Sexual positioning practices
among men who have sex with men (MSM) have not received a thorough discussion
in the MSM and HIV literature,
given that risks for acquiring or transmitting HIV and
STIs via condomless anal sex vary according to sexual positioning. MSM bear a
disproportionate burden of HIV compared
to the general population in the United States; surveillance efforts suggest
that HIV and
STIs are increasing among domestic and international populations of MSM.
We
conducted a narrative review, using a targeted literature search strategy, as
an initial effort to explore processes through which sexual positioning
practices may contribute to HIV/STI transmission. Peer-reviewed articles were eligible for
inclusion if they contained a measure of sexual positioning identity and/or
behavior (i.e., "top", "bottom," etc.) or sexual
positioning behavior (receptive anal intercourse or insertive anal
intercourse), or assessed the relationship between sexual positioning identity
withHIV risk,
anal sex practice, masculinity, power, partner type, or HIV status.
A total of 23 articles met our inclusion criteria. This review highlights
dynamic psychosocial processes likely underlying sexual decision making related
to sexual positioning identity and practices among MSM and MSM who have sex
with women (MSMW), and ways these contexts may influence HIV/STI risk.
Despite limited focus in the extant literature,
this review notes the important role the contextual factors (masculinity
stereotypes, power, partner type, and HIV status)
likely to play in influencing sexual positioning identity and practices.
Through this review we offer an initial synthesis of the literature describing
sexual positioning identities and practices and conceptual model to provide
insight into important areas of study through future research.
Purchase full article at:
By:
- 1Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90032, USA. ddangerf@usc.edu.
- 2Division of Global Public Health, University of California, San Diego, La Jolla, CA, USA.
- 3Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90032, USA.
- Arch Sex Behav. 2016 May 13.
More at: https://twitter.com/hiv insight
No comments:
Post a Comment