Age differences and sexual risk behaviour among Australian gay and bisexual men
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Age differences and sexual risk behaviour among Australian gay and bisexual men

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Ben Bavinton discusses the findings of the PASH study with regard to the sexual behaviour of young gay men.

Ben Bavinton discusses the findings of the PASH study with regard to the sexual behaviour of young gay men.

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Age differences and sexual risk behaviour among Australian gay and bisexual men Age differences and sexual risk behaviour among Australian gay and bisexual men Presentation Transcript

  • Age differences and sexual risk behaviour among Australian gay and bisexual men Benjamin R Bavinton The Kirby Institute, UNSW Australia 13th Social Research Conference on HIV, Viral Hepatitis and Related Diseases Symposium: Are young gay men really so different? 20 February 2014
  • Title Sub-title • Pleasure and Sexual Health (PASH): – Online cross-sectional survey conducted in 2009 – Data reported here are from 1,476 HIV-negative men
  • Results • The vast majority of gay men have sex with people around their own age. • Respondents’ own age was not associated with having UAI. • Younger age was marginally associated with taking the receptive position in anal sex. • Generally, relative age difference was not associated with engaging in UAI. • Younger men having sex with much older men was associated with sexual sensation seeking, and identifying as a “boy”. • In younger men having UAIC: decisions about condom use were mostly made by the respondent and were not related to age difference.
  • Discussion • Previous research: – Internationally: having sex with (much) older men has been associated with increased HIV risk. – Australia: having a much older partner may be associated with increased HIV risk; though age difference is not related to UAI. • Age difference related to sexual position. • No support for assumptions about age-related power dynamics and risk behaviour. • The role of “daddy/boy” subcultures.
  • Health Promotion Implications • Although most men have sex with men of the same age, HIV prevention programs should not assume this to always be the case. • Social stigma attached to young men having sex with (much) older men may need to be challenged to enable HIV prevention. • The assumption younger men lack power during sex with older men may need to be questioned. • Younger men who explicitly desire sex with (much) older men should be aware of the higher background prevalence of HIV among older gay men. • Health promotion may need to specifically target gay men engaged in age-differentiated sex and to address the values and beliefs associated with such behaviour.
  • Acknowledgements • PASH Study Participants • Co-authors: Garrett Prestage, Michael Hurley, Jeff Jin, Stephen Scott • Other members of the PASH Study Team: Ian Down, Jack Bradley, Pól McCann, Graham Brown • Funders: Departments of Health of NSW, Victoria, South Australia and Western Australia Citation: Prestage G, Jin F, Bavinton B, et al. Sex Transm Infect 2013;89:653–658.