Circuits, networks, and HIV risk management

Area of Science:

• Sexual Health Research
• Sociology of Sexuality
• Public Health

Background:

• Men who have sex with men (MSM) engage in diverse sexual practices.
• Understanding specific sexual subcultures, like the "bareback scene," is crucial for targeted health interventions.
• Previous research has identified various sexual circuits and venues frequented by MSM.

Purpose of the Study:

• To characterize men who participate in the "bareback scene" and frequent "bareback websites."
• To compare these individuals with MSM who engage in unprotected anal intercourse (UAI) or consistently protected anal intercourse.
• To identify distinctive beliefs, norms, and behaviors associated with bareback scene participation.

Main Methods:

• Survey of 947 men who have sex with men (MSM) at a large gay and lesbian event in Toronto.
• Comparison of participant groups based on reported sexual practices (bareback scene/websites, UAI, protected intercourse).
• Analysis of venue attendance patterns, beliefs, perceptions of norms, and number of sexual partners.

Main Results:

• Men in bareback scenes/websites are significantly overrepresented in specific venues (bars, baths, parks, websites), forming a distinct circuit.
• This group displays unique beliefs and norms regarding sexual conduct.
• Participants in bareback scenes/websites are more likely to report five or more sexual partners in the last six months.

Conclusions:

• The "bareback scene" and associated websites represent a distinct subculture within the MSM community.
• Participants in this scene share specific venue preferences and behavioral patterns, including higher partner numbers.
• Findings highlight the need for tailored sexual health strategies addressing the unique characteristics of this population.