TY - JOUR
T1 - Correlates of anal sex roles among Malay and Chinese MSM in Kuala Lumpur, Malaysia
AU - Dangerfield, Derek T.
AU - Gravitt, Patti
AU - Rompalo, Anne M.
AU - Tai, Raymond
AU - Lim, Sin How
N1 - Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Funding for this research was provided by the US Department of State Fulbright Program, the National Science Foundation Graduate Research Fellowship Program, the PT Foundation, the High Impact Research Grant of the University of Malaya (E000001-20001), and the UJMT Fogarty Global Health Fellows Training Program #5R25TW009340.
Publisher Copyright:
© 2016, © The Author(s) 2016.
PY - 2016/3/1
Y1 - 2016/3/1
N2 - Identifying roles for anal sex is an important issue for populations of MSM. We describe the prevalence of identifying as being ‘top’, ‘bottom’, ‘versatile’, or ‘don’t know/not applicable’ among Malay and Chinese MSM in Kuala Lumpur, Malaysia, and behavioural outcomes according to these labels for sexual role identity. Data analysis was conducted on a survey administered during weekly outreach throughout Kuala Lumpur in 2012. Pearson’s Chi square tests were used to compare demographic and behavioural characteristics of MSM who reported roles for anal sex. Binary logistic regression was used to explore the odds of behavioural outcomes among MSM who identified as ‘bottom’, ‘versatile,’ and ‘don't know' compared to MSM who reported that ‘top' was their sexual role. Labels for anal sex roles were significantly associated with condom use for last anal sex. Among MSM who used labels for anal sex roles, MSM who identified as ‘bottom’ had highest level of not using condoms for last anal sex (24.1%, p =.045). In binary logistic regression model, identifying as ‘top’ was significantly associated with reporting using a condom during last anal sex and reported consistent condom use for anal sex in the past six months (p =.039 and.017, respectively). With regard to sexual role identity, some MSM may be a part of a special subgroup of at-risk men to be targeted. Future research should evaluate the origins, meanings, and perceptions of these labels, and the developmental process of how these MSM identify with any of these categories. Research should also uncover condom use decision making with regard to these labels for sexual positioning.
AB - Identifying roles for anal sex is an important issue for populations of MSM. We describe the prevalence of identifying as being ‘top’, ‘bottom’, ‘versatile’, or ‘don’t know/not applicable’ among Malay and Chinese MSM in Kuala Lumpur, Malaysia, and behavioural outcomes according to these labels for sexual role identity. Data analysis was conducted on a survey administered during weekly outreach throughout Kuala Lumpur in 2012. Pearson’s Chi square tests were used to compare demographic and behavioural characteristics of MSM who reported roles for anal sex. Binary logistic regression was used to explore the odds of behavioural outcomes among MSM who identified as ‘bottom’, ‘versatile,’ and ‘don't know' compared to MSM who reported that ‘top' was their sexual role. Labels for anal sex roles were significantly associated with condom use for last anal sex. Among MSM who used labels for anal sex roles, MSM who identified as ‘bottom’ had highest level of not using condoms for last anal sex (24.1%, p =.045). In binary logistic regression model, identifying as ‘top’ was significantly associated with reporting using a condom during last anal sex and reported consistent condom use for anal sex in the past six months (p =.039 and.017, respectively). With regard to sexual role identity, some MSM may be a part of a special subgroup of at-risk men to be targeted. Future research should evaluate the origins, meanings, and perceptions of these labels, and the developmental process of how these MSM identify with any of these categories. Research should also uncover condom use decision making with regard to these labels for sexual positioning.
KW - AIDS
KW - HIV
KW - MSM
KW - Malaysia
KW - anal sex
KW - anal sex positioning
KW - culture
KW - homosexual
KW - men
KW - men who have sex with men
KW - sexual behaviour
KW - sexual role
KW - sexually transmitted infections
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U2 - 10.1177/0956462415581125
DO - 10.1177/0956462415581125
M3 - Article
C2 - 25887064
AN - SCOPUS:84958173790
VL - 27
SP - 313
EP - 320
JO - International Journal of STD and AIDS
JF - International Journal of STD and AIDS
SN - 0956-4624
IS - 4
ER -