Differential HIV Risk in Bathhouses and Public Cruising Areas

• Published in: American journal of public health (1971) 2001-09, Vol.91 (9), p.1482-1486
• Main Authors: Binson, Diane, Woods, William J, Pollack, Lance, Paul, Jay, Stall, Ron, Catania, Joseph A
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Bathhouses; Baths - statistics & numerical data; Behavior; Biological and medical sciences; Bookstores; Chicago - epidemiology; Clubs; disease transmission; Drug use; Gays & lesbians; Health risk assessment; HIV; HIV Infections - epidemiology; HIV Infections - etiology; HIV Infections - prevention & control; HIV Infections - transmission; homosexuality; Homosexuality, Male - psychology; Homosexuality, Male - statistics & numerical data; Homosexuals; Human immunodeficiency virus; Humans; Infection; Interviews; Logistic Models; Los Angeles - epidemiology; Male; Medical sciences; Methamphetamine; Middle Aged; Minority & ethnic groups; Miscellaneous; New York City - epidemiology; Prevention and actions; Public Facilities - statistics & numerical data; Public health; Public health. Hygiene; Public health. Hygiene-occupational medicine; Public places; Risk Factors; Risk-Taking; San Francisco - epidemiology; Sex venues; Sexual behavior; Sexual behaviour; sexually transmitted diseases; Substance-Related Disorders - complications; Substance-Related Disorders - psychology; Surveys and Questionnaires; Toilet Facilities - statistics & numerical data; Urban Health - statistics & numerical data; USA; Venue
• ISSN: 0090-0036; 1541-0048
• DOI: 10.2105/AJPH.91.9.1482

This report investigates differences in risk behaviors among men who have sex with men (MSM) who went to gay bathhouses, public cruising areas, or both. We used a probability sample of MSM residing in 4 US cities (n = 2,881). Men who used party drugs and had unprotected anal intercourse with nonprimary partners were more likely to go to sex venues than men who did not. Among attendees, MSM who went to public cruising areas only were least likely, and those who went to both public cruising areas and bathhouses were most likely to report risky sex in public settings. Distinguishing between sex venues previously treated as a single construct revealed a significant association between pattern of venue use and sexual risk. Targeting HIV prevention in the bathhouses would reach the segment of men at greatest risk for HIV transmission.