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Prior research with heterosexual and gay men suggests that heteronormative, hegemonic masculine norms influence sexual behaviors, including in relation to sexual health, and in sex between men, positioning in anal intercourse. This qualitative study offers an in-depth account of how bisexual men’s beliefs about masculinity and about the gendered nature of certain sexual behaviors may influence their experiences of sex with women and men, and the sexual practices they engage in. Twenty-two bisexual men participated in one-to-one, semi-structured interviews, where they were asked about their experiences of sex with women and men in relation to their beliefs about masculinity. A reflexive thematic analysis identified the influence of prevailing discourses of heteronormativity and hegemonic masculinity on sexual experiences and behaviors. Participants’ beliefs about masculinity and the gendered nature of certain aspects of sex influenced experiences relating to sexual performance, sexual assertiveness, positions adopted, practices engaged in, and how gender was enacted in sexual encounters. Sex with women was experienced as more masculine than sex with men: Participants described feeling more sexually assertive than their sexual partners, in control of the encounter, and responsible for facilitating their partners’ sexual pleasure. Sex with men was experienced as more egalitarian and provided favorable opportunities to relinquish sexual control and responsibilities around facilitating pleasure, and to feel less masculine, including by engaging in receptive anal intercourse. Findings therefore indicate that, for some bisexual men, masculinity is highly salient, influencing a range of sexual behaviors and experiences in sex with women and with men. [ABSTRACT FROM AUTHOR]

This study aims to investigate the association between mindfulness and hopelessness among Chinese young gay and bisexual men, as well as the mediating roles of perceived parental support for sexual orientation and expectation of rejection. Differences between gay and bisexual men are also considered. Scales measuring mindfulness, hopelessness, perceived parental support for sexual orientation, and expectation of rejection were administered to 509 gay and bisexual men. Structural equation modelling was used to test the mediating pathways. As a result, mindfulness was negatively associated with hopelessness, with expectation of rejection acting as a mediator. Additionally, a sequential mediating effect of perceived parental support for sexual orientation and expectation of rejection was also found. Models differed significantly between gay and bisexual men, with gay men having a stronger effect on the path from mindfulness to expectation of rejection than bisexual men. In conclusion, Mindfulness may help improve hopelessness among gay and bisexual men. This may be further supported by increasing perceived parental support for sexual orientation and lowering the expectation of rejection. More mindfulness training should be provided, and this may be particularly relevant and useful for gay men. [ABSTRACT FROM AUTHOR]

Since people's attitude toward lesbians, gay men and bisexual people (LGB) affects young LGB people's mental health and subsequently their quality of life, it is important to establish people's attitudes toward LGB people. The current study examined attitudes toward lesbian, gay and bisexual people among Dutch students and the psychometrical characteristics of adapted instruments measuring attitudes toward sexual diversity. The students in the sample (N = 1.633) were recruited from secondary schools. The participants completed questionnaires with scales measuring attitudes toward LGB people. The results indicate that participants hold positive attitudes overall, but there are differences with regard to gender and educational level. In addition, the used instruments prove to be psychometrically sound for measuring LGB attitudes and this work contributes to the empirical debate about whether adolescents' attitudes toward lesbians, gay men and bisexual people underly domains of a general attitude toward LGB people. Our results indicate that students do not seem to distinguish among sexually diverse subgroups much, possibly a sign of increased awareness and knowledge of LGB groups. The use of one general measure of attitudes of sexually diverse people may be considered in future research. [ABSTRACT FROM AUTHOR]

Objectives Methods Results Discussion The study aimed to estimate the prevalence of sexualized drug use, or chemsex, in a wide group of gay, bisexual and other men who have sex with men (gbMSM) in Belgium. It examined which drugs gbMSM used before and during sex, the frequency with which they used it, whether they experienced non‐consensual sex, and evaluated the impact of chemsex on the health and professional and social lives of respondents.We conducted an online survey among Belgian gbMSM. Five specific questions on chemsex were included in the survey. These questions assessed whether gbMSM engaged in chemsex. If they did, they were asked to provide information on which drugs they had used and how often. We asked whether their and their partners' boundaries had been respected and whether and how engaging in chemsex had affected a range of life domains.Of 836 respondents, 258 (30.9%) self‐reported having had sex under the influence of substances (“chemsex”) in the previous 6 months. Of these, 227 (88%) were considered chemsex users according to the definition used for the analysis. Poppers (73%), gamma‐hydroxybutyrate/gamma‐butyrolactone (GHB/GBL; 69%) and cathinones (68%) were the most commonly reported substances. Almost half of respondents (45%) engaging in chemsex were high on drugs during at least half of their sexual encounters. Nearly 1 in 10 (9%) reported that boundaries had not been respected, suggesting non‐consensual sexual activities. The 82 respondents experiencing negative impacts from their chemsex use reported that mental health (65%), physical health (40%) and sexual health (38%) were most impacted.Our findings provide a snapshot of the current chemsex situation in Belgium. The frequency of chemsex is concerning because several health, professional and social aspects are impacted. Almost 1 in 10 respondents using chemsex reported that chemsex impacted consent around sex, requiring additional efforts to eradicate these non‐consensual sexual experiences. Therefore, larger scale research focusing on respected boundaries and consent during chemsex and the frequency of drug use for sex seems required. Additionally, sensitisation, as well as care and support programmes are critical. [ABSTRACT FROM AUTHOR]

Gay, bisexual, and other men who have sex with men (GBMSM) often use GPS-enabled dating apps and websites to facilitate in-person sexual encounters. Many of these encounters are positive and enjoyable. However, there is limited research on GBMSM's negative experiences with partners from hookup and dating apps/websites, especially those characterized by threats to GBMSM's sexual, physical, and/or psychological safety. In this report, we investigated this matter. We analyzed data from interviews with GBMSM (N = 60) and identified four categories of negative sexual experiences, each of which were comprised by sub-categories: 1) sexual violence (physical sexual assault, verbal sexual coercion, intoxicated assault/coercion), 2) sexual health risk behaviors (condom use resistance and coercion, deception related to HIV/STI status), 3) non-negotiated behaviors (undiscussed/unexpected sex acts, rough sex, sexualized racism, undesired substance use by the partner), and 4) threats to physical safety beyond sexual violence (being blocked from leaving, stalked, robbed, drugged). These results can inform future research and interventions that aim to promote safety on dating apps/websites within the GBMSM community. [ABSTRACT FROM AUTHOR]

Chronic pain has been highlighted as an important public health and clinical health issue. The prevalence of chronic pain has been increasing, with notable disparities for many minoritized populations. However, evidence regarding sexual minoritized populations and chronic pain is lacking. Therefore, the purpose of this study is to compare the prevalence of chronic pain among men and women by sexual identity. Data from the 2019 to 2021 National Health Interview Survey (n =78,686), a population-based public health surveillance system were analyzed in 2023–2024. This included 592 lesbian/gay and 952 bisexual women as well as 868 gay and 317 bisexual men. Chronic pain measures included frequency, amount of pain, pain limiting activities, and pain affecting family and others. Covariates included age, race/ethnicity, relationship status, education attainment, income, and employment status. After adjusting for covariates, significantly (p <0.05) more gay/lesbian (26.7%) and bisexual (31.6%) women reported experiencing chronic pain "most days or everyday" than straight women (21.7%). More bisexual women reported chronic pain as well as negative impacts in their life due to chronic pain than straight women. More bisexual men also reported experiencing chronic pain "most days or everyday" compared to straight men (26.1% versus 19.6%), although no differences were found for other aspects of pain. Sexual minoritized populations have a greater burden of chronic pain that should be considered in moving forward in pain work. Future work in this area is needed to understand why these disparities exist and how best to provide care and treatment to those affected. [ABSTRACT FROM AUTHOR]

Mainstream media portrayed monkeypox as a sexually transmitted disease through government guidance and increased a sense of hypersexualization and stigma among gay men and men who have sex with men (MSM). The purpose of this study is to understand how the US mainstream media perpetuated stigma toward gay and bisexual men (MSM) in its coverage of monkeypox in 2022. This article, therefore, contributes to the fields of queer studies and health communication. Using discourse analysis, we found three discourses including: Global disparities, LGBTQ Behavior and Stigma, and Racialized Discussion of Health Disparities. [ABSTRACT FROM AUTHOR]

Research has shown that LGBTQ+ candidates continue to face penalties at the ballot box, with particularly acute penalties for transgender candidates. However, the nuanced intersection of gender identity and sexual orientation has yet to be explored. Our project endeavors to do just that, by differentiating between transgender men, transgender women, and non-binary candidate gender identities, as well as including bisexual candidate sexual orientation. Our conjoint survey experiment finds, contrary to our expectations, that transgender women candidates do not face larger vote penalties than transgender men candidates, though candidates of either identity are more penalized than cisgender women and non-binary candidates. Also contrary to our expectations but in line with recent research, we find that bisexual men candidates (cis or transgender) are penalized more than bisexual women candidates (cis or transgender). Understanding the intersectionality of candidate gender identity and sexual orientation is critical for developing strategies to increase LGBTQ+ political representation. [ABSTRACT FROM AUTHOR]

Intimate partner violence (IPV) is a serious social and public health problem in the United States. Adverse childhood experiences (ACEs) and poor mental health are associated with IPV. Sexual minority men (SMM) experience each of these disproportionately; however, limited studies have examined the interrelationships of these variables among SMM. Cross-sectional data from the first wave (September 1, 2020–April 25, 2021) of the National Couples' Health and Time Study were used to assess the prevalence of physical, sexual, and psychological IPV victimization and perpetration and the association with ACEs and depression, anxiety, and stress among cisgender men in same-gender and different-gender relationships. Log-binomial regression was used to evaluate relationships, stratified by couples' gender identity. In a sample of 1,681 men, including 689 sexual minority men, 40.6% reported IPV victimization and 33.1% reported IPV perpetration. Stratified by couples' gender identity, victimization and perpetration were reported more frequently among men in different-gender relationships compared to men in same-gender relationships (40.7% vs. 33.9%; 33.2% vs. 30.2%). Psychological victimization and perpetration were the most commonly reported. Among men in same-gender relationships, depression symptoms had the highest association with IPV victimization (prevalence ratio [PR] = 2.14, 95% confidence interval [CI]: 1.56–2.95) and perpetration (PR = 1.72, 95% CI: 1.24–2.39). Research, clinical screenings, and other settings that focus on understanding and intervening on partner violence victimization and perpetration should intentionally consider the experiences of SMM in order to effectively promote healthy relationships and optimal mental health. [ABSTRACT FROM AUTHOR]

AbstractThis paper examines the influence of the COVID-19 pandemic on memories and metaphors associated with the earlier AIDS epidemic. It argues that while previous research has focused on how HIV informs COVID-19, the reverse relationship has received insufficient attention. The authors propose a more comprehensive understanding of the issues, using insights from the sociology of memory. Experiences during COVID-19 not only reshape perceptions of HIV in the present but also transform how we remember the AIDS crisis of the past. We discuss the impact of these pandemics particularly for gay and bisexual men and their connected communities. Doing so underscores the co-construction of collective memories in the present, suggesting that COVID-19 has not only redefined our experience of HIV, but it has also reframed our understanding of the earlier AIDS crisis. We conclude by highlighting the potential for these transformations to be leveraged for empowerment, political action and change. Revisiting and reframing our memories of AIDS in the light of COVID-19 can open up new avenues for optimism and positive engagement. [ABSTRACT FROM AUTHOR]

AbstractSexual minority men (SMM), and bisexual men in particular, show elevated risks of depressive symptoms relative to heterosexual men. A breadth of research shows that internalized heterosexism, a primary minority stressor, partially explains the disproportionately high levels of depressive symptoms among SMM. However, it is less clear which factors buffer this relationship. The present study investigated whether hope and its subfactors, agency and pathways, moderated the relationship between internalized heterosexism and depressive symptoms, and whether this was contingent on sexual orientation (gay versus bisexual). An international sample of 412 mostly cisgender gay (59.7%) and bisexual men (40.3%) aged 18–81 years (M = 37.32 years, SD = 14.26) completed the Revised Internalized Homophobia Scale, the Adult Dispositional Hope Scale, and the Center for Epidemiological Studies Depression Scale. Results indicated that internalized heterosexism, hope, agency, and pathways were independently associated with depressive symptoms. Hope, agency, and pathways did not moderate the internalized heterosexism-depressive symptoms relationship, nor were these moderation relationships conditional on sexual orientation. Findings substantiate previous research suggesting that internalized heterosexism is a risk factor for depressive symptoms and hope, agency, and pathways are protective factors. Clinicians working with SMM should consider integrating strategies to mitigate internalized heterosexism and cultivate hope, and scholars should aim to expand research focused on the role of hope in influencing SMM’s mental health outcomes. [ABSTRACT FROM AUTHOR]

AbstractEmotional intimacy is key to intimate partner relationship quality and satisfaction. For sexual minority men, queer and feminist theorists consistently link emotional intimacy to diverse sexual practices and partnership dynamics formulated within the relationship. This Photovoice study adds to those insights by drawing on individual photovoice interviews with 16 sexual minority men to describe participant’s experiences of, and strategies for emotional intimacy in their intimate relationships. Analysis revealed three distinct yet entwined themes: (i) embracing vulnerabilities to drive self-acceptance; (ii) building relationality with partners; and (iii) securing connections with family, friends and community. By embracing vulnerabilities to drive self-acceptance, participants spoke to embodied courage and autonomy as key components for addressing wide-ranging emotional intimacy challenges in their relationships. In theme two, building relationality with partners, participants described how empathy, trust and reciprocity underpinned collaborative work to foster emotional intimacy. Lastly, in securing connections with family, friends and community, acceptance and inclusion were key to participants’ sense of belonging and legitimacy which aided their emotional intimacy with partners. The findings provide guidance for tailored programmatic efforts to assist sexual minority men build intimate relationships. [ABSTRACT FROM AUTHOR]

Bisexuality in fatherhood is largely invisible, with very little known about the experiences of bisexual fathers. Conducted by researchers in the United Kingdom, this study is one of the first to explore the experiences of bisexual fathers, and, using an identify-focused approach, it aims to understand bisexual fathers' experiences of managing their bisexuality and role as a father. Twenty-four bisexual fathers in Europe and North America took part in qualitative, semistructured interviews that focused on their bisexual identity, becoming a parent, experiences of family life, and community involvement. Reflexive thematic analysis was conducted, and four themes were identified: valuing different types of authenticity, seeking safety in the community, reconciling bisexuality with the traditional family, and sharing and learning across age groups. Despite describing their identity as often invisible, fathers indicated that their personal identity had a significant impact on their social interactions as well as their individual parenting and family practices. Findings contrast stage models of LGBTQ+ identity development, as fathers' identity work practices were often more important for their identity development and integration than aspiring for full "outness." Findings expand our scholarly understanding of the role of identity in parenting and highlight the need to improve representation and support for bisexual fathers. [ABSTRACT FROM AUTHOR]

This study analyzes two waves of survey data from a prospective cohort study of secondary school students in Midwestern United States and shows that masculinity ideology contributes in varying degrees to dating violence perpetration across different gender and sexual orientation groups. Conformity to masculinity ideology not only elevates physical violence among bisexual male and lesbian youths, but also does it to a greater extent than its effect among heterosexual male youths. Gay youths, on the other than hand, report lower levels of physical violence perpetration with higher conformity to masculinity ideology. Conformity to masculinity ideology also precipitates higher levels of sexual violence perpetration among bisexual male and lesbian youths. Several policy implications for dating violence prevention are discussed. [ABSTRACT FROM AUTHOR]

Introduction: Mindfulness and mindfulness-based constructs (e.g. self-compassion and mindful eating) have been negatively associated with problematic eating and body-related issues in general and other specific populations. Exploration of mindfulness-based concepts in relation to problematic eating would provide novel insight into the relationships of these elements among gay and bisexual men. The present research aimed to identify the role of body acceptance in exploring previous relationships between mindfulness-based constructs and eating behaviours. Methods: Participants completed an online questionnaire, comprising measures assessing mindfulness, self-compassion, mindful eating, body acceptance, grazing, emotional eating, restrained eating and external eating (data collection occurred in 2022). Correlation and further mediation analysis was employed to assess the relationships of these constructs within the present sample (n = 164). Results: Positive associations between body acceptance and mindfulness-based concepts and negative associations to problematic eating (grazing; emotional, restrained, and external eating) were found within a sample of self-identified gay and bisexual men. Mediation analysis showed the importance of body acceptance in exploring relationships between mindfulness, self-compassion, and mindful eating to grazing, emotional, restrained and external eating. Conclusions: Findings highlight the importance of body acceptance when considering the development of mindfulness- and/or compassion-based interventions to attenuate problematic eating among gay and bisexual men. Policy Implications: This research consolidates the importance of mindfulness and related constructs when considering problematic eating, which should be reflected in policy aiming to attenuate unhealthy eating in specific populations. [ABSTRACT FROM AUTHOR]

Introduction: Self-criticism and subjective emptiness have been identified as possible transdiagnostic risk factors for various mental disorders. Guided by minority stress theory, this cross-sectional study revealed different latent profiles of these two theorized risk factors and their associations with childhood gender nonconformity and self-stigma. Methods: A sample including 366 gay and bisexual men was employed in the current study, using latent profile analysis to explore their self-criticism and subjective emptiness vulnerability profiles. Results: Results of latent profile analysis identified four possible profiles based on distinct combinations of self-criticism and subjective emptiness, including low-, mild-, moderate-, and high-level risk profiles. In addition, the profiles were differentially associated with self-stigma and childhood gender nonconformity. Policy Implications: We hope our findings will encourage Chinese gay and bisexual men to actively deal with underlying psychological processes and attempt to reconcile with themselves. We also suggest that the relevant personnel engaged in psychological counseling, psychotherapy, psychological services, and clinicians should pay attention to their clients' self-criticism and subjective emptiness experience when assisting these populations. Policies should support and encourage society to jointly create a relaxed and inclusive environment. [ABSTRACT FROM AUTHOR]

Background Objectives Materials and Methods Results Discussion and Conclusion Fertility preservation and subsequent third‐party reproduction represents a principal pathway by which gay and bisexual cisgender men may have biologically related children. Previous studies of a similar design have commented on the availability of fertility services for sexually and gender diverse communities, but none have investigated access to the aforementioned services for this specific population.To assess the availability of fertility preservation and third‐party reproduction services for gay and bisexual cisgender men across US fertility clinics and sperm banks.A content analysis was performed on a sample of fertility clinic and sperm bank websites compiled from three online sources. Sample construction and analysis were completed in 2023. Each website was systematically examined by two separate coders with a third coder deciding any discrepancies. Website coding followed a pre‐constructed standardized questionnaire. Logistic regression analysis was used to identify statistically significant differences.A total of 675 clinic and sperm bank websites (136 academic and 539 private) were analyzed. Five hundred and two (74.4%) offered third‐party reproduction and 326 (48.3%) offered fertility preservation for gay and bisexual cisgender men. Furthermore, 248 websites (36.7%) featured some form of disqualifying language either directly communicating or implying exclusion of gay and bisexual cisgender men from these services. Private facilities were more likely to offer third‐party reproduction (odds ratio [OR] = 1.88, p < 0.01) but less likely to offer fertility preservation (OR = 0.68, p < 0.05) compared with academic affiliated facilities. Lastly, states in the highest Human Rights Campaign Equality Index tier were significantly more likely to offer third‐party reproduction (OR = 2.50, p < 0.01) than the lowest tier.These findings demonstrate great variability in access to fertility preservation and third‐party reproduction services. Geography and ambiguity in facility‐specific policies represent persistent barriers to family building for gay and bisexual cisgender men. [ABSTRACT FROM AUTHOR]

AbstractSexual assault and abuse have detrimental impacts on gay and bisexual (GB) men’s mental health. Nevertheless, many GB men survivors avoid seeking services due to concerns about non-affirming treatment from mental-health professionals and negative perceptions of masculinity if one seeks help for sexual trauma. This study investigated the impact of anticipated sexual assault stigma from mental-health professionals and masculine threat (the degree to which not feeling masculine lowers self-esteem) on help-seeking self-stigma among GB men survivors (N = 99). Both anticipated stigma and masculine threat associated with greater self-stigma of seeking help. When examining gay and bisexual men separately, anticipated stigma and masculine threat were significant for bisexual men, whereas anticipated stigma was the only significant variable for gay men. Implications discuss increasing attention toward the role of masculinity and anticipated stigma in help-seeking for sexual-minority men survivors and examining the unique experiences of these two populations rather than a one-size-fits-all approach. [ABSTRACT FROM AUTHOR]

Background: In Brazil, ~35% of people living with HIV (PLHIV) have poor adherence to antiretroviral therapy (ART). HIV-related stigma is associated with worst continuum of care outcomes, however evidence from Brazil is scarce. We explored pathways between HIV-related stigma dimensions and ART adherence among Brazilian cisgender gay, bisexual and other men who have sex with men (MSM) living with HIV. Methods: A sample of MSM ≥18 years was recruited online between February/March 2020 through advertisements on Hornet, a location-based dating app. Validated scales were used to assess ART adherence and HIV-related stigma. Indirect and direct pathways between HIV-related stigma dimensions and ART adherence were estimated using structural equation models while considering socio-demographic and substance use related variables. Models were estimated using mean- and variance-adjusted weighted least squares, and goodness of fit indices were calculated. Findings: Among 1,719 MSM living with HIV who reported starting ART, 70% were adherent. There was evidence of indirect effects of concerns about public attitudes (standardized coefficient (SC) = -0.095, 95% confidence interval (95%CI) = -0.172 - -0.017) and personalized HIV-stigma (SC = -0.022, 95%CI = -0.043 - -0.001) on ART adherence mediated through negative self-image. Personalized HIV stigma and concerns about public attitudes were both positively associated with negative self-image (SC = 0.129, 95%CI = 0.066–0.193; SC = 0.549, 95%CI = 0.494–0.603), and concerns about public attitudes was associated with HIV disclosure concerns (SC = 0.522, 95%CI = 0.463–0.581). However, the direct paths from personalized HIV stigma and concerns about public attitudes to ART adherence were not significant. Interpretation: Our research underscores the critical need for multifaceted interventions to eliminate HIV-related stigma at both individual and societal levels. At the individual level, psychotherapeutic interventions to improve self-image might helpful. Additionally, public policy should aim to dismantle structural stigma with awareness campaigns on various media channels, integration of anti-stigma curriculum into schools, and training for professionals. [ABSTRACT FROM AUTHOR]

The health and wellbeing of queer people, including gay and bisexual men, are worse than those of endosex, cisgender, and heterosexual individuals on average. The minority stress model states that stress resulting from experiencing discrimination (distal minority stress) as well as feared discrimination and internalized stigma (proximal minority stress) is responsible for poorer health and wellbeing in marginalized groups. There are international studies supporting Meyer's model, but only few studies focus on Germany. We analyzed the data for endosex-cisgender gay and bisexual men (N = 6404, N = 2278 sample without missing data) from the "How are you?"-study. To test the assumptions of the minority stress model, path analyses were performed. For differences between bisexual and gay men, t-tests and multigroup analyses were calculated. Our findings show that gay and bisexual men in Germany experience low stigmas (enacted stigma, felt stigma, and internalized stigma), that still relates to health (subjective health, physical health, and mental health), mostly with small effect sizes. Furthermore, differences in levels of enacted stigma, internalized stigma, and the relationship between wellbeing and health among gay and bisexual men were identified. Of the four resources that we examined (social embeddedness, community connectedness, educational level, and income), social embeddedness was shown to be the most important for health. The results are discussed in relation to differences between gay and bisexual men and in relation to anti-discrimination as a strategy for health promotion. [ABSTRACT FROM AUTHOR]

This qualitative study was conducted to understand how gay and bisexual men (GBM) in Taiwan cope with childhood bullying because of their sexual orientation or gender nonconformity. We explored their journey from feeling disturbed to receiving social support, developing coping strategies, and achieving self-growth. Colaizzi’s phenomenological approach was used to investigate subject experiences. Semi-structured interviews were conducted with 21 GBM who had experienced high-level sexual bullying in childhood. Relevant data were collected to assess their experiences of sexual bullying, their coping strategies, and subjective effects of corresponding adjustments in interpersonal interactions. Subject experiences concentrated on six themes related to sexual bullying and coping strategies: bullying at developmental stages, bullying everywhere, facing bullying alone, various impacts of bullying, overcoming challenges of interpersonal relationships, and building a strong and carefree self. Our findings can provide mental health professionals with key insights into the contexts of sexual bullying and the associated psychological distress in GBM. This study further clarifies the coping responses of these individuals and their psychological growth following such adverse experiences. [ABSTRACT FROM AUTHOR]

Previous studies have indicated homogamy in partner preferences among gay and bisexual men. Individuals on Blued (the most popular gay dating app in China) could identify their body type and preferred physiques according to six categories: monkey (thin gay men), average, muscularity, bear (heavy and hairy gay men), baboon (smaller than bears), and pig (plumper than bears). This study examined patterns of physique preferences across body types as well as sexual self-labels (tops, bottoms, versatiles, and others). In total, 188,716 Blued profiles (Mage = 31.1, SD = 7.1) were obtained. Multiple group latent class analysis was used to examine the patterns of physique preferences across the body type groups. The results revealed seven classes of physique preference. The four common physique preferences shared by all body type groups were “like averages,” “like monkeys,” “like muscularity,” and “like bears.” Individuals with a monkey or average body type exhibited a specific pattern of physique preference: “dislike bears.” The two physique preferences specific to gay bear men were “like averages and muscularity,” and “dislike monkeys.” The highest preference for each physique was observed among individuals of the same body type. Furthermore, tops were more likely to have a muscular body and prefer a monkey physique, whereas bottoms were more likely to have a monkey body and prefer a muscular physique. These findings indicate body type-specific physique preferences based on an individual’s own body type and sexual self-label identification, thus partially supporting the concept of homogamy in the physique preferences of gay men. [ABSTRACT FROM AUTHOR]

Background: Myths of sexual aggression have a negative influence in aggressive behavior against women, in the institutional approaches to sexual violence and in how women cope with it. The objective of this study is to describe acceptance of myths of sexual aggression in young women and men residing in Spain. Method: Cross-sectional study carried out online with 2,515 women (50.2%) and men (49.8%) ages 18–35 in Spain in 2020. Information on myths was collected using the Acceptance of Modern Myths About Sexual Aggression Scale (AMMSA). We described the myths most prevalent among women and men. The variables associated with myths were identified using multiple regression. The regression models were adjusted by sociodemographic and sexual orientation variables. Results: The average AMMSA values were higher among men [mean: 3.11; standard deviation (sd):1.23] than among women (mean 2.49 sd:1.11). In both sexes, the myths with greater acceptance showed the presence of patriarchal gender roles in sexual contacts. Men were more likely than women to accept myths that question allegations and severity of violence. Having a higher level of educational studies (β -0.350 sd: 0.046) was associated with lower average AMMSA values. Being born in Latin America (β 0.047 sd: 0.063) was associated with higher average AMMSA values. Among heterosexual men, AMMSA values were greater than among gay and bisexual men. Among women, there was no difference in average AMMSA values based on sexual orientation. Conclusions: Myths persist during youth that question and trivialize sexual violence against women. It is necessary to implement strategies that reduce these myths, particularly in heterosexual men, in those of foreign-born origin and among those with low levels of education. [ABSTRACT FROM AUTHOR]

Men who have sex with men (MSM) are vulnerable to HIV infection. Although daily oral pre-exposure prophylaxis (PrEP) prevents HIV among MSM, its usage remains low. We conducted virtual in-depth interviews (IDIs) and focus groups (FGs) with Black, Hispanic/Latino, and White MSM consisting of current PrEP users and those aware of but not currently using PrEP. We delved into their preferences regarding six emerging PrEP products: a weekly oral pill, event-driven oral pills, anal douche/enema, anal suppository, long-acting injection, and a skin implant. Our mixed methods analysis involved inductive content analysis of transcripts for thematic identification and calculations of preferences. Among the sample (n = 98), the weekly oral pill emerged as the favored option among both PrEP Users and PrEP Aware IDI participants. Ranking exercises during FGs also corroborated this preference, with the weekly oral pill being most preferred. However, PrEP Users in FGs leaned toward the long-acting injectable. Conversely, the anal suppository and douche/enema were the least preferred products. Overall, participants were open to emerging PrEP products and valued flexibility but expressed concerns about limited protection for products designed solely for receptive sex. Public health practitioners should tailor recommendations based on individuals’ current sexual behaviors and long-term vulnerability to infection. [ABSTRACT FROM AUTHOR]

People of sexual dissidents in Mexico face mental health challenges due to discrimination based on sexual orientation or gender identity. The confinement due to COVID-19 had an impact on their mental health, so this study analyzed the differences in psychosocial and mental health effects among the LGBT+ populations of Mexico in this context. Cross-sectional and non-probabilistic study with the participation of 1,525 LGBT+ people. Through a questionnaire, the psychosocial impact of COVID-19 was explored by comparing four groups: gay and bisexual men (GBM), lesbian and bisexual women (LBW), transgender people and individuals with other non-normative gender identities (TNN), and those with other non-normative sexual identities (NNI). The areas with the most significant psychosocial impact from COVID-19 were the impact on life, limitations on activities, isolation from LGBT+ and cis-heterosexual friends, fear of COVID-19, and discomfort at home. Performing analysis of variance and covariance, GBM presented differences with the other groups by reflecting fewer impairments. Through logistic regression models, it was found that the probability of suicidal ideation was greater in LBW, TNN, and NNI compared to GBM. TNN were more likely to have attempted suicide than GBM, even after adjusting for control variables. The COVID-19 pandemic impacted areas that transcend the biological, as social isolation showed effects on the mental health of the LGBT+ population. [ABSTRACT FROM AUTHOR]

Background: In the Republic of Ireland, the COVID-19 crisis led to sexual health service closures while clinical staff were redeployed to the pandemic response. Gay, bisexual and other men who have sex with men (gbMSM) face pre-existing sexual health inequalities which may have been exacerbated. The aim of this study is to understand sexual health service accessibility for gbMSM in Ireland during the COVID-19 crisis. Methods: EMERGE recruited 980 gbMSM in Ireland (June-July 2021) to an anonymous online survey investigating well-being and service access through geo-location sexual networking apps (Grindr/Growlr), social media (Facebook/Instagram/Twitter) and collaborators. We fit multiple regression models reporting odds ratios (ORs) to understand how demographic and behavioural characteristics (age, sexual orientation, HIV testing history/status, region of residence, region of birth and education) were associated with ability to access services. Results: Of the respondents, 410 gbMSM accessed sexual health services with some or no difficulty and 176 attempted but were unable to access services during the COVID-19 crisis. A further 382 gbMSM did not attempt to access services and were excluded from this sample and analysis. Baseline: mean age 35.4 years, 88% gay, 83% previously tested for HIV, 69% Dublin-based, 71% born in Ireland and 74% with high level of education. In multiple regression, gbMSM aged 56+ years (aOR = 0.38, 95%CI:0.16, 0.88), not previously tested for HIV (aOR = 0.46, 95%CI:0.23, 0.93) and with medium and low education (aOR = 0.55 95%CI:0.35, 0.85) had lowest odds of successfully accessing services. GbMSM with HIV were most likely to be able to access services successfully (aOR = 2.68 95%CI:1.83, 6.08). Most disrupted services were: STI testing, HIV testing and PrEP. Conclusions: Service access difficulties were found to largely map onto pre-existing sexual health inequalities for gbMSM. Future service development efforts should prioritise (re)engaging older gbMSM, those who have not previously tested for HIV and those without high levels of education. [ABSTRACT FROM AUTHOR]

Introduction: New South Wales (NSW) has one of the world's highest uptake rates of HIV pre‐exposure prophylaxis (PrEP). This uptake has been credited with sharp declines in HIV transmission, particularly among Australian‐born gay and bisexual men. Concerns have been raised around the potential for the emergence of tenofovir (TFV) and XTC (lamivudine/emtricitabine) resistance in settings of high PrEP use. Such an emergence could also increase treatment failure and associated clinical outcomes among people living with HIV (PLHIV). Despite low levels of nucleoside reverse‐transcriptase inhibitor (NRTI) resistance relating to PrEP use in clinical settings, there are few published studies describing the prevalence of NRTI resistance among people newly diagnosed with HIV in a setting of high PrEP use. Methods: Using HIV antiretroviral drug resistance data linked to NSW HIV notifications records of people diagnosed from 1 January 2015 to 31 December 2021 and with HIV attributed to male‐to‐male sex, we described trends in TFV and XTC resistance. Resistance was identified using the Stanford HIV Drug Resistance genotypic resistance interpretation system. To focus on transmitted drug resistance, resistance prevalence estimates were generated using sequences taken less than 3 months post‐HIV diagnosis. These estimates were stratified by timing of sequencing relative to the date of diagnosis, year of sequencing, birthplace, likely place of HIV acquisition, and stage of HIV at diagnosis. Results: Among 1119 diagnoses linked to HIV genomes sequenced less than 3 months following diagnosis, overall XTC resistance prevalence was 1.3%. Between 2015 and 2021, XTC resistance fluctuated between 0.5% to 2.9% and was 1.0% in 2021. No TFV resistance was found over the study period in any of the sequences analysed. Higher XTC resistance prevalence was observed among people with newly acquired HIV (evidence of HIV acquisition in the 12 months prior to diagnosis; 2.9%, p = 0.008). Conclusions: In this Australian setting, TFV and XTC resistance prevalence in new HIV diagnoses remained low. Our findings offer further evidence for the safe scale‐up of PrEP in high‐income settings, without jeopardizing the treatment of those living with HIV. [ABSTRACT FROM AUTHOR]

The minority stress model posits an effect of sexual orientation identity on social support and coping among sexual orientation minorities. This assertion compliments the idea that discussion networks are functionally specific (i.e., we talk to the people who can best help with a stressor). This research collects ego-centric discussion networks data from gay and bisexual men to determine (1) whether there are functionally specific networks to address sexuality-related stress, (2) whether those networks buffer the impact of sexuality-related stress on psychological distress, and (3) whether sexual orientation homophily in a functionally specific network moderates the impact of sexuality-related stress or social support on psychological distress. Results indicate the existence of functionally specific networks for both gay and bisexual men. However, increasing homophily in the functional networks only moderated the effects of sexuality-related stress and perceived social support on psychological distress for gay men. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study is threefold: to pilot research on the role that trauma-healing and resilience play in developing futures consciousness/literacy; to explore how this informs the coloniality of sexuality; and to engage economically marginalised young gay and bisexual men in exploring future scenarios for the wider LGBTQI+ community in Kenya. Design/methodology/approach: This study used participatory action research to pilot the study. Workshop sessions focused on exploratory futures using an integral futures framework. Futures tools used consisted of the futures triangle, polak game and a two-by-two matrix scenario building exercise. Findings: Participants found that previous psychosocial support and mental health counselling enabled them to address past traumas, find healing and begin a productive journey of unpacking their understanding of agency and engage with developing personal and communal futures thinking – all prerequisites for effectively addressing decoloniality. Originality/value: This research represents the only study of the four-way intersection of trauma-healing, futures consciousness/literacy, the queer community in Africa and decoloniality and coloniality of sexuality. [ABSTRACT FROM AUTHOR]

Background and Objectives: An increasing number of blood operators around the world, including those in Canada, have removed time‐based deferral periods for gay, bisexual and other men who have sex with men and replaced them with sexual behaviour‐based questions for all donors. While this marks a significant shift in screening approach, what remains unclear is how members of two‐spirit, lesbian, gay, bisexual, transgender and queer (2S/LGBTQ+) communities view blood operators' initiatives to be more inclusive. As such, this study was conducted to assess the awareness of donor screening changes and other initiatives among members of 2S/LGBTQ+ communities and to explore their recommendations for blood operators' work with these communities. Materials and Methods: Semi‐structured qualitative interviews (n = 15) were conducted with 2S/LGBTQ+ people across Canada. Data were analysed using open inductive coding methods. Results: Reported here are the key results on recommendations for blood operators. Three themes were identified from the data: (1) the need for increased communications with 2S/LGBTQ+ communities surrounding changes to donor policies and guidelines; (2) the need for trans‐inclusive policy and procedures; and (3) the need for culturally responsive and equity‐informed staff training at donor centres. Conclusion: Results suggest that blood operators should consider 2S/LGTBQ+ communities when developing blood and plasma donation policies, screening procedures and staff training. Increased consultation with these communities is desired, and further research specific to the experiences of transgender blood donors is needed. [ABSTRACT FROM AUTHOR]

In Australia, surveillance data establish that there are higher rates of late HIV diagnoses among heterosexual migrants from Sub-Saharan Africa and new HIV diagnoses among gay and bisexual men (GBM) from Southeast and Northeast Asia and Latin America. Together, these groups are identified as priority migrant communities in current efforts to eliminate HIV transmissions. HIV health literacy is recognised as a key means of improving access to services and health outcomes. This qualitative paper explores critical HIV health literacy among priority migrant communities in Queensland, Australia. To foreground community voices, peer researchers from priority migrant communities participated in the project design, data collection and analysis, with 20 interviews completed. The findings demonstrate how participants' engagement with HIV health information and services is highly relational and situated within the framework of sexual health and wellbeing. Participants strategically selected where to seek information and who they trusted to help them appraise this information. They further demonstrated reflective capacities in identifying the contextual barriers that inhibit the development of their HIV health literacy. The findings highlight the need for HIV health promotion strategies that embrace a sex positive approach, promote cultural change, and involve collaboration with general practitioners (GPs). [ABSTRACT FROM AUTHOR]

This review synthesises qualitative research on pre-exposure prophylaxis (PrEP) uptake by sexual minority men to provide an overarching conceptualisation of the implementation processes involved. Twenty-four studies—comprising 734 participants from USA, UK, France, Canada, and Taiwan—were synthesised using thematic synthesis. The synthesis elucidates the dual significance of PrEP uptake: (1) risk management: reinforcing relational circumstances, and rebalancing safety and risk; and (2) sexual empowerment: reclaiming health and sexuality and refocusing on sexual fulfillment and intimacy. Overall, the findings show how gay and bisexual men use PrEP to reconcile their antagonistic desires for intimacy and safety by recalibrating protection and reimagining intimacy. This review conceptualises the essence of users' experiences of PrEP implementation as reconciliation work—the labour and agency in making and remaking practices to manage discontinuities and incongruities—about the new HIV prevention modality. The concept of reconciliation work illustrates how using PrEP influences users' practices, which in turn, shape the meanings of PrEP use within the community. This work engenders contingent transformations and outcomes beyond HIV protection, encompassing the broader aspects of health and sexuality. Findings support the adoption of more holistic and empowering approaches to sexual health promotion and intervention. [ABSTRACT FROM AUTHOR]

The article discusses the film "Passages" directed by Ira Sachs, which explores the theme of male bisexuality and its portrayal in cinema. The film challenges the notion of sexual identity as being fixed and explores the contingency of desire. The protagonist, Tomas, is depicted as a self-interested individual whose bisexuality is used as a narrative catalyst. The article examines the film's exploration of sexual liberation and the emotional costs associated with it. The film has received mixed reviews, with some praising its exploration of complex relationships and others criticizing its treatment of certain characters. [Extracted from the article]

AbstractBi+ men are more likely to use alcohol and drugs than heterosexual and often gay men. The minority stress model is the predominant framework for understanding these disparities, but it is unknown whether this framework is consistent with bi+ men’s perspectives. As part of an online survey, 69 bi+ young men (ages 18-29; 29% transgender) were asked why they think bisexual men are more likely to use alcohol and drugs than other men (including gay men). Responses were thematically analyzed and seven themes were identified. The first set reflect unique experiences related to their sexual orientation (bi+ discrimination, internalized bi+ stigma, and aspects of community); the second set reflect general risk factors that disproportionately affect bi+ men (trauma exposure and mental health problems); and the third set reflect motivational risk factors (to lower inhibitions and in connection with sex). These results are largely consistent with the minority stress model while shedding light on contributing factors that have received less empirical attention (e.g., to feel comfortable enough to have sex with a man). [ABSTRACT FROM AUTHOR]

In 2022, a global mpox outbreak occurred, primarily affecting gay and bisexual men who have sex with men (GBMSM). To screen for mpox's reemergence and investigate potentially unsuspected cases among non-GBMSM, prospective surveillance of patients aged =3 months with an mpox-compatible rash (vesicular, pustular, ulcerated, or crusted) was conducted at 13 U.S. emergency departments (EDs) during June-December 2023. Demographic, historical, and illness characteristics were collected using questionnaires and electronic health records. Lesions were tested for monkeypox virus using polymerase chain reaction. Among 196 enrolled persons, the median age was 37.5 years (IQR = 21.0-53.5 years); 39 (19.9%) were aged <16 years, and 108 (55.1%) were male. Among all enrollees, 13 (6.6%) were GBMSM. Overall, approximately one half (46.4%) and one quarter (23.5%) of enrolled persons were non-Hispanic White and non-Hispanic Black or African American, respectively, and 38.8% reported Hispanic or Latino (Hispanic) ethnicity. Unstable housing was reported by 21 (10.7%) enrollees, and 24 (12.2%) lacked health insurance. The prevalence of mpox among ED patients evaluated for an mpox-compatible rash was 1.5% (95% CI = 0.3%-4.4%); all persons with a confirmed mpox diagnosis identified as GBMSM and reported being HIV-negative, not being vaccinated against mpox, and having engaged in sex with one or more partners met through smartphone dating applications. No cases were identified among women, children, or unhoused persons. Clinicians should remain vigilant for mpox and educate persons at risk for mpox about modifying behaviors that increase risk and the importance of receiving 2 appropriately spaced doses of JYNNEOS vaccine to prevent mpox. [ABSTRACT FROM AUTHOR]

To reduce the risk of transmission in the mpox outbreak, it is crucial to provide accurate, tailored, and culturally sensitive risk communication. In an online experiment (N = 372), we tested a theory-informed model on gay and bisexual men’s response to mpox risk communication focusing on the ingroup versus the general population. Gay and bisexual men who received an ingroup-framed risk message had a stronger protective behavioral intention through heightened risk perception. However, this intended effect of risk message framing was negated by an unintended effect through perceived morality threat to sexual identity and defensive processing. These effects further varied depending on participants’ level of identification with their sexuality. Findings highlight the importance of considering the social identity implications of risk communication. [ABSTRACT FROM AUTHOR]

The rise in the study of sexualised drug use among gay, bisexual and other men who have sex with men (MSM), known as chemsex, has generated a multiplicity of data that contribute to its problematisation as a public health issue through the link with HIV and addictions. The study of these practices, from a biomedical paradigm, has focused on risk and has contributed to its reduction as a unique and quantifiable phenomenon. This study aims to explore the experience of risk in the course of the practices, to find out what management strategies they employ in the face of risk and how they are generated. Semi-structured interviews were conducted with five chemsex practitioners in the Metropolitan Area of Barcelona and, subsequently, a thematic analysis was applied. The findings show how these men detect, assume and confront the risks present in these practices, where the type of relationships that take place and the social circle available to them are relevant. This study also highlights the creation of strategies based on experience and how the transmission of this knowledge among participants facilitates decision-making and risk management. [ABSTRACT FROM AUTHOR]

An extensive body of research has documented the relationship between sexual orientation and income, but only a few studies have examined the effects of sexual orientation on workplace authority. This article investigates the probability of lesbian, gay and bisexual (LGB) people having (high-level) workplace authority and the effects of occupational gender segregation. It analyses four waves of data from the German Socio-Economic Panel study (N=37,288 heterosexual and N=739 LGB observations). The results show that gay and bisexual men do not differ from heterosexual men in their probability of having workplace authority, but they have a lower probability of attaining high-level authority. Lesbian and bisexual women have a higher probability than heterosexual women of having workplace authority, but no advantages in attaining high-level authority. These insights into occupational segregation suggest that gay and bisexual men experience similar levels of disadvantages across occupations, whereas lesbian and bisexual women have an advantage in female-dominated occupations. [ABSTRACT FROM AUTHOR]

The prevalence of depressive symptoms among gay and bisexual men is cause for concern. This study aimed to investigate whether hope and its two components (agency and pathways) moderated the relationship between sexual orientation concealment and depressive symptoms in gay and bisexual men and whether the moderating effects were conditional on sexual orientation. Participants were 197 gay men aged 18 to 71 years (M = 35.13 years, SD = 12.18 years) and 212 bisexual men aged 18 to 66 years (M = 29.24 years, SD = 10.46 years) who completed The Centre for Epidemiologic Studies Depression Scale, The Sexual Orientation Concealment Scale, and The Adult Hope Scale. Results did not support the moderating role of hope, agency, or pathways. The interaction between sexual orientation and pathways was significantly associated with depressive symptoms. Higher levels of pathways were associated with lower levels of depressive symptoms for both groups of men, however, the association was stronger for gay men compared with bisexual men. Higher levels of hope, agency, and pathways were associated with lower levels of depressive symptoms. Interventions aimed at increasing hope may be beneficial for reducing depressive symptoms among gay and bisexual men. [ABSTRACT FROM AUTHOR]

After the loss of a trait, theory predicts that the molecular machinery underlying its phenotypic expression should decay. Yet, empirical evidence is contrasting. Here, we test the hypotheses that (i) the molecular ground plan of a lost trait could persist due to pleiotropic effects on other traits and (ii) that gene co-expression network architecture could constrain individual gene expression. Our testing ground has been the Bacillus stick insect species complex, which contains close relatives that are either bisexual or parthenogenetic. After the identification of genes expressed in male reproductive tissues in a bisexual species, we investigated their gene co-expression network structure in two parthenogenetic species. We found that gene co-expression within the male gonads was partially preserved in parthenogens. Furthermore, parthenogens did not show relaxed selection on genes upregulated in male gonads in the bisexual species. As these genes were mostly expressed in female gonads, this preservation could be driven by pleiotropic interactions and an ongoing role in female reproduction. Connectivity within the network also played a key role, with highly connected—and more pleiotropic—genes within male gonad also having a gonad-biased expression in parthenogens. Our findings provide novel insight into the mechanisms which could underlie the production of rare males in parthenogenetic lineages; more generally, they provide an example of the cryptic persistence of a lost trait molecular architecture, driven by gene pleiotropy on other traits and within their co-expression network. [ABSTRACT FROM AUTHOR]

Commitment is crucial in a marriage to ensure that the relationship can endure and thrive. This includes mixedorientation marriages where one partner is a bisexual male, and the other is a heterosexual spouse. In a conservative country like Malaysia, socio-cultural and religious influences undoubtedly exert significant pressure and affect the ability and commitment of bisexual husbands to remain in their marriages, often necessitating the concealment of their sexual identity from their partners. This study aims to identify the factors influencing the commitment levels of bisexual husbands to their marital relationships. Using a qualitative research approach, in-depth interviews were conducted with 15 bisexual husbands who are currently married. The findings revealed that love for their wives, caring for their children, hope for change, internal religious motivation, upholding family honor, and avoiding social stigma are key elements contributing to maintaining commitment in their marriages. The insights gained from this study are expected to guide the development of interventions, support programs, and more effective counseling, as well as the formulation of more inclusive and supportive policies for this group within the context of marriage. Additionally, this study aims to raise societal awareness about the challenges faced by bisexual males in maintaining their marriages, thereby helping to reduce stigma and discrimination. [ABSTRACT FROM AUTHOR]

Lesbian, gay, and bisexual (LGB) persons tend to be geographically concentrated in larger metropolitan areas and research persistently observes LGB persons as a disadvantaged population for mental health outcomes when compared to their heterosexual counterparts. Conflicting evidence suggests that mental health risk exposures are greater for LGB people in rural spaces while other research posits that urban residency is more detrimental for LGB mental health. One positively contributing factor to the mental well‐being of LGB persons is their partnership status. To date, no study estimates how partnership may ameliorate unfavourable mental health outcomes for LGB populations in urban and rural areas. Using 10 years of pooled data from the nationally representative Canadian Community Health Survey (CCHS), this study examines mental health and the intersection of sexuality, geographic residency, and partnership. Logistic regression models estimate the intersections of sexuality, geography, and partnership status on mental health, stratified by respondents' gender. Findings show partnered gay men in rural areas experiencing better mental health than their partnered heterosexual counterparts in the largest urban cities. Although not significant, the same pattern is observed for partnered lesbian women who do not experience a significant mental health disadvantage at any geographic level. Regardless of partnership and geographic space, bisexual men, and especially bisexual women, exhibit worse mental health outcomes compared to their heterosexual counterparts. [ABSTRACT FROM AUTHOR]

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Abstract Objective This study investigates Japanese gay and bisexual men’s experiences of seeking help for emotional support from others regarding their sexual orientation concerns. It examines the relationship between their help-seeking and presence of gay and bisexual peers, duration between questioning their sexual orientation and accepting it, and experience of coming out to family members by multiple logistic regression analysis. Results We conducted a cross-sectional survey using a self-reported paper questionnaire. There were 360 valid responses. Eighty-two respondents (22.8%) had experience of help-seeking for emotional support, and this was associated with age, occupation, presence of gay/bisexual friends, and experience of coming out to family members about their sexual orientation. Respondents sought the most help from their male friends (70.0%), followed by female friends (25.0%), mothers (17.5%), and the Internet (16.3%). Even after controlling for age and occupation, experience of help-seeking for emotional support was higher among participants who had gay/bisexual friends when they were aware of their sexual orientation, took

Introduction: Doxycycline post‐exposure prophylaxis (doxy‐PEP) involves consuming 200 mg of doxycycline up to 72 hours after a condomless sex act to reduce the risk of bacterial sexually transmitted infections (STIs). Recent clinical trials of doxy‐PEP have demonstrated significant reductions in syphilis, chlamydia and, to a lesser degree, gonorrhoea among gay, bisexual and other men who have sex with men (GBMSM). There is a high level of interest in doxy‐PEP in the GBMSM community and, in response, the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) held a national consensus conference with the aim of creating preliminary guidance for clinicians, community, researchers and policy makers. Main recommendations: There was broad agreement that doxy‐PEP should be considered primarily for the prevention of syphilis in GBMSM who are at risk of this STI, with a secondary benefit of reductions in other bacterial STIs. At the end of the consensus process, there remained some disagreement, as some stakeholders felt strongly that doxy‐PEP should be considered only for the prevention of syphilis in GBMSM, and that the risk of increasing antimicrobial resistance outweighed any potential benefit from reductions in other bacterial STIs in the target population. The national roundtable made several other recommendations for clinicians, community, researchers and policy makers, as detailed in this article. ASHM will support the development of detailed clinical guidelines and education materials on doxy‐PEP (www.ashm.org.au/doxy‐pep). Changes in management as a result of this consensus statement: For GBMSM at high risk of syphilis, and perhaps other bacterial STIs, clinicians may consider prescribing doxy‐PEP for a limited period of time, followed by a review of ongoing need. Unlike human immunodeficiency virus (HIV) pre‐exposure prophylaxis (PrEP), doxy‐PEP may not be suitable as a population‐level intervention and should instead be used more selectively. [ABSTRACT FROM AUTHOR]

Suicide continues to be one of the main causes of death among adults in the U.S. Research showed an association between sexual identity-attraction discordance (IAD) and adverse health outcomes, including suicidal ideation. We sought to determine whether sexual IAD is associated with self-injurious thoughts and behaviors (SITBs), namely suicidal thoughts, plans, and suicide attempts, in the past year. We examined data from adults participating in the most recent six waves (2015–2020) of the National Survey on Drug Use and Health. Men who report sexual identity-attraction discordance were at greater risk of reporting suicidal thoughts (aOR = 3.67, 95% CI: 2.24–6.00) and plans (aOR = 5.71, 95% CI: 3.32–9.81) in the past year. Stratified by sexual identity, results showed that gay (aOR = 5.92, 95% CI: 1.54–22.7) and bisexual men (aOR = 4.38, 95% CI: 2.17–8.83) had higher odds of reporting suicide plans and heterosexual (aOR = 2.66, 95% CI: 1.06–6.68), gay (aOR = 7.05, 95% CI: 1.88–26.4), and bisexual men (aOR = 5.30, 95% CI: 4.37–22.9) had higher odds of suicide attempts when compared to men with concordant sexual identity-attraction. We found that bisexual women who report sexual identity-attraction discordance had less odds of reporting suicidal thoughts (aOR = 0.36, 95% CI: 0.21–0.63) and suicide plans (aOR = 0.43, 95% CI: 0.20–0.89) than women with concordant sexual identity-attraction. Among bisexual-identified males, those who experience sexual identity-attraction discordance were at greater risk for past-year suicidal thoughts (aOR = 3.82, 95% CI: 2.12–6.91) and suicide attempts (aOR = 5.30, 95% CI: 2.13–13.1) when compared to bisexual men with concordant sexual identity-attraction. Sexual IAD is associated with SITB and particularly concerning results emerged concerning bisexual-identified men. Sexual IAD is associated with SITBs, especially among men. Sexual IAD is not the strongest indicator of SITBs if sexual identity is considered. Among bisexual men, there is a high SITB risk if sexual IAD is reported. [ABSTRACT FROM AUTHOR]

Background In Australia, the incidence of hepatitis C virus (HCV) has declined among gay and bisexual men (GBM) with human immunodeficiency virus (HIV) since 2015 and is low among GBM using HIV preexposure prophylaxis (PrEP). However, ongoing HCV testing and treatment remains necessary to sustain this. To assess the potential utility of sexually transmissible infections (STIs) to inform HCV testing among GBM with HIV and GBM using PrEP, we examined the association between bacterial STI diagnoses and subsequent primary HCV infection. Methods Data were from a national network of 46 clinics participating in the Australian Collaboration for Coordinated Enhanced Sentinel Surveillance. GBM included had ≥1 HCV antibody negative test result and ≥1 subsequent HCV antibody and/or RNA test. Discrete time survival analysis was used to estimate the association between a positive syphilis, rectal chlamydia, and rectal gonorrhea diagnosis in the previous 2 years and a primary HCV diagnosis, defined as a positive HCV antibody or RNA test result. Results Among 6529 GBM with HIV, 92 (1.4%) had an incident HCV infection. A prior positive syphilis diagnosis was associated with an incident HCV diagnosis (adjusted hazard ratio, 1.99 [95% confidence interval, 1.11–3.58]). Among 13 061 GBM prescribed PrEP, 48 (0.4%) had an incident HCV diagnosis. Prior rectal chlamydia (adjusted hazard ratio, 2.75 [95% confidence interval, 1.42–5.32]) and rectal gonorrhea (2.54 [1.28–5.05]) diagnoses were associated with incident HCV. Conclusions Diagnoses of bacterial STIs in the past 2 years was associated with HCV incidence. These findings suggest that STIs might be useful for informing HCV testing decisions and guidelines for GBM with HIV and GBM using PrEP. [ABSTRACT FROM AUTHOR]

Human geographers have analyzed the co-constitutive relationship between race, gender and sexualities across different spaces and social contexts and have called for intersectional approaches in discussions of identities, power and space. This article applies an intersectional framework to the processes of sexualization, racialization and exoticization that shape the daily lives and erotic/romantic encounters experienced and narrated by participants to two different projects: gay and bisexual men from a North African background living in Belgium; Italian gay men living in England; non-White gay men living in Italy. By discussing qualitative data collected during interviews with these men, and through a continued dialogue about this data between the authors, the paper explores both the effects of these processes on the lives of participants, and the strategies they enact to navigate their social worlds. The focus is on two elements, central to participants' narratives: the specificity of the intersectional experience of encountering men who expect a specifically gendered and racialized performance based on 'roughness' and 'wildness', and the capitalization on these exoticizing and racializing images to increase one's desirability on the dating/hook-up scene and everyday social and work life. By highlighting these elements, this paper shows the importance of applying an intersectional approach to analyses of the entanglements of racialization and sexualization in order to complicate linear accounts of these processes. [ABSTRACT FROM AUTHOR]

This study investigated multivariate relations between (a) lifetime experiences of adversity and (b) past year substance use involvement among cisgender sexual minority emerging adult men, ages 18–29 years. Ethnically and racially diverse samples of gay (N = 205, ageM = 24.33 years) and bisexual men (N = 201, ageM = 23.31 years) were recruited from the United States using the internet-based CloudResearch platform to complete 20-minute online surveys. Canonical correlation analyses (CCAs) documented a higher canonical correlation between canonical variates among gay (.471) compared to bisexual (.346) men, as well as differing amounts of shared variance (22.2% vs. 12.0%). Examination of the standardized canonical coefficients and structure coefficients highlighted differences between gay and bisexual men in variables contributing most to the synthetic predictor and criterion variables. Information about these group differences may be used to tailor selected prevention initiatives for substance use problems among emerging adult sexual minority men. [ABSTRACT FROM AUTHOR]

Introduction: Research into disordered eating in men paints a mixed picture regarding the relationship to sexual orientation and muscularity. Method: Participants completed the Eating Disorder Examination Questionnaire 6.0 and Drive for Muscularity scale via Qualtrics. Results: Gay men experience more symptoms related to body attitudes and shape and weight concerns. Heterosexual men experience more muscularity and restricting related symptoms. Bisexual men generally score lower than the other groups, so should be considered independently. Conclusion: Sexual orientation relates to both rates of eating disorders in men and also the kind of symptoms they experience. This should be taken into account in treatment and diagnostic approaches. [ABSTRACT FROM AUTHOR]