Document Type

Journal Article

Department/Unit

Department of Communication Studies

Language

English

Abstract

Young men who have sex with men are becoming the most at-risk subgroup for HIV incidence in Hong Kong. To understand how young gay men in Hong Kong interpret and implement safer sex and condom use, focus-group discussions and individual in-depth interviews were held. The 74 participants were nearly all ethnic Chinese gay men aged between 18 and 25 years. Findings indicate that the challenge for health intervention lies in young gay men’s inconsistent condom use despite their high level of HIV-related knowledge. Participants described using condoms, testing for HIV and abstaining from anal sex as measures undertaken to prevent HIV infection. However, sociocultural norms and expectations pertaining to ‘0’ (docile, bottom) and ‘1’ (assertive, top) roles and trust between partners complicate the consistent implementation of risk-reduction measures. Influenced by heteronormative and romantic beliefs, sexual behaviours such as condomless anal sex and internal ejaculation hold symbolic meanings – exclusivity, commitment, intimacy, possession – for young gay men in Hong Kong, which override health concerns. These findings support more empowerment-driven HIV programming for young gay men.

Keywords

Young gay men, HIV prevention, condom use, Hong Kong

Publication Date

2016

Source Publication Title

Culture, Health and Sexuality

Volume

18

Issue

3

Start Page

294

End Page

307

Publisher

Taylor & Francis

Peer Reviewed

1

Funder

Research Grants Council, University Grants Committee, Hong Kong

DOI

10.1080/13691058.2015.1080298

Link to Publisher's Edition

http://dx.doi.org/10.1080/13691058.2015.1080298

ISSN (print)

13691058

ISSN (electronic)

14645351

Included in

Communication Commons

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