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Correlates of Recent Unprotected Anal Sex Among Men Having Sex With Men Attending a Large Sex Resort in the South

Crosby, Richard PhD*†; DiClemente, Ralph J. PhD*†‡§; Mettey, Aaron MPH*

doi: 10.1097/01.OLQ.0000088342.49343.B0
Article

Background Published studies have not investigated sexually transmitted disease-associated risk behaviors among men who have sex with men (MSM) attending U.S. sex resorts.

Goal We conducted an exploratory study to identify demographic and behavioral correlates of recently engaging in unprotected anal sex (UAS) among MSM attending a sex resort in the southern United States.

Study Design A cross-sectional survey of 150 men.

Results In multivariate analyses, men were more likely to practice risky sex if they also recently engaged in the practices of having group sex (adjusted odds ratio [AOR], 3.0), rimming (AOR, 2.0), or if they used public restrooms to meet potential sex partners (AOR, 2.6). UAS was also more likely among men vaccinated against hepatitis B (AOR, 1.9). Men who reported having primary partners and men who reported being HIV-positive were no less likely than other men in the sample to report recent UAS.

Conclusion Sex resorts can be an important venue for sexually transmitted disease and HIV prevention among MSM. Tailored prevention messages could be warranted for men who report group sex, rimming, meeting partners in public restrooms, or being vaccinated against hepatitis B.

A study of gay men attending a sex resort identified correlates of engaging in unprotected anal sex. Correlates included having group sex, rimming, using public restrooms to meet sex partners, and vaccination against hepatitis B.

*Rollins School of Public Health, Department of Behavioral Sciences & Health Education, Emory Center for AIDS Research, Emory University School of Medicine, Department of Pediatrics, Division of Infectious Diseases, Epidemiology and Immunology, and §Emory University School of Medicine, Department of Medicine, Division of Infectious Diseases, Atlanta, Georgia

The authors thank the Emory Center for AIDS Research for supporting this study.

Correspondence: Richard Crosby, PhD, Rollins School of Public Health of Emory University, Department of Behavioral Sciences and Health Education, 1518 Clifton Road, NE, Room 542, Atlanta, GA 30322. E-mail: rcrosby@sph.emory.edu

Received for publication April 28, 2003,

revised July 1, 2003, and accepted July 9, 2003.

© Copyright 2003 American Sexually Transmitted Diseases Association