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Increasing numbers of lesbian, gay and bisexual ( LGB) adults are entering into parenthood. Previous studies indicate many of these parents receive little or no support from their families of origin due to family members' negative attitudes toward homosexuality. This study looks at the extent to which LGB parents report a lower sense of connectedness to family of origin and friendship networks than heterosexual parents and whether this has an impact on psychological wellbeing in either of these groups. Data were derived from two studies of parents: Work, Love, Play, a study of Australian and New Zealand LGB parents (n=324); and the Longitudinal Study of Australian Children, a population-based study of young children and parents (n=6460). Structural equation modelling was used to explore the relationships between: parent sexuality and family/friendship connectedness, family/friendship connectedness and psychological wellbeing, parent sexuality and psychological wellbeing. LGB parents reported feeling less connected to their families of origin but more connected to their friendship groups than heterosexual parents. Counter to previous studies, we found no difference in the psychological wellbeing of LGB parents compared to heterosexual parents when examining the direct effect of sexuality on psychological wellbeing. Clinical implications for counsellors and family therapists are discussed. [ABSTRACT FROM AUTHOR]

Gay men face a greater risk of psychological distress than heterosexual men, yet research on protective factors among gay men has been limited. This prospective cohort study investigated whether a sense of coherence (SOC), as a form of coping, helps to protect against psychological distress among middle-aged and older gay men. A nationwide online survey was conducted among a baseline sample of 1135 Australian gay-identified men aged 40 years and older, with a follow-up survey 12 months later. SOC was measured using the 13-item SOC Scale. Psychological distress was measured using the K10 Psychological Distress Scale. Hierarchical regressions were conducted, with analyses controlling for several potential risk factors for distress. Over half of participants had moderate or high psychological distress. However, baseline distress was significantly lower among those with stronger baseline SOC. In addition, baseline SOC significantly predicted distress 12 months later. This predictive effect of SOC was independent of baseline distress levels and occurred despite a strong correlation between baseline and follow-up distress. With SOC appearing to be a protective factor, strategies among middle-aged and older gay men that strengthen SOC may assist in the prevention and treatment of anxiety and other psychological distress in this vulnerable population. [ABSTRACT FROM AUTHOR]

Introduction and Aims. Use of methamphetamine appears to be greater among gay men than in the general population, yet little data are available on factors associated with use, especially among older men. This study identifies factors associated with reported methamphetamine use among older Australian gay men. Design and Methods. Data were collected from an online survey involving 1135 HIV-positive and HIV-negative gay-identified men aged 40 years and older. Results. One in eight men in the sample, or 13%, reported using methamphetamine in the past 12 months. Patterns of reported use were similar across the country, with no significant differences between major states and territories. Reported methamphetamine use was considerably more prevalent among HIV-positive (24%) than HIV-negative men (11%). In a multivariable logistic regression, reported use was significantly greater among men in their 40s compared with those in their 50s and older ( P = 0.002), who were single as opposed to being in an ongoing relationship ( P = 0.03), who were HIV-positive ( P = 0.003), and who reported using other drugs for non-medical purposes in the past 12 months ( P < 0.001). Socioeconomic status and psychosocial variables, such as experiences of discrimination and psychological distress, were not significant factors for reported methamphetamine use. Discussion and Conclusions. Relatively high rates of reported use of methamphetamine were found across the country in this online sample of older Australian gay men. National approaches to health education strategies may be needed, with a focus on high prevalence populations, such as those infected with HIV. [Lyons A, Pitts M, Grierson J. Methamphetamine use in a nationwide online sample of older Australian HIV-positive and HIV-negative gay men. Drug Alcohol Rev 2013;32:603-610] [ABSTRACT FROM AUTHOR]

Little is known about what it is like to age as a gay man. This study explores the psychosocial well-being of older gay men, including associations between present life experiences and self-esteem and subjective well-being. A nationwide community-based online survey was conducted involving 840 Australian gay men. Results showed men aged 60 and over were poorer and more likely to live alone than those in their 40s and 50s but drew greater support from friendships and community organizations. Although less optimistic about their future, they had higher self-esteem and rated their subjective well-being no lower than their middle-aged counterparts. Good physical health, a satisfying sex life, feeling supported, and fewer experiences of discrimination were key factors in self-esteem and subjective well-being. These and other findings offer important insights into the psychosocial well-being of older gay men that health and social support services ought to consider when working with this population. [ABSTRACT FROM AUTHOR]

According to mathematical modeling, HIV is more likely to spread through a population of men who have sex with men when high numbers practice versatile anal sex roles, that is, engage in both insertive (IAI) and receptive anal intercourse (RAI). Yet, actual patterns of versatility remain largely unknown, particularly among older men who currently face growing rates of HIV. In this study, 1,135 Australian gay men aged 40 years and older completed a national online survey of their sexual health and behavior over the past 12 months. Of men who had anal intercourse, 62 % engaged in both IAI and RAI. Factors associated with being versatile included younger age ( P = 0.01), higher income ( P = 0.009), and larger numbers of sexual partners ( P = 0.003). Among men with multiple sexual partners, 20 % were highly versatile, that is, reported similar numbers of IAI and RAI partners. Having HIV ( P = 0.003) and living in a rural area ( P = 0.04) were significantly associated with being highly versatile. These data point to high rates of versatility among older Australian gay men, with implications for mathematical predictions of change in HIV epidemics and for the design of future HIV prevention strategies. [ABSTRACT FROM AUTHOR]

Men who have sex with men (MSM) are typically studied as though they were a homogeneous population. This has resulted in a lack of knowledge about the sexual health and behavior of bisexual men as distinct from gay men. In this study, patterns of sexual behavior and rates of HIV testing were compared between 854 gay-identifying and 164 bisexual-identifying men who participated in an Australian nationwide online survey. Approximately half of both groups engaged in unprotected anal intercourse (UAI) at their most recent sexual encounter, but bisexual-identifying men were more likely to have had sex with a partner who was either serodiscordant or with whom their seroconcordance was unknown. Despite these patterns, only 62% of bisexual-identifying men had ever been tested for HIV compared to 84% of gay-identifying men. Multivariate logistic regression focused on rates of UAI and HIV testing among bisexual-identifying men. Patterns were similar across all age groups and educational backgrounds. However, bisexual-identifying men were less likely to engage in UAI with a casual partner and were more likely to have been tested for HIV if they had multiple partners or had disclosed their sexual orientation to their social networks. In all, these data reveal important differences between gay- and bisexual-identifying men, particularly with regard to HIV testing, and highlight a need for HIV prevention strategies to focus more strategically on finding ways of promoting safer sex and HIV testing among all MSM. [ABSTRACT FROM AUTHOR]

In this article we present findings from the Work, Love and Play (WLP) study: a survey completed by 445 same-sex attracted parents across Australia and New Zealand. Compansons of household division of labour are made between a sub-sample of WLP participants, who were currently cohabiting with a same-sex partner (n = 317), and 958 cohabiting opposite-sex parents surveyed as part of a major Australian study, Negotiating the Life Course. This comparison showed that same-sex couples divided household labour significantly more equally than heterosexual parents, and lesbian couples also shared parenting tasks more equally. Qualitative findings from the WLP study indicate that, for many same-sex couples, major decisions around who gives up paid work and how many hours parents choose to work, as well as decisions around work/family balance, are negotiated on the basis of couple's preferences and circumstance rather than an assumption that one parent will be the primary child carer It is speculated that this finding highlights an important point of difference between same-sex couples and heterosexual couples where the division of household labour is often based on the assumption that the mother will almost always be the primary child carer and homemaker. The research is a collaborative partnership between La Trobe University, Deakin University, The University of Melbourne, and Relationships Australia Victoria. [ABSTRACT FROM AUTHOR]

Since the introduction of highly active antiretroviral therapy, people living with HIV/AIDS (PLWHA) are living longer, into older age, and therefore presenting a host of new challenges for health and social service providers. However, not all PLWHA are likely to experience similar transitions into older age. In particular, research has yet to fully investigate the health and psychosocial well-being of older HIV-positive gay men. Drawing from an Australian population-based sample of 693 HIV-positive gay men, the present study assesses the overall health and well-being of this older group compared to their younger counterparts. While older men reported greater comorbidity and were more likely to be living in poverty, other health and well-being indicators suggest this group to be coping comparatively well as they continue to age with HIV. These findings provide new directions for meeting the present and future needs and challenges of older HIV-positive gay men. [ABSTRACT FROM AUTHOR]

The article presents a study concerning the knowledge and experience of gay men and other homosexually active men about anal dysplasia, anal Pap smear tests, and human papillomavirus (HPV). The study has involved three hundred eighty-four men attending a large gay community event in Melbourne, Australia. It shows that the test for anal dysplasia is still largely unknown among Australian gay men and that they have poor sense of personal susceptibility to the disease.

This paper examines the use of the categories bisexual and men who have sex with men (MSM) in sex, sexuality and sexual health research. We study the deployment of these categories in the research literature, using sets of studies published between 1990 and 2004 (bisexual set: n = 2,859; MSM set: n = 986). These sets were established using an approach developed by the authors in an earlier review of sexual health literature for the World Health Organisation (WHO). The approach uses insights from Weberian methodology. We ascribe value to research outcomes which provide contextually sensitive evidence for the design and/or evaluation of sexual health interventions, and are concerned about the creation within research of subjects who become reduced to risky or at-risk groups, or subject of public health surveillance and control. The categories bisexual and MSM are mostly ascribed without attention to social or cultural settings, and to designate risky or at-risk populations or behaviours. [ABSTRACT FROM AUTHOR]

This study documents gay men's communication patterns about unprotected sex. Gay men (n = 206) completed a structured interview about their social networks. The 167 men who had had unprotected sex identified 1390 social relations; 32.6% had involved discussing an episode of unprotected sex. Discussions about unprotected sex were associated with the nature of the relationship, whether the other party was gay or lesbian, how often the parties spent time together, whether the relationship had been sexual, and the density of the other parties' social network. Social networks provide an important context for the maintenance of safe sex cultures. [ABSTRACT FROM AUTHOR]

Background: Lesbians and gay men have disproportionately high rates of depression and anxiety, and report lower satisfaction with treatments. In part, this may be because many health care options marginalize them by assuming heterosexuality, or misunderstand and fail to respond to the challenges specifically faced by these groups. E-therapies have particular potential to respond to the mental health needs of lesbians and gay men, but there is little research to determine whether they do so, or how they might be improved.Objective: We sought to examine the applicability of existing mental health e-therapies for lesbians and gay men.Methods: We reviewed 24 Web- and mobile phone-based e-therapies and assessed their performance in eight key areas, including the use of inclusive language and content and whether they addressed mental health stressors for lesbians and gay men, such as experiences of stigma related to their sexual orientation, coming out, and relationship issues that are specific to lesbians and gay men.Results: We found that e-therapies seldom addressed these stressors. Furthermore, 58% (14/24) of therapies contained instances that assumed or suggested the user was heterosexual, with instances especially prevalent among better-evidenced programs.Conclusions: Our findings, and a detailed review protocol presented in this article, may be used as guides for the future development of mental health e-therapies to better accommodate the needs of lesbians and gay men. [ABSTRACT FROM AUTHOR]

Aim Use of erectile dysfunction medications ( EDMs) is relatively common among gay and bisexual men and has been associated with human immunodeficiency virus sexual risk behavior. We aimed to determine what factors were related to EDM use on occasions when participants engaged in protected anal intercourse ( PAIC) and when they engaged in unprotected anal intercourse ( UAIC) with casual partners. Methods An online cross-sectional survey was conducted, resulting in a sample of 1,376 Australian gay and bisexual men who reported an occasion of anal intercourse with casual male partners in the previous year. Main Outcome Measure The main outcome measure was the use of EDM during most recent occasions of PAIC and UAIC. Results Men were as likely to use EDM on occasions when they were using condoms (11.6%) as they were on occasions when they did not use condoms (13.0%). There was no association between use of EDM and self-esteem, nor was there an association between sexual risk behavior and self-esteem. Men who used EDM were more sexually active overall and appeared to often use EDM to enhance and extend their sexual experiences. Conclusions Men did not appear to use EDM specifically for the purposes of risk-taking and mainly used EDM to enhance sexual pleasure. Mental health issues were not indicated by use of EDM. Prestage G, Jin FY, Bavinton B, Grulich A, Brown G, Pitts M, and Hurley M. Australian gay and bisexual men's use of erectile dysfunction medications during recent sexual encounters. J Sex Med 2014;11:809-819. [ABSTRACT FROM AUTHOR]