle (a city with a well organized gay community) than in Albany (a city in which the gay community is not well organized). The purpose of the present study was to investigate the extent to which the men's attitudes, subjective norms, and intentions were influenced by a number of situational and individual difference variables. Three hundred and fourteen self-identified gay or bisexual men from Seattle (134), Denver (78), and Albany (102) completed a questionnaire specifically designed for this study. As expected, type of partner and type of sexual activity significantly influenced attitudes, perceived norms, and intentions. In addition, these dependent variables were also influenced, in part, by city of residence, age, and perceived risk of HIV infection. The findings provide additional justification for developing different interventions for gay men in different cities, age, and perceived risk groups.     

Relations among media influence,body image,eating concerns,and sexual orientation in men: A preliminary investigation

The current study explored the relation between sexual orientation, media persuasion, and eating and body image concerns among 78 college men (39 gay; 39 straight). Participants completed measures of sexual orientation, eating disorder symptoms, appearance-related anxiety, perceived importance of physical attractiveness, perceptions of media influence, and media exposure. Gay men scored significantly higher on drive for thinness, body dissatisfaction, and body image-related anxiety than their straight counterparts. Additionally, perceptions of media influence were higher for gay men, and significantly mediated the relation between sexual orientation and eating and body image concerns. Sexual orientation also moderated the relation between perceived media influence and beliefs regarding the importance of physical attractiveness, as this relation was significant for gay men, but not straight men. The current findings suggest that gay men's increased vulnerability to media influence partially accounts for the relatively high rate of eating pathology observed in this population.     

Drugs,Sex, and Condoms: Identification and Interpretation of Race‐Specific Cultural Messages Influencing Black Gay and Bisexual Young Men Living with HIV

Black gay and bisexual young men carry a disproportionate burden of HIV in the United States. This study explored Black gay and bisexual young men living with HIV's identification and interpretation of race‐specific cultural messages regarding substance use, sexual activity, and condom use. A total of 36 Black gay and bisexual young men living with HIV (ages 16–24, mean = 20.6 years) from four geographically diverse regions of the United States participated in qualitative in‐depth interviews. Results from this study elucidate the ways in which these young men interpret various forms of race‐specific cultural messages and experiences regarding substance use, sexual activity, and condom use. Participants discussed cultural messages and experiences promoting and discouraging condoms and substance use. Regarding sexual activity, only messages and experiences promoting sex were reported. Across all three categories, messages and experiences promoting risk were predominant. Data further revealed that socially transmitted cultural messages received by young men emanated from multiple sources, such as family, peers, sexual partners, community/neighborhood, and the broader society. Race‐specific cultural messages and experiences should be addressed in interventions for this population, and programs should assist young men in developing a critical consciousness regarding these messages and experiences in order to promote health and well‐being.     

Working class homosexuality and HIV/AIDS prevention some recent research from Sydney,Australia

Abstract

Surveys on gay and bisexual men in Sydney and non-metropolitan New South Wales (NSW) indicate uneven patterns of HIV/AIDS knowledge and sexual behaviour change. As a follow-up action-research study, the Class, Homosexuality and AIDS Prevention (CHAP) project pursued audio-recorded, semistructured interviews with men in western Sydney and Nullangardie, a provincial city in NSW, to investigate the relationship between homosexuality and class.

One-to-one interviews with working-class, homosexually active men revealed particular patterns of homosexual initiation and sexual relationships, and a distinct culture being slowly affected by notions of being “gay” and “gay community”. This impact of modern gay life on western Sydney was different from that in the provincial city. More prominent were the effects of class—unemployment, poor education, poverty, and cultural marginalisation—on the experience and elaboration of homosexuality. Group interviews confirmed an experience of “difference” from prominent gay communities, especially Sydney's “Oxford Street” gay quarter. Working-class men offered a critique of gay community-initiated HIV/AIDS prevention strategies, pointing toward different education initiatives involving local social networks.

Case studies are presented to argue the importance of the relation between sexuality and class, and its consequences for HIV/AIDS education.     

Media and community anxieties about men's interactions with children

Partially as a response to community concerns related to sexual abuse, men's interactions with other people's children have become highly regulated. This paper documents media deliberations regarding the maintenance of barriers to men's interactions with children. Attention is given to news coverage of an incidence where a man was asked to shift seats on an aircraft due to an airline policy prohibiting men from sitting next to unaccompanied children. Media framing of controversy surrounding this incidence occurred across television, radio and newspaper reports and letters to the editor and talkback radio calls. Coverage reveals tensions between negative constructions of pedophiles and positive constructions of family men. The analysis highlights dilemmas within popular knowledge regarding children's safety and discrimination against men. Implications of media framing of such issues are explored through the experiences of 12 men participating in ongoing research into bloke culture in New Zealand. Seven of these men raised the airline case to invoke tensions they face when interacting with children. Of particular note are the ways in which men use media items as shared reference points for making sense of their own situations. The research strategy of analysing media items identified by research participants enables us to demonstrate the legacy of media and community deliberations in the accounts and relational practices of men. Copyright © 2008 John Wiley & Sons, Ltd.     

Thriving and Adapting: Resilience,Sense of Community,and Syndemics among Young Black Gay and Bisexual Men

We examined resilience associated with the avoidance of psychosocial health conditions (i.e., syndemics) that increase vulnerability for HIV among young Black gay and bisexual men. We used analytic induction to compare a sample of 23 men who showed no evidence of syndemic conditions to a sample of 23 men who experienced syndemic conditions. The men who avoided syndemics reported supportive relationships with people who helped them to develop a strong sense of identity, provided them with opportunities to give back to their communities, and promoted positive norms about health. In contrast, the men experiencing syndemic conditions described numerous instances of trauma and oppression that infringed upon their desire to form positive relationships. Among these men, experiences of oppression were associated with shame, identity incongruence, social isolation, relational disconnection, mistrust of men, and expectations of further marginalization. We examined participants’ experiences through the framework of the psychosocial sense of community. Results of this study provide evidence for using strength‐based intervention strategies to prevent syndemic conditions. Findings suggest that to attenuate socio‐structural barriers to health and comorbid psychosocial health concerns, interventions must address young men's social isolation and promote positive identity and sense of community.     

Society matters: The mediational role of social recognition in the relationship between victimization and life satisfaction among gay men

This article examines the role of social recognition in the relationship between gay men's victimization and their life satisfaction. Using a comprehensive catalog of victimization, we obtained empirical evidence that strongly suggests that victimization negatively affects gay men's life satisfaction and that this relationship is mainly mediated by a perceived lack of social recognition in society. In addition, although active involvement in the gay community served as a coping mechanism, concealment of one's sexual identity played no role in the victimization–life satisfaction relationship, neither as a coping mechanism nor as a competing mediator. The mediational role of societal recognition underlines the importance of the symbolic meaning of victimization. Copyright © 2014 John Wiley & Sons, Ltd.     

Men's memory for women's sexual‐interest and rejection cues

The current work characterizes young men's memory for young women's heterosocially relevant affective cues (e.g. sexual interest and rejection) and examines characteristics of both the woman being perceived and the male perceiver as predictors of memory. Undergraduate men (n = 232) completed similarity‐ratings and recognition‐memory tasks with photos of undergraduate women who varied in attractiveness, provocativeness of clothing and expression of sexual interest. Participants also completed a control memory task and a measure relevant to the risk of exhibiting sexually aggressive behaviour, as well as indicating how many serious relationships they had experienced. Multilevel regression techniques revealed that (a) men's memory for women's sexual interest improved when women were sexually interested at encoding, attractive and dressed provocatively; (b) men who reported more frequent serious relationships showed better memory for women's sexual interest and (c) men at risk of exhibiting sexually aggressive behaviour showed worse memory for women's sexual interest. Copyright © 2010 John Wiley & Sons, Ltd.     

Attitudinal and Normative Factors as Determinants of Gay Men's Intentions to Perform AIDS-Related Sexual Behaviors: A Multisite Analysis1

The purpose of this study was to test the applicability of the theory of reasoned action as a basis for understanding and predicting gay men's intentions to perform AIDS-related sexual behaviors. A total of 314 self-identified gay or bisexual men from Seattle, Denver, and Albany participated in the study. They were asked to indicate their intentions to perform 15 specific sexual behaviors chosen to represent different degrees of risk of contracting AIDS or other sexually transmitted diseases. In addition, they were asked to respond to items measuring the attitudinal and normative considerations regarding each behavior. As expected, the results showed that the gay men's intentions were significantly predicted by the two factors. More interesting, it was found that, although attitudes are consistently the more important determinants of intentions for all the respondents, the importance of normative considerations varies across cities. This difference in normative considerations is interpreted in light of the differences in the structure of the three gay communities. Implications for designing sample-specific intervention programs are discussed.     

Click here for HIV status: Shifting templates of sexual negotiation

In the last decade, many aspects of gay social and sexual life have moved online. This article explores how the increasing use of the internet as a way of organizing gay sex is shaping sexual and risk subjectivities. It investigates how online cruising is mediating investments in, and tensions between, different HIV prevention ethics in Sydney, Australia – in particular, those that operationalise HIV status disclosure as a precursor to casual sex, and those that don't. One popular online cruising site, Manhunt.net, is the first socio-sexual context in Australia in which participants are routinely asked to indicate their HIV status for sexual purposes, as a design feature of participation. The article grapples with the implications of this development for socio-sexual community. Different sites install culturally specific HIV prevention ethics, which users negotiate in different ways. Online interfaces also generate particular ‘affective climates’ in the sense that they produce new experiences of connection and isolation and create new practical challenges around self-presentation for participants. Affective climates are technologically mediated, and are co-produced and shared by HIV-negative and HIV-positive individuals, among others. Some online formats may be contributing to a new state of ‘seronormativity’ in gay culture, in which the politics of the ‘template’ or the ‘format’ will become increasingly significant. Participants can also be seen to be engaging in reflexive processes around different styles of participation in this environment and their effects on others, suggesting educational possibilities.     

“Appearance potent”? A content analysis of UK gay and straight men's magazines

With little actual appraisal, a more ‘appearance potent’ (i.e., a reverence for appearance ideals) subculture has been used to explain gay men's greater body dissatisfaction in comparison to straight men's. This study sought to assess the respective appearance potency of each subculture by a content analysis of 32 issues of the most read gay (Attitude, Gay Times) and straight men's magazines (Men's Health, FHM) in the UK. Images of men and women were coded for their physical characteristics, objectification and nudity, as were the number of appearance adverts and articles. The gay men's magazines featured more images of men that were appearance ideal, nude and sexualized than the straight men's magazines. The converse was true for the images of women and appearance adverts. Although more research is needed to understand the effect of this content on the viewer, the findings are consistent with a more appearance potent gay male subculture.     

Relationships between gender self-esteem,sexual prejudice,and trans prejudice in cisgender heterosexual college students

Our understanding of sexual prejudice, or prejudice against gay men, lesbian women, bisexual people, and other sexual minorities, has improved substantially over the last few decades. Less is known about the factors that predict trans prejudice, or prejudice against trans people. Using the framework of social identity theory, we examined the relationship between gender self-esteem, sexual prejudice toward gay men and lesbian women, and trans prejudice in a sample of 391 self-identified cisgender heterosexual students from a Midwestern university in the United States. Compared to women, men reported more sexual prejudice, trans prejudice, more prejudice toward gay men than lesbian women, and more violence toward, teasing of, and discomfort around trans women than trans men. Whereas both men and women reported more teasing of trans women than of trans men, men reported more discomfort around trans women and women reported more discomfort around trans men. Gender self-esteem significantly predicted sexual prejudice and trans prejudice in men but not women. Consistent with other research, our results indicate that men's sexual prejudice and trans prejudice may be motivated by similar factors, whereas the predictors of women's prejudice may be more specific to the type of prejudice.     

Application of a modified health belief model to hiv preventive behavioral intentions among gay and bisexual men

Abstract

The utility of a modified health belief model (Janz and Becker, 1984) for predicting the intention to use condoms was tested in a study among gay and bisexual men. The model explained a reasonable amount of variance. It was found that younger men's decision to have safe sex was guided by factors other than those that influenced older men. Among younger men, the intention to use a condom was positively related to the relative number of persons with AIDS in their social environment (cues to action) and to the perceived benefits of HIV preventive behavior. Among older men, this behavioral intention was much more determined by their perception of the prevalence of HIV and by their perception of their vulnerability to HIV infection. These findings are important because they may partly explain the recent increase in AIDS-risk behavior among young gay and bisexual men. The discussion focuses on these findings and on the implications for interventions aimed at promoting safe sex.     

Sexual Debut Ages in Heterosexual,Lesbian, Gay,and Bisexual Young Adults in Norway

This study estimates sexual debut ages in young heterosexual, lesbian, gay, and bisexual men and women in Norway. A questionnaire survey was completed online by 27.2 % of a representative national web sample of 2090 persons aged 18–29 years. Three self-selected samples of 924 respondents completed an extended version of the survey online. Lesbian and bisexual women reported earlier experience of orgasm through masturbation than heterosexual women (median 13.1 vs. 15.2 years), and heterosexual men (median 13.5) reported earlier debut than heterosexual women. There was a statistically significant difference between heterosexual and lesbian and bisexual women’s age at the first experience of receptive vaginal sex (median 16.8 vs. 15.4 years). As regards experience of insertive vaginal sex, a significantly higher percentage of heterosexual men than women, and of heterosexual and lesbian and bisexual women, reported experience. It was more common among lesbian and bisexual women than heterosexual women to have had oral sex with another woman, but in neither group did the cumulative percent reach 50 % by the age of 29 years and the median could not be estimated. Gay and bisexual men reported earlier receptive anal sex debut than heterosexual men. With regard to insertive anal sex, gay and bisexual men accumulated experience earlier than heterosexual men, and lesbian and bisexual women acquired this experience earlier than heterosexual women. Compared to heterosexuals, LGB persons of both genders engage in more varied sexual activities. Lesbian and gay persons have same-sex experiences at an earlier age than bisexuals.     

Another dragon in the kitchen: Psychological experiences of hepatitis C treatment among HIV‐hepatitis C co‐infected gay men

Background: Increasing numbers of HIV‐infected gay men acquire hepatitis C virus (HCV) co‐infection, which causes serious medical consequences. Treatment for HCV is associated with many severe side effects, in some cases psychological, and many patients subsequently fail to adhere, even when psychological services are utilised, to improve treatment adherence. Objective: This qualitative study aimed to explore the experiences of HIV‐infected gay men undergoing treatment for HCV in order to inform psychological services to better meet specific treatment needs of this population. Methods: Thirteen HIV‐infected gay men who had undergone HCV treatment were interviewed and a qualitative analysis was conducted. Participants described HCV and its treatments in the context of their relationships and lifestyles. Findings: Four domains emerged: HCV diagnosis and treatment; HCV treatment education; change in sense of self; and sexual risk‐taking. Adhering to treatment was a significant challenge for all participants and emerged across all domains. Discussion: Psychological services for this population of co‐infected gay men should assist this clinical population not only with adherence to hepatitis C treatment but should also be available at an earlier stage in the process to help patients make informed choices about whether or not to begin a course of treatment. Assessing factors such as coping strategies, treatment readiness and knowledge, self‐awareness, and level of risk‐taking, can guide clinicians in tailoring treatment and adherence planning for HIV/HCV‐co‐infected gay men.     

Safer sex: Lessons from the male sex industry

Discerning the complex factors influencing male sex work is an important element of understanding HIV transmission. The present study examines a sample of London-based masseurs and street workers' ideas concerning their sexual encounters, their partners and their role in society. Unsafe sex is associated with (1) a lack of perception of control in the sexual encounter, (2) attractive clients, and (3) loving relationships with non-clients. The ways in which personal needs and stigma influence sexual practices and the men's sense of identity are considered. For some of the men, unsafe sex demarcates a sphere containing a type of intimacy that is absent from their working life. Since working life is associated with negative social judgements, the importance of this separate sphere is heightened. The findings call into question models of health behaviour that are built on individualist, reason-based tenets and highlight the importance of social and emotional factors in safer sexual behaviour. The implications of the findings for prevention programmes and future research are discussed.     

Individual Differences in Males' Reactions to Gay Males and Lesbians1

Males who were tolerant or intolerant of homosexuals participated in an experiment wherein they interacted with a gay male, a lesbian, or a person of unknown sexual orientation. Results showed that although both attitudes toward homosexuality and the partner's sexual orientation affected reactions to that person. there were few effects due to target sex. Although men's reported attitudes toward gay males are more negative than their attitudes toward lesbians. these attitudes d o not necessarily affect reactions to these individuals.