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Older partner selection in young African-American men who have sex with men
Renata Arrington-Sanders1, Lori Leonard, Durryle Brooks
1Division of General Pediatrics & Adolescent Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA. rarring3@jhmi.edu
Purpose:
Young African-American (AA) men who have sex with men (YAAMSM) have experienced the greatest proportional increase in new HIV cases compared with other groups. Bridging sexual partnerships between YAAMSM and older aged cohorts with higher rates of primary HIV infection has emerged as an important independent risk factor for the development of HIV. We explored reasons young AAMSM cite for being attracted to and seeking an older partner and the interpersonal needs met within older sexual partnerships.
Methods:
Seventeen in-depth semistructured qualitative interviews were conducted in YAAMSM residing in a midsized urban city with high HIV prevalence. Two coders independently evaluated transcribed data to identify/collapse codes that emerged. We analyzed data using categorical and contextualizing analytic methods.
Results:
Two themes emerged from the text for seeking an older sexual partner: the emotional maturity the older partner represented and the ability of the older partner to expose the younger partner to more life experiences. In addition, two themes emerged around attraction: support and physical attractiveness of the older partner. Few men described seeking age-discordant relationships for the sole purpose of exchange sex. Older partners during first same-sex experience helped younger partners sort through sexual position and how to perform in relationships.
Conclusions:
These interviews suggest that YAAMSM may be seeking older partners to fulfill desires to be in a stable, emotionally mature relationship and for exposure in the larger community. Prevention strategies aimed at targeting adolescent MSM age-discordant relationships will need to address the interpersonal needs met within older sexual partnerships.
Insights
Young African-American men who have sex with men seek older partners for emotional maturity and life experiences. These relationships fulfill needs for stability and community exposure, impacting HIV prevention strategies.
Area of Science:
- Public Health
- Sociology
- Psychology
Background:
- Young African-American men who have sex with men (YAAMSM) face a disproportionate rise in new HIV cases.
- Age-discordant partnerships between YAAMSM and older men with higher HIV infection rates are a significant risk factor.
Purpose of the Study:
- To explore the motivations behind YAAMSM seeking older sexual partners.
- To understand the interpersonal needs fulfilled within these older partnerships.
Main Methods:
- Conducted 17 in-depth, semistructured qualitative interviews with YAAMSM in a high-HIV-prevalence urban city.
- Utilized independent coding and categorical/contextualizing analytic methods for data analysis.
Main Results:
- Key themes for seeking older partners included emotional maturity and exposure to life experiences.
- Attraction was linked to the older partner's support and physical attractiveness.
- Older partners often provided guidance during initial same-sex encounters.
Conclusions:
- YAAMSM seek older partners for stable, mature relationships and broader community experiences.
- HIV prevention efforts targeting age-discordant relationships must address the underlying interpersonal needs.
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