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HIV is no longer a death sentence, and persons with HIV are living longer, healthier and more sexually active lives. Nevertheless, the sexual practices of gay and bisexual men living with HIV have largely been ignored or demonized. Much prior study has either treated HIV seropositive persons as asexual, failing to acknowledge their sexual desires and behaviors, or viewed this population's sexuality only in terms of its potential for spreading disease. These limited views have resulted in a significant lapse in clinical understanding of the challenges faced by HIV-positive men seeking active and vital sexual lives.
HIV+ Sex illuminates the struggles faced by HIV-positive gay and bisexual men as sexual beings, but also describes the myriad ways in which many of these men are able to celebrate their sexuality. Giving voice to the stories of hundreds of seropositive individuals, the editors and contributors explore how gay and bisexual men live with HIV and make decisions about sex, express their sexuality, choose their sexual partners, and balance their physical and emotional health while attempting to maintain viable and responsible sex lives. The personal narratives, in addition to featured findings of extensive behavioral research studies, provide orientation and valuable insight for studying and working with this population.
This distinctive and timely volume offers meaningful and practical information for anyone working with HIV seropositive gay and bisexual men in both research and service domains.
Table of Contents
Contributors
Foreword
Preface
Acknowledgments
Understanding the Sexual Lives of HIV-Positive Gay and Bisexual Men: An Overview of the Seropositive Urban Men's Study —Perry N. Halkitis, Richard J. Wolitski, and Cynthia A. Gómez
The Meanings of Sex for HIV-Positive Gay and Bisexual Men: Emotions, Physicality, and Affirmations of Self —Perry N. Halkitis and Leo Wilton
HIV-Positive Gay and Bisexual Men's Perspectives on Establishing and Maintaining Relationships —Caroline J. Bailey and Trevor A. Hart
Between the Sheets and Between the Ears: Sexual Practices and Risk Beliefs of HIV-Positive Gay and Bisexual Men —Deborah J. Schwartz and Caroline J. Bailey
Spoken and Unspoken Desires: Sexual Negotiation and Communication Strategies Among HIV-Positive Gay and Bisexual Men —Colleen C. Hoff and Anupama Manchikanti
Culture Matters: The Role of Race and Ethnicity in the Sexual Lives of HIV-Positive Gay and Bisexual Men —Cynthia A. Gómez, Byron Mason, and Nicholas J. Alvarado
I've Got Something to Tell You: HIV Serostatus Disclosure Practices of HIV-Positive Gay and Bisexual Men With Sex Partners —Michael J. Stirratt
Guessing Games: Sex Partner Serostatus Assumptions Among HIV-Positive Gay and Bisexual Men —Ann O'Leary
Cause and Effect: Attributions About Becoming HIV-Positive and Safer-Sex Decision Making Among Gay and Bisexual Men —David S. Bimbi and Jeffrey T. Parsons
It Takes Two to Tango: HIV-Positive Gay and Bisexual Men's Beliefs About Their Responsibility to Protect Others From HIV Infection —Richard J. Wolitski and Caroline J. Bailey
Under the Influence: Alcohol and Drug Use and Sexual Behavior Among HIV-Positive Gay and Bisexual Men —David W. Purcell, Gladys E. Ibañez, and Deborah J. Schwartz
Brief Encounters: The Roles of Public and Commercial Sex Environments in the Sexual Lives of HIV-Positive Gay and Bisexual Men —Jeffrey T. Parsons and Kalil Vicioso
Wishful Thinking? HIV Treatment Optimism and Sexual Behavior Among HIV-Positive Gay and Bisexual Men —Robert H. Remien and Thomas M. Borkowski
With a Little Help From My Friends: Community Affiliation and Perceived Social Support Among HIV-Positive Gay and Bisexual Men —Kelly R. Knight
Listening to Gay and Bisexual Men Living With HIV: Implications of the Seropositive Urban Men's Study for Psychology and Public Health —Richard J. Wolitski
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