TY - JOUR
T1 - Sexual behavior among HIV-positive men who have sex with men
T2 - What's in a label?
AU - Hart, Trevor A.
AU - Wolitski, Richard J.
AU - Purcell, David W.
AU - Gómez, Cynthia
AU - Halkitis, Perry
AU - Stirratt, Michael
AU - Remien, Robert
AU - Parsons, Jeffrey
AU - O'Leary, Ann
AU - Hoff, Colleen
AU - Hays, Robert
AU - Carey, James
AU - Ambrose, Timothy
N1 - Funding Information:
This research was conducted as part of the Seropositive Urban Men's Study (SUMS). It was supported by the Centers for Disease Control and Prevention through cooperative agreements with New Jersey City University (U62/CCU213605), Rutgers University (U62/CCU2133607), and University of California, San Francisco (U62/CCU913557). The authors acknowledge the following SUMS collaborators for their contributions: Michael Stirratt, Robert Remien, Jeffrey Parsons, Ann O'Leary, Colleen Hoff, Robert Hays, James Carey, and Timothy Ambrose. The authors also gratefully acknowledge Barbara Marin and Ann O'Leary for comments on an earlier version of the manuscript. In addition, the authors thank the members of the SUMS community advisory boards in New York City and San Francisco for their guidance and thoughtful feedback.
PY - 2003/5
Y1 - 2003/5
N2 - Relatively little attention has been paid to the use and importance of labels used by men who have sex with men to describe insertive or receptive sexual behavior during intercourse. This study examines sexual self-labels, sexual behavior, HIV transmission risk, and psychological functioning among 205 HIV-seropositive men who have sex with men. The majority of participants (88%) identified as a "top," a "bottom," or "versatile." Tops were more likely to engage in insertive anal intercourse than bottoms, and bottoms were more likely to engage in receptive anal intercourse than tops, with versatiles reporting intermediate rates of both behaviors. Although the results suggest preliminary evidence regarding the predictive utility of self-labels, sexual behaviors of self-label groups were greatly overlapping. Differences were found among self-label groups in gay self-identification, internalized homophobia, sexual sensation seeking, and anxiety. Results suggest an added value in assessing self-labels in addition to asking about sexual behavior.
AB - Relatively little attention has been paid to the use and importance of labels used by men who have sex with men to describe insertive or receptive sexual behavior during intercourse. This study examines sexual self-labels, sexual behavior, HIV transmission risk, and psychological functioning among 205 HIV-seropositive men who have sex with men. The majority of participants (88%) identified as a "top," a "bottom," or "versatile." Tops were more likely to engage in insertive anal intercourse than bottoms, and bottoms were more likely to engage in receptive anal intercourse than tops, with versatiles reporting intermediate rates of both behaviors. Although the results suggest preliminary evidence regarding the predictive utility of self-labels, sexual behaviors of self-label groups were greatly overlapping. Differences were found among self-label groups in gay self-identification, internalized homophobia, sexual sensation seeking, and anxiety. Results suggest an added value in assessing self-labels in addition to asking about sexual behavior.
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U2 - 10.1080/00224490309552179
DO - 10.1080/00224490309552179
M3 - Article
C2 - 12908125
AN - SCOPUS:0038015603
VL - 40
SP - 179
EP - 188
JO - Journal of Sex Research
JF - Journal of Sex Research
SN - 0022-4499
IS - 2
ER -