What I Learned om Ttg Men for HIV at Gay Bathho

Contents:

• INTY, CONNECTEDNS, AND SEXUAL HEALTH THE GAY SNA
• UNCLOAKG DIRE: EXPERIENCG THE GAY SNA
• HISTORY LSON: WHY SNAS REMA IMPORTANT TO GAY CULTURE
• WHAT I LEARNED OM TTG MEN FOR HIV AT GAY BATHHO
• GAY SNA EXPERIENC
• REVIEWSGAY SNAS AND THE RISKS OF HIV AND SYPHILIS TRANSMISSNS CHA—RULTS OF A META‐ANALYSIS
• GAY SNAS AND THE RISKS OF HIV AND SYPHILIS TRANSMISSNS CHA—RULTS OF A META‐ANALYSIS
• THE FUTURE OF BRA’S GAY SNAS
• LONDON GAY SNAS

INTY, CONNECTEDNS, AND SEXUAL HEALTH THE GAY SNA

There are rerds of gay men g snas for sex the fifteenth century but was the send half of the twentieth century that gay snas beme more wispread London, New York, and other major ci (Bébé, 1996) sexual health of sna ers has been a signifint foc of both rearchers and mentators (e. In orr to addrs this lacuna rearch, this article foc on the meangs and experienc that gay men livg the English cy of Leicter attribute to the gay sna, the role of the sna their sense of inty, and how they nste their sexual behavr this Health Among Gay MenOf the 89, 400 people livg wh HIV the England 2016, 51% were gay men (PHE, 2018a), and, of the 4370 new HIV diagnos 2017, 53% (n = 2330) were among gay men (Nash et al., 2018). This epimlogil profile among gay men n be attributed to the high equency of sex, multiple sexual partners, and high prevalence of ndomls sex this populatn (Jaspal, 2019) Risk and Preventn the Gay SnaIn their survey study of 134 gay sna ers South Wt England, Horwood et al.

(2016) found high rat of HIV risk behavr – participants reported higher numbers of sual sexual partners and higher equency of unprotected anal sex than muny sampl of gay men reced non-sna settgs. (2005) noted that gay sna attendance was a signifint risk factor for hepatis A fectn, and that the vast majory of those fected had had sex a gay of the sexual health iativ gay snas clu the dissematn of sexual health knowledge, the provisn of STI screeng and HIV ttg, and awarens-raisg regardg PrEP and post-exposure prophylaxis (PEP). In several studi, rearchers have found high acceptabily and effectivens of HIV self-ttg gay snas although they do acknowledge the need to ascerta the bt way of implementg this service wh the sna (Huebner, Bson, Pollack, & Woods, 2012; Woods, Lippman, Agnew, Carroll, & Bson, 2016).

UNCLOAKG DIRE: EXPERIENCG THE GAY SNA

Ccially, HIV preventn gay snas n target subgroups of gay men who might not ordarily engage wh sexual health servic and who might therefore be missed through nventnal HIV preventn rout (Debattista, 2015), effective terventns should be rmed by social psychologil rearch that ptur the views, perceptns, and behavrs of the target populatn the target ntext, that is, the diverse inti of the people whom we wish to target (Fish, Papaloas, Jaspal, & Williamson, 2016). When the prcipl are challenged, the dividual experienc threats to inty, which is aversive for psychologil has been some rearch that sheds light on the impact of the gay sna on the inti of ers.

HISTORY LSON: WHY SNAS REMA IMPORTANT TO GAY CULTURE

Drawg on semi-stctured terviews and archival data, Prr (2009) has argued that the gay sna played an important role the nstctn of a gay culture and inty Sydney, Atralia, partly bee enabled gay men to explore, velop, and exprs their sexual inti the face of the homophobic stigma they faced. The gay sna uld promote ntuy and self-teem on the basis of one’s sexual inty the face of external threats to this inty the form of social their terview study of gay sna ers Sydney, Atralia, Prr and Cack (2010, p.

WHAT I LEARNED OM TTG MEN FOR HIV AT GAY BATHHO

93–94) found that the gay sna functned as a “relig-spirual space removed om the fluence of a domant relig stutn, ” which enabled s ers to engage pleasurable, self-thentitg acts away om the stigma of heteronormative Atralian society.

GAY SNA EXPERIENC

134) their study of 23 ers of a gay sna Toronto, Hbrich, Myers, Calzavara, Ryr, and Medved (2004) found that ers emphasized the ease of accs to sex the sna ( ntrast to gay bars, for stance), that they valued the anonymy of sexual enunters and, importantly, that they felt safe there.

Acrdgly, the prent study draws on tes of inty procs theory to explore the meangs and experienc that gay men livg Leicter attribute to the gay sna, the role of the sna their sense of inty, and how they nste their sexual behavr this ntext.

They all believed themselv to be HIV-negative at the time of the terviews were guid by a semi-stctured terview schle that foced on the followg areas: self-scriptn, self-tegorizatn, motivatns for g the gay sna, sexual behavrs and experienc the gay sna, sexual inty, and sexual health perceptns. The clu (1) inty thenticy the gay sna; (2) social nnectedns among sna ers; (3) sexual risk and sexual health the sna; and (4) protectg the inty functns of the gay Soc-Spatial Characteristics of the SnasEach gay sna has s own soc-spatial stcture, characteristics, and cultural “norms” which turn fluence and gui the behavr of s ers, staff members, and sexual health service provirs, such as Natnal Health Service (NHS) nurs, muny workers, wh the premis.

REVIEWSGAY SNAS AND THE RISKS OF HIV AND SYPHILIS TRANSMISSNS CHA—RULTS OF A META‐ANALYSIS

For stance, a sna may be known among s clients for attractg a particular subgroup of gay men, such as younger gay men or those wh particular sexual terts, and there may be different norms relatn to ndom e among A is the largt and newt of the three snas and has a social space on the ground floor and a space for sexual activy on the first floor. Inty Authenticy the Gay SnaSeveral participants discsed the need to nceal aspects of their sexual inty, such as their sexual orientatn or sexual preferenc, social settgs outsi of the sna environment. (Olly, gay)Like Olly, participants scribed their experience the sna metaphorilly terms of the abily to “let yourself go” and to bee “a different person, ” potentially enhancg their sense of distctivens.

Moreover, there was a sense of shared, superordate social inty the gay sna built around a mon goal: “you’re here for the same thg, ” that is, pursu of a sexual enunter wh another man. This uld facilate feelgs of ers ntrasted their experience the gay sna wh the “outer world” that was perceived as heteronormative and judgmental toward norms and practic associated wh homosexualy:Then you go here, and everyone is really iendly, which mak even easier.

(Karim, straight-cur)Karim, who intified as “straight-cur, ” reported a sense of rejectn and excln om some social spac outsi of the sna settg due to his sexual inty – not least the gay scene where he rived no sense of belonggns. ” Karim’s acunt reerat the wispread perceptn among terviewe that the mastream gay scene was not nducive to a sense of inty thenticy, but that the gay sna perceptn of the gay sna as a sexual space was elaborated to pture s clivy and open-mdns. ” His acunt reerated the wispread nstal of the gay sna as an clive sexual space which inty thenticy was renred possible, but also which his ntuy (between private and public inti) and belonggns uld be Connectedns Among Sna UsersAs Olly dited his acunt, thenticy was also related to the sense of nnectn and monaly among sna ers.

GAY SNAS AND THE RISKS OF HIV AND SYPHILIS TRANSMISSNS CHA—RULTS OF A META‐ANALYSIS

The data show that social nnectedns was a key goal for most, view of the psychosocial strsors faced by some gay men, such as sexual inty issu and low levels of sexual inty disclosure, other social environments, such as bars and nightclubs, may be perceived as ls nducive to social nnectedns and to the formatn of iendships. For stance, some were unfortable wh the fact that alhol was served gay bars and nightclubs due to their relig fah, while others simply believed that the gay sna was more nducive to nversatn and terpersonal munitn than gay bars.

THE FUTURE OF BRA’S GAY SNAS

(Stt, gay)In short, the gay sna nstuted a space which ers were able to velop a sense of thenticy and to tablish effective and satisfyg social nnectns wh other men, which provid rpe om the feelgs of lonels and prsn that some reportedly experienced. The gay sna was generally nsted as a relaxg, clive and acceptg environment, which the “social pretense” of other gay ntexts, such as gay bars and clubs, was not necsary (Hbrich et al., 2004). Perhaps, as a rult of this posive nstal of the gay scene, all of the terviewe reported beg receptive to sexual health rmatn the snas that they Risk and Sexual Health the SnaInterviewe perceived the gay sna as a risky environment due to the availabily of multiple sexual partners and the high prevalence of ndomls sex.

LONDON GAY SNAS

Siarly, John referred to ndomls sex the gay sna as “dicg wh ath, ” highlightg his perceptn of HIV as a adly vis:Snas, particularly the London area or abroad, do not e many ndoms to tell you the tth. Like several other participants, Karim rived a feelg of ease om the visible culture of safer sex the gay terviewe acknowledged that there was sexual risk-takg the ntext and they too had had “slip ups” relatn to ndom e.