HIV / Researchers suggest more men use PrEP as part of intervention.
A new survey of gay and bisexual men shows almost half report having unprotected sex always, often or sometimes.
Of the 725 men surveyed, most say they are educated about HIV/AIDS, and fear getting infected or re-infected.
Dr Freddy Molano and Renato Barucco of New York’s non-profit Community Healthcare Network (CHN) focused on men who use apps such as Grindr, Scruff, Manhunt and Growlr to meet sexual partners.
The focus of the survey, which received replies from men in Australia, South America, Eastern Europe, the UK, Canada, and mostly the US, was to gain insight into men’s perspectives on HIV/AIDS and unprotected sex. It also included an optional section asking respondents why they might take risks during sex.
According to the findings, 81 percent of respondents know HIV is transmitted through “unprotected anal sex, vaginal sex and, less frequently, oral sex.”
About 68 percent are afraid to be infected or re-infected and believe people should be more concerned about the epidemic.
A “vast majority” considers barebacking dangerous and believes barebackers know the risks.
Almost 47 percent of respondents admit to barebacking “always, often or sometimes,” while almost 54 percent say they never have unprotected anal intercourse.
Barucco says respondents have unprotected sex primarily because condoms don’t feel good (almost 85 percent); they act impulsively (74 percent); or they are under the influence of drugs and alcohol.
Vancouver therapist Bill Coleman, who has worked with the HIV community for more than 25 years, adds that people are often not assertive enough to insist on condom use. “Part of it is, ‘if I insist you use a condom, then I’m accusing you of being positive or you are going to think I am positive.’”
He says often people feel vulnerable in hookup situations, or they’re expecting hot sex only to find themselves in a “boring negotiation” that may put people off.
Coleman says people are not out looking to get infected, and know that fucking without condoms is a risk, but it happens anyway.
Wayne Robert, executive director of Vancouver’s Health Initiative for Men (HIM), says the CHN study is one of the first he’s seen that investigates the apps connection. HIM, too, is interested in how men meet.
“The percentage of times where guys are saying that they met their last sexual contact online has been rising, and that’s been going on for a long time,” he notes.
“At the beginning of last year, we said it would be helpful to serve our patients better to find out what’s going on on these apps,” Barucco says, adding that the study did not specifically investigate a correlation between an increasing use of apps and an increase in HIV infections among men who have sex with men. He notes that some of the apps actually work with HIV prevention initiatives.
Robert says the numbers in the CHN study are somewhat similar to those in the ManCount study conducted in Vancouver bars, clubs and cafes in 2008.
