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You’re Not Alone - Many Straight Guys Have Gay Sex

In a recent article from the Annals of Internal Medicine, nearly one in 10 men who say they're straight have sex only with other men, and 70% of those straight-identified men having sex with men are married. In fact, 10% of all married men in this survey report same-sex behavior during the past year.

Photo of Man in jeans and blue shirt from behindThis means safe-sex messages aimed at straight and gay men are likely missing this important subgroup of MSMs (men who have sex with men but don’t identify as gay.)

From the WA AIDS Council’s point of view, in order to reduce the issues of sexually transmitted infections and HIV infection among men who have sex with men, it is of utmost importance for health care providers to take a sexual history that ascertains the sex of a partner. That is why our sexual health testing clinics for gay/MSMs do ask about a patient's sexual partner(s)’ sexual identity in order to adequately assess his risk.

In 2003, Pathela's team in New York performed telephone interviews with nearly 4,200 New York City men. They conducted the interviews in English, Spanish, Chinese, and Russian; a translation service helped with interviews in Greek, Korean, Yiddish, Polish, and Haitian Creole.

In nearly every study of sexual behavior, the percentage of men who report sex with men is higher than the percentage of men who report being gay. So Pathela and colleagues first asked the men if they were bisexual, gay, or straight. Then they asked about specific sexual behaviors.

Here are some of the findings:

  • Straight-identified men who have sex with men report fewer sex partners than gay men.
  • Straight-identified men who have sex with men report fewer STIs in the past year than gay men.
  • Straight-identified men who have sex with men are less likely than gay men to report using a condom during their last sexual encounter.
  • Straight-identified men who have sex with men are more likely to be foreign born than gay men.
Moreover, a man who says he is straight but is having sex with other men is more likely to be married than a straight man who has sex with women, according to the survey. Only 54% of the men who say they're straight and have sex with women are married, compared with the 70% marriage rate among the men who say they're straight but have sex with men.

Pathela and colleagues note that because they report fewer STIs and fewer sex partners than gay men, straight-identified men who have sex with men may think they are at lower risk of HIV and STIs.

This isn't necessarily so.

The men with whom these straight-identified men have sex may themselves have multiple sex partners and elevated STI and HIV risk. The low rate of condom use makes the straight-identified men vulnerable.

Indeed, the team at Project X agrees that prevention messages should focus on the activities that pose risk - for example, fucking without a condom - and should not be framed to appeal solely to gay-identified men. If you’re a guy having sex with other guys and do not identify as gay, it is important to know that you are not alone in this. If you want some support, advice or more information about sexual health, sexuality issues and testing, contact us on 9482 0000 or email us at info@projectx.net.au.

 

 
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  • Peer Support

    Want to find out what it is like for other guys? Want to get support and information from guys who understand where you are coming from? The Project X Team from the Gay/MSM Program at the WA AIDS Council adopts a peer education model in our health promotion, outreach and education. All our programs are run by Gay/MSM guys and one to one peer support is also available.

     

  • Testing Services

    Wanting to find out where you can get an anonymous confidential sexual health check? The Sauna Sexual Health Service and the M Clinic provide sexual health information testing for sexually transmitted infections (STIs) and blood borne viruses (BBVs).

     

  • Workshops

    We offer a variety of workshops run by gay, bisexual and other men who have sex with men. The Workshops are about exploring our sexuality and making the most of our choices.