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Probability sample estimates of bathhouse sexual risk behavior
William J Woods1, Diane Binson, Johnny Blair
1AIDS Research Institute, Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, CA 94105, USA. william.woods@ucsf.edu
Journal of Acquired Immune Deficiency Syndromes (1999)
|April 10, 2007
Summary
Men visiting bathhouses engaged in less unprotected anal intercourse (UAI) than in private settings. Bathhouses may encourage condom use during sexual activity on-site.
Area of Science:
- Public Health
- Sexual Health
- Epidemiology
Background:
- Previous research indicates high rates of unprotected anal intercourse (UAI) among men who attend bathhouses.
- However, there is a lack of prevalence estimates for such risk behaviors in these settings.
Purpose of the Study:
- To estimate the prevalence of sexual risk behaviors, specifically UAI, among men visiting a gay bathhouse.
- To compare on-site risk behaviors with those in the 3 months prior to the visit.
Main Methods:
- A 2-stage probability sampling method was used to survey men exiting a gay bathhouse.
- Data were collected from 400 participants.
Main Results:
- During their bathhouse visit, 91.5% of men had oral sex and 44.2% had anal sex.
- Of those having anal sex, 11.1% reported UAI, and 5.5% reported unprotected receptive anal intercourse.
- In the prior 3 months, 85% reported anal sex, which was more likely to be unprotected in private settings (homes/hotels) than public ones.
Conclusions:
- The majority of men at the bathhouse engaged in oral sex; most anal sex involved condom use.
- Unprotected anal intercourse was more prevalent in private homes than in public settings.
- Bathhouses appear to facilitate condom use for on-site anal sex, contrasting with higher UAI rates in private locations.
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