ORIGINAL RESEARCH-MEN’S SEXUAL HEALTH
HIV Risk in Group Sexual Encounters: An Event-Level Analysis from a National Online Survey of MSM in the U.S.
Article first published online: 27 JUN 2013
© 2013 International Society for Sexual Medicine
The Journal of Sexual Medicine
Volume 10, Issue 9, pages 2285–2294, September 2013
How to Cite
Grov, C., Rendina, H. J., Ventuneac, A. and Parsons, J. T. (2013), HIV Risk in Group Sexual Encounters: An Event-Level Analysis from a National Online Survey of MSM in the U.S. Journal of Sexual Medicine, 10: 2285–2294. doi: 10.1111/jsm.12227
- Issue published online: 3 SEP 2013
- Article first published online: 27 JUN 2013
- Pillow Talk. Grant Number: R01 MH087714
- MiChat. Grant Number: R03 DA031607
- W.I.S.E.. Grant Number: R01 DA029567
- National Institute of Mental Health Individual Predoctoral Fellowship. Grant Number: F31 MH095622
- Group Sex;
- Sex Parties;
- Men Who Have Sex with Men;
- Unprotected Anal Intercourse;
- Gay and Bisexual Men;
- Substance Use
Researchers have investigated group sexual encounters (GSEs) as potential sources for HIV/STI transmission among men who have sex with men (MSM); however, much of this work has focused on organized sex parties.
To compare behavioral and social characteristics of groups of men who engaged in three types of GSEs: threesomes, spontaneous group sex, and organized sex parties.
In 2012, 1,815 U.S.-based MSM completed an online survey.
Main Outcome Measure
We compared men based on their most recent type of GSE: threesome (68.2%), spontaneous group sex (19.7%), or organized sex party (12.1%).
Using multinomial logistic regression, with type of GSE as the dependent variable, MSM who were HIV-positive, used stimulants (cocaine, methamphetamine, crack), consumed five or more alcoholic drinks, and reported receptive unprotected anal intercourse (UAI) during the most recent GSE had significantly higher odds of having had spontaneous group sex as compared to a threesome. MSM who were HIV-positive, not in a relationship, and did not report receptive UAI during the most recent GSE had significantly higher odds of having attended an organized sex party as compared to a threesome. MSM who were in a relationship, had consumed five or more alcoholic drinks, had used stimulants, and reported receptive UAI during the most recent GSE had significantly higher odds of having had spontaneous group sex as compared to an organized sex party. Compared to others, those having engaged in a GSE were more likely to report recent UAI (65% vs. 45%).
Men having engaged in a GSE were at greater risk for behaviors that transmit HIV and STIs. Unique social and behavioral characteristics inherent to threesomes, spontaneous group sex, and sex parties highlight the need to identify prevention strategies to help those who participate in GSEs reduce their risk for HIV and STI transmission. Grov C, Rendina HJ, Ventuneac A, and Parsons JT. HIV risk in group sexual encounters: An event-level analysis from a national online survey of MSM in the U.S. J Sex Med 2013;10:2285–2294.