Tactical dangers: Findings from the United Kingdom Gay Men's Sex Survey 2008

Published: October 1, 2010

Contents
Executive summary 1
1 Introduction and methods 3
1.1 Content of the report 3
1.2 Background and development of the twelfth national Gay Men’s Sex Survey 3
1.3 Recruitment methods 4
1.4 Exclusions 5
2 Demographic description 6
2.1 Country and area of residence 6
2.2 Age 7
2.3 Ethnicity 8
2.4 Education 9
2.5 Sexual identity and gender of sexual partners 9
2.6 Outness 10
2.7 Relationships including civil partnerships and marriage 11
2.8 Household 12
3 HIV infection and HIV testing 13
3.1 Indicators of HIV infection 13
3.1.1 Self-rating of HIV transmission probability 13
3.1.2 HIV test results and perceptions of current HIV status 14
3.1.3 Recency of last negative tests and first positive tests 15
3.1.4 HIV testing settings 16
3.1.5 Setting preference for future HIV tests 16
3.2 Variation in HIV diagnoses across demographic groups 17
3.2.1 HIV testing history and area of residence 17
3.2.2 HIV testing history and age 18
3.2.3 HIV testing history and ethnicity 18
3.2.4 HIV testing history and education 19
3.2.5 HIV testing history and gender of sexual partners 19
3.2.6 HIV testing history and current male relationship status 20
3.2.7 HIV testing history and numbers of male sexual partners 20
3.3 Summary and implications for programme planning 21
4 Sexual risk behaviours 22
4.1 Number of male sexual partners 22
4.2 Fellatio and ejaculation in the mouth 22
4.3 Anal intercourse 25
4.3.1 Number of anal intercourse partners 25
4.3.2 Number of unprotected anal intercourse partners 26
4.3.3 Insertive and receptive anal intercourse 27
4.3.4 Unprotected insertive and receptive anal intercourse 28
4.3.5 HIV status of partners for unprotected insertive and receptive anal intercourse 29
4.4 Using condoms and condom failure behaviours 31
4.5 Using poppers during risky receptive unprotected anal intercourse 32
4.6 Variation in sexual risk behaviours across demographic groups 33
4.6.1 Sexual risk and area of residence 34
4.6.2 Sexual risk and age 35
4.6.3 Sexual risk and ethnicity 36
4.6.4 Sexual risk and education 36
4.6.5 Sexual risk and gender of sexual partners 37
4.6.6 Sexual risk and current male relationship status 37
4.7 Summary and implications for programme planning 38
5 Indicators of HIV prevention need 39
5.1 Indicators of HIV prevention need 39
5.1.1 Prospective reaction to positive HIV status disclosure from a sexual partner 39
5.1.2 Poppers knowledge 40
5.1.3 Anabolic steroids knowledge 40
5.2 Variation in needs across demographic groups 40
5.2.0 Unmet needs and HIV testing history 41
5.2.1 Unmet needs and area of residence 41
5.2.2 Unmet needs and age 42
5.2.3 Unmet needs and ethnicity 42
5.2.4 Unmet needs and education 42
5.2.5 Unmet needs and gender of sexual partners 43
5.2.6 Unmet needs and current male relationship status 43
5.2.7 Unmet needs and numbers of male sexual partners 44
5.3 Summary and implications for programme planning 44
References 45

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