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Homosexual role separation

Implications for analyzing and modeling the spread of HIV

Bibliographic Data

ID10208232
AuthorsHans van Druten (Radboud University Medical Center, corresponding author), Frits Van Griensven (0000-0002-0971-2843, GGD Amsterdam), Jan Hendriks (0000-0002-1177-8980), Jan C M Hendriks (0000-0002-0496-4304, Radboud University Nijmegen)
Year1992
Volume29
Issue4
Pages477-499
Publication date1992-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueThe Journal of Sex Research (JOURNAL)
Journal identifiersISSN: 0022-4499 • E-ISSN: 1559-8519
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/00224499209551663
OpenAlexW2004921816
LanguageEN
Citations received8
References cited17

The analysis of the spread of HIV in homosexual populations must be based on knowledge of all factors which promote or inhibit transmission. Recently, data were reported from the Amsterdam cohort study that imply that sexual role separation and the changes therein should be taken into account in analyzing and modeling the spread of HIV. In this paper, a role separation mixing model is described and linked to data from the Amsterdam cohort. The model allows one to study the impact of homosexual role separation on the spread of HIV. The homosexual men are classified into four sexual subgroups based on the preference for: 1) no anal intercourse; 2) anal insertive only; 3) anal receptive only; 4) both insertive and receptive. The analysis accounts for variability and change in homosexual role behavior and loss to follow up. The results support the conjecture that there are large differences between the risks of receptive and insertive anal intercourse, with the latter carrying only minimal risk. The analysis indicates that the spread of HIV is mostly restricted to subgroup 4, the largest and sexually most active subgroup. In this subgroup, the estimated probability of HIV transmission from an infected insertive partner (in subgroup 2 or 4) to a receptive susceptible (in subgroup 4) is between 1 and 5 percent (assuming a closed cohort)

Anal intercourse · Anal sex · Cohort · Cohort study · Homosexuality · Human immunodeficiency virus (HIV · Men who have sex with men · Sexual behavior · Sociology · Telecommunications · Transmission (telecommunications · Adolescent Sexual and Reproductive Health · Computer Science · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Internal Medicine · Medicine · Psychology · Social Psychology · Virology

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    Open Access•Ryan M Wade, Maksymilian Piasecki•The Journal of Sex Research•2024

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    Jesus Peinado, Jesús Eduardo Peinado Rodriguez et al.•The Journal of Sex Research•2007

  • Gender Expression and Risk of HIV Infection Among Black South African Men Who Have Sex with Men

    Open Access•Theo Sandfort, Theodorus G M Sandfort et al.•AIDS and Behavior•2015

  • Versatility and HIV Vulnerability

    Open Access•Anthony Lyons, Marian Pitts et al.•AIDS and Behavior•2012

  • Longitudinal Event-Level Analysis of Gay and Bisexual Men’s Anal Sex Versatility

    Lindsay Shaw, Lu Wang et al.•The Journal of Sex Research•2019

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    Open Access•Derek T Dangerfield, Nina T Harawa et al.•Archives of Sexual Behavior•2018

  • A Social Geography of Sex

    Robert C Philen, Robert Philen•Journal of Homosexuality•2006

  • Mexican and Mexican American male sexual behavior & spread of Aids in California

    J Raúl Magaña, Joseph M Carrier•The Journal of Sex Research•1991

  • Homosexual role separation and Aids epidemics

    James A Wiley, James Wiley et al.•The Journal of Sex Research•1989

  • Worst case analysis of sexual mixing models of HIV transmission

    Edward H Kaplan•The Journal of Sex Research•1991

Unique citing works8
Citations per year0,4
Citation span2006 - 2024 (19)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 8

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