Barebacking identity among HIV-positive gay and bisexual men: demographic, psychological, and behavioral correlates
Halkitis, P.N.; Wilton, L.; Wolitski, R.J.; Parsons, J.T.; Hoff, C.C.; Bimbi, D.S.
Aids 19(Suppl): S27-S35
2005
ISSN/ISBN: 0269-9370 PMID: 15838192 DOI: 10.1097/01.aids.0000167349.23374.a3Document Number: 265085
Objectives: To determine the correlates associated with barebacking identity among HIV-positive gay and bisexual men.Design: An analysis of data from the baseline quantitative assessment of a randomized controlled intervention study of 1168 HIV-positive gay and bisexual men from New York City and San Francisco.Methods: Participants were actively and passively recruited from mainstream gay venues, AIDS service organizations, and public and commercial sex environments. Participants completed a computerized quantitative questionnaire assessing their identity as a barebacker, sexual behavior, demographic factors, psychosocial states, perceptions of health risks, and substance use.Results: Men of color were less likely to identify themselves as barebackers. Men who did identify themselves as barebackers were slightly younger. They were more likely to miss a dose of medication; report drug use (non-injection and injection); exhibit higher levels of sexual compulsivity and lower personal responsibility for safer sex; and report higher rates of unprotected insertive anal intercourse, unprotected receptive anal intercourse, and unprotected insertive oral intercourse with all partners, regardless of their HIV serostatus.Conclusion: Barebacking and its corresponding behaviors pose immediate public health risks for HIV-positive gay and bisexual men. Further work is needed to understand this phenomenon more fully in relation to the psychological, sociological, biomedical, and cultural realities. (c) 2005 Lippincott Williams & Wilkins.