Danger and Context: Unsafe Anal Sexual Practice among Homosexual and Bisexual Men in the AIDS Crisis

Abstract

Exploring the social dimension of sexuality is crucial to prevention strategies for AIDS. New developments in social theories of sexuality can inform empirical research. A survey of 535 gay and bisexual men in New South Wales and the Australian Capital Territory was designed in the light of practice-based analyses of gender and sexuality. Anal intercourse without condoms ranks high in physical and emotional significance though it is known to be relatively unsafe with regard to transmission of the human immunodeficiency virus. This practice shows few statistical connections to variables describing social structure, but is linked to variables describing gay social milieu attachment, patterns of sexuality, and awareness of the situation created by the AIDS crisis. Potentially dangerous anal practice is more common within established relationships and especially common with men who describe themselves as 'monogamous'. This creates dilemmas for prevention strategy. Connections between social variables and the frequency of unprotected anal intercourse point to the importance of informed social support for safer sex. Prevention strategy needs to emphasise collective action, not just personal change.