Generational Differences in Sexual Behaviour and Partnering Among Gay, Bisexual, and Other Men Who Have Sex With Men

dc.contributor.authorHunt, Giselle
dc.contributor.authorWang, Lu
dc.contributor.authorBacani, Nicanor
dc.contributor.authorCard, Kiffer
dc.contributor.authorSereda, Paul
dc.contributor.authorLachowsky, Nathan J.
dc.contributor.authorRoth, Eric
dc.contributor.authorHogg, Robert
dc.contributor.authorMoore, David
dc.contributor.authorArmstrong, Heather
dc.date.accessioned2022-06-16T23:29:26Z
dc.date.available2022-06-16T23:29:26Z
dc.date.copyright2019en_US
dc.date.issued2019
dc.descriptionThe authors would like to thank the Momentum Health Study participants, office staff and community advisory board, as well as our community partner agencies, Health Initiative for Men, YouthCO HIV & Hep C Society, and Positive Living Society of BC.en_US
dc.description.abstractIntroduction—Given that different generations of gay, bisexual, and other men who have sex with men (gbMSM) have been influenced by substantially different life course events and cultural contexts, we explored differences in sexual behaviour between millennials, Gen-Xers, and baby boomers. Methods—Sexually active gbMSM from Metro Vancouver, ≥16 years, were recruited using respondent-driven sampling between 2012–2015 and completed computer-assisted self-interviews every 6 months, up to 2017. To explore differences between generations (millennials born ≥1987, Gen-Xers born 1962–1986, baby boomers born <1962) we used multivariable logistic regression models using baseline, RDS-weighted data. We also examined 6-month trends, stratified by generation, in partner number, prevalence of high-risk sex, and relationship status using hierarchical mixed-effects models. Results—Among 774 gbMSM (190 millennials, 469 Gen-Xers, 115 baby boomers), median age of first anal sex with a male partner decreased from 20 (aQ1,aQ3:17,25) among baby boomers to 18 (aQ1,aQ3: 16,20) among millennials (x2 (DF=2, N=764)=12.920, p=0.002). After controlling for relevant demographics, differences were observed for some sexual behaviours (i.e., anal sex positioning, giving oral sex, sex toys, masturbation, sexual app/website use, transactional sex) but not others (i.e., receiving oral sex, rimming, fisting, watersports, group sex). At baseline, millennials reported less high-risk sex than other generations but all trended toward less high-risk sex, fewer partners, and regular partnering over the course of the study. Conclusions—While there was notable similarity across generations, millennial gbMSM reported earlier age at first anal intercourse and less high-risk sex. However, all generations trended towards less high-risk sex, fewer partners, and regular partnering over time.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipMomentum is funded through the National Institute on Drug Abuse (R01DA031055–01A1) and the Canadian Institutes for Health Research (MOP-107544, FDN-143342, PJT-153139). NJL was supported by a CANFAR/CTN Postdoctoral Fellowship Award. DMM and NJL are supported by Scholar Awards from the Michael Smith Foundation for Health Research (#5209, #16863). HLA was supported by a Postdoctoral Fellowship Award from the Canadian Institutes of Health Research (Grant # MFE-152443). KGC is supported by a Canadian HIV Trials Network / Canadian Foundation for AIDS Research Postdoctoral Fellowship award, a Michael Smith Foundation for Health Research Trainee award, and a Canadian Institutes of Health Research Health Systems Impact Fellowship award.en_US
dc.identifier.citationHunt, G., Wang, L., Bacani, N., Card, K., Sereda, P., Lachowsky, N., Roth, E., Hogg, R., Moore, D., & Armstrong, H. (2019). “Generational Differences in Sexual Behaviour and Partnering Among Gay, Bisexual, and Other Men Who Have Sex With Men.” The Canadian Journal of Human Sexuality, 28(2), 215-225. https://doi.org/10.3138/cjhs.2019-0014en_US
dc.identifier.urihttps://doi.org/10.3138/cjhs.2019-0014
dc.identifier.urihttp://hdl.handle.net/1828/13984
dc.language.isoenen_US
dc.publisherThe Canadian Journal of Human Sexuality,en_US
dc.subjectGenerations
dc.subjectlongitudinal trends
dc.subjectmen who have sex with men
dc.subjectrespondent-driven sampling
dc.subjectsexual behaviour
dc.subject.departmentSchool of Public Health and Social Policy
dc.subject.departmentDepartment of Anthropology
dc.titleGenerational Differences in Sexual Behaviour and Partnering Among Gay, Bisexual, and Other Men Who Have Sex With Menen_US
dc.typePostprinten_US

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