Sex, love, friendship, belonging and place: is there a role for 'Gay Community' in HIV prevention today?

Cult Health Sex. 2008 May;10(4):329-44. doi: 10.1080/13691050701843098.

Abstract

The decade since highly active anti-retroviral therapy (HAART) arrived has been a time of change for gay men in the West. HIV incidence rates have been levelling off--and in some cities, increasing markedly--for the first time since the early years of the pandemic. New sexual subcultures have found expression, including Internet chat rooms, 'poz-only' sex parties, 'barebacking' and crystal methamphetamine use. These circumstances force a re-evaluation of HIV prevention targeting gay communities. We examine the antecedents of current HIV-prevention dilemmas in findings from a qualitative study of gay men who were personally and professionally engaged in HIV/AIDS in Sydney, Australia, in 1997-1998, immediately after the 'protease moment'. The men's lives were characterized by constant and difficult negotiation of gay subjectivities. They did not find a place of uniform belonging in the gay community; rather, ambivalence--toward the gay community and HIV prevention--and fragmentation emerged as themes. Our findings suggest that by the late 1990s, the ethos of safe sex developed in the early HIV/AIDS period was no longer a unifying cultural value. We explore the conditions that led to this shift and the implications for HIV prevention in the 21st century.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attitude to Health
  • Australia
  • Friends*
  • HIV Infections / prevention & control*
  • HIV Infections / psychology
  • HIV Infections / transmission
  • HIV Seropositivity / psychology
  • Homosexuality, Male / psychology
  • Homosexuality, Male / statistics & numerical data*
  • Humans
  • Internet / statistics & numerical data
  • Interpersonal Relations*
  • Male
  • Middle Aged
  • Motivation
  • Risk-Taking
  • Safe Sex / psychology
  • Safe Sex / statistics & numerical data*
  • Sexual Partners*
  • Social Behavior