Sexual behavior among HIV-positive men who have sex with men: What's in a label?

Trevor A. Hart, Richard J. Wolitski, David W. Purcell, Cynthia Gómez, Perry Halkitis, Michael Stirratt, Robert Remien, Jeffrey Parsons, Ann O'Leary, Colleen Hoff, Robert Hays, James Carey, Timothy Ambrose

Research output: Contribution to journalArticlepeer-review

61 Scopus citations

Abstract

Relatively little attention has been paid to the use and importance of labels used by men who have sex with men to describe insertive or receptive sexual behavior during intercourse. This study examines sexual self-labels, sexual behavior, HIV transmission risk, and psychological functioning among 205 HIV-seropositive men who have sex with men. The majority of participants (88%) identified as a "top," a "bottom," or "versatile." Tops were more likely to engage in insertive anal intercourse than bottoms, and bottoms were more likely to engage in receptive anal intercourse than tops, with versatiles reporting intermediate rates of both behaviors. Although the results suggest preliminary evidence regarding the predictive utility of self-labels, sexual behaviors of self-label groups were greatly overlapping. Differences were found among self-label groups in gay self-identification, internalized homophobia, sexual sensation seeking, and anxiety. Results suggest an added value in assessing self-labels in addition to asking about sexual behavior.

Original languageEnglish (US)
Pages (from-to)179-188
Number of pages10
JournalJournal of Sex Research
Volume40
Issue number2
DOIs
StatePublished - May 2003

All Science Journal Classification (ASJC) codes

  • Gender Studies
  • Sociology and Political Science
  • Psychology(all)
  • History and Philosophy of Science

Fingerprint Dive into the research topics of 'Sexual behavior among HIV-positive men who have sex with men: What's in a label?'. Together they form a unique fingerprint.

Cite this