Changing Levels of Social Engagement with Gay Men Is Associated with HIV Related Outcomes and Behaviors: Trends in Australian Behavioral Surveillance 1998–2020
Changes to how gay, bisexual, and other men who have sex with men (GBM) connect with each other and with their communities have implications for HIV prevention. Social engagement with gay men (defined as having friends who are gay men and spending time with them) has been associated with HIV related...
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| Veröffentlicht in: | Archives of sexual behavior 2022-07, Vol.51 (5), p.2509-2521 |
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| creator | Chan, Curtis Bavinton, Benjamin R. Prestage, Garrett E. Broady, Timothy R. Mao, Limin Rule, John Wilcock, Ben Holt, Martin |
| description | Changes to how gay, bisexual, and other men who have sex with men (GBM) connect with each other and with their communities have implications for HIV prevention. Social engagement with gay men (defined as having friends who are gay men and spending time with them) has been associated with HIV related outcomes over time among Australian GBM. Using data collected in national, repeated, cross-sectional surveys of GBM between 1998 and 2020 (
N
= 161,117), analyses of trends in the prevalence of gay social engagement (GSE) in Australia were conducted using linear regression. To assess changing associations with GSE at different time points in the HIV epidemic, three cross-sectional analyses were conducted on factors associated with high and low GSE in 1999/2000, 2009/2010, and 2019/2020 using bivariate and multivariable logistic regression. GSE (scored from 0 to 7) declined among all participants from 4.76 in 1998 to 4.04 in 2020 (
p
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| doi_str_mv | 10.1007/s10508-022-02310-x |
| format | Article |
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N
= 161,117), analyses of trends in the prevalence of gay social engagement (GSE) in Australia were conducted using linear regression. To assess changing associations with GSE at different time points in the HIV epidemic, three cross-sectional analyses were conducted on factors associated with high and low GSE in 1999/2000, 2009/2010, and 2019/2020 using bivariate and multivariable logistic regression. GSE (scored from 0 to 7) declined among all participants from 4.76 in 1998 to 4.04 in 2020 (
p
< 0.001) with a steeper decline among GBM aged under 25 years from 4.63 in 1998 to 3.40 in 2020 (
p
< 0.001). In all timepoints, high GSE was associated with older age, being university educated, full time employment, identifying as gay, recent HIV testing, and PrEP uptake. While mostly associated with protective behaviors, high GSE was also associated with some practices that may put GBM at risk of HIV infection such as drug-enhanced sex and group sex in the most recent timepoint. Changing levels of GSE have implications for health promotion among GBM, particularly how to engage GBM less connected to gay social networks.</description><identifier>ISSN: 0004-0002</identifier><identifier>EISSN: 1573-2800</identifier><identifier>DOI: 10.1007/s10508-022-02310-x</identifier><identifier>PMID: 35672592</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Behavioral Science and Psychology ; Bisexuality ; Cross-sectional studies ; Disease prevention ; Employment ; Expenditures ; Gays & lesbians ; Health education ; HIV ; Homosexuality ; Human immunodeficiency virus ; Men who have sex with men ; Mens health ; Original Paper ; Psychology ; Public Health ; Sexual Behavior ; Social interaction ; Social networks ; Social Sciences ; Surveillance ; Time ; Trends</subject><ispartof>Archives of sexual behavior, 2022-07, Vol.51 (5), p.2509-2521</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-2a4eadb5488f38cdb8f79b76476db041229df70f09d2e1784ae29ebe121b4f313</citedby><cites>FETCH-LOGICAL-c474t-2a4eadb5488f38cdb8f79b76476db041229df70f09d2e1784ae29ebe121b4f313</cites><orcidid>0000-0003-3917-8992 ; 0000-0003-0995-5789 ; 0000-0002-2586-8274 ; 0000-0001-5834-8278 ; 0000-0002-9581-1011 ; 0000-0002-4341-1868</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10508-022-02310-x$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10508-022-02310-x$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27344,27924,27925,33774,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35672592$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chan, Curtis</creatorcontrib><creatorcontrib>Bavinton, Benjamin R.</creatorcontrib><creatorcontrib>Prestage, Garrett E.</creatorcontrib><creatorcontrib>Broady, Timothy R.</creatorcontrib><creatorcontrib>Mao, Limin</creatorcontrib><creatorcontrib>Rule, John</creatorcontrib><creatorcontrib>Wilcock, Ben</creatorcontrib><creatorcontrib>Holt, Martin</creatorcontrib><title>Changing Levels of Social Engagement with Gay Men Is Associated with HIV Related Outcomes and Behaviors: Trends in Australian Behavioral Surveillance 1998–2020</title><title>Archives of sexual behavior</title><addtitle>Arch Sex Behav</addtitle><addtitle>Arch Sex Behav</addtitle><description>Changes to how gay, bisexual, and other men who have sex with men (GBM) connect with each other and with their communities have implications for HIV prevention. Social engagement with gay men (defined as having friends who are gay men and spending time with them) has been associated with HIV related outcomes over time among Australian GBM. Using data collected in national, repeated, cross-sectional surveys of GBM between 1998 and 2020 (
N
= 161,117), analyses of trends in the prevalence of gay social engagement (GSE) in Australia were conducted using linear regression. To assess changing associations with GSE at different time points in the HIV epidemic, three cross-sectional analyses were conducted on factors associated with high and low GSE in 1999/2000, 2009/2010, and 2019/2020 using bivariate and multivariable logistic regression. GSE (scored from 0 to 7) declined among all participants from 4.76 in 1998 to 4.04 in 2020 (
p
< 0.001) with a steeper decline among GBM aged under 25 years from 4.63 in 1998 to 3.40 in 2020 (
p
< 0.001). In all timepoints, high GSE was associated with older age, being university educated, full time employment, identifying as gay, recent HIV testing, and PrEP uptake. While mostly associated with protective behaviors, high GSE was also associated with some practices that may put GBM at risk of HIV infection such as drug-enhanced sex and group sex in the most recent timepoint. Changing levels of GSE have implications for health promotion among GBM, particularly how to engage GBM less connected to gay social networks.</description><subject>Behavioral Science and Psychology</subject><subject>Bisexuality</subject><subject>Cross-sectional studies</subject><subject>Disease prevention</subject><subject>Employment</subject><subject>Expenditures</subject><subject>Gays & lesbians</subject><subject>Health education</subject><subject>HIV</subject><subject>Homosexuality</subject><subject>Human immunodeficiency virus</subject><subject>Men who have sex with men</subject><subject>Mens health</subject><subject>Original Paper</subject><subject>Psychology</subject><subject>Public Health</subject><subject>Sexual Behavior</subject><subject>Social interaction</subject><subject>Social networks</subject><subject>Social 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sexual behavior</jtitle><stitle>Arch Sex Behav</stitle><addtitle>Arch Sex Behav</addtitle><date>2022-07-01</date><risdate>2022</risdate><volume>51</volume><issue>5</issue><spage>2509</spage><epage>2521</epage><pages>2509-2521</pages><issn>0004-0002</issn><eissn>1573-2800</eissn><abstract>Changes to how gay, bisexual, and other men who have sex with men (GBM) connect with each other and with their communities have implications for HIV prevention. Social engagement with gay men (defined as having friends who are gay men and spending time with them) has been associated with HIV related outcomes over time among Australian GBM. Using data collected in national, repeated, cross-sectional surveys of GBM between 1998 and 2020 (
N
= 161,117), analyses of trends in the prevalence of gay social engagement (GSE) in Australia were conducted using linear regression. To assess changing associations with GSE at different time points in the HIV epidemic, three cross-sectional analyses were conducted on factors associated with high and low GSE in 1999/2000, 2009/2010, and 2019/2020 using bivariate and multivariable logistic regression. GSE (scored from 0 to 7) declined among all participants from 4.76 in 1998 to 4.04 in 2020 (
p
< 0.001) with a steeper decline among GBM aged under 25 years from 4.63 in 1998 to 3.40 in 2020 (
p
< 0.001). In all timepoints, high GSE was associated with older age, being university educated, full time employment, identifying as gay, recent HIV testing, and PrEP uptake. While mostly associated with protective behaviors, high GSE was also associated with some practices that may put GBM at risk of HIV infection such as drug-enhanced sex and group sex in the most recent timepoint. Changing levels of GSE have implications for health promotion among GBM, particularly how to engage GBM less connected to gay social networks.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35672592</pmid><doi>10.1007/s10508-022-02310-x</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-3917-8992</orcidid><orcidid>https://orcid.org/0000-0003-0995-5789</orcidid><orcidid>https://orcid.org/0000-0002-2586-8274</orcidid><orcidid>https://orcid.org/0000-0001-5834-8278</orcidid><orcidid>https://orcid.org/0000-0002-9581-1011</orcidid><orcidid>https://orcid.org/0000-0002-4341-1868</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Archives of sexual behavior, 2022-07, Vol.51 (5), p.2509-2521 |
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| subjects | Behavioral Science and Psychology Bisexuality Cross-sectional studies Disease prevention Employment Expenditures Gays & lesbians Health education HIV Homosexuality Human immunodeficiency virus Men who have sex with men Mens health Original Paper Psychology Public Health Sexual Behavior Social interaction Social networks Social Sciences Surveillance Time Trends |
| title | Changing Levels of Social Engagement with Gay Men Is Associated with HIV Related Outcomes and Behaviors: Trends in Australian Behavioral Surveillance 1998–2020 |
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