title: Comparing sexual behavioral patterns between two bathhouses: implications for HIV prevention intervention policy.
abstract: There is a glaring lack of data to inform culturally appropriate HIV prevention interventions targeting environments such as bathhouses where men who have sex with men (MSM) practice sexual risk behaviors. This study compares sexual behavioral patterns across two bathhouse sites in order to identify important themes to address when tailoring HIV prevention interventions to bathhouse environments. We analyzed semi-structured interviews with workers and patrons at two bathhouses to explore similarities and differences. A coding scheme was established and data were organized according to conceptual themes. We found that differences between the two sites emerged in six key areas: bathhouse clientele, attraction to particular sites, sexual practices and condom use, communication about sex and HIV status, bathhouse rules, and substance use. Implications for HIV prevention intervention policy are discussed.
authors.affiliation: AIDS Project Los Angeles, 3550 Wilshire Boulevard, Suite #300, Los Angeles, CA 90010, USA.
authors.forename: Matt G
authors.initials: MG
authors.lastname: Mutchler
authors.forename: Trista
authors.initials: T
authors.lastname: Bingham
authors.forename: Miguel
authors.initials: M
authors.lastname: Chion
authors.forename: Richard A
authors.initials: RA
authors.lastname: Jenkins
authors.forename: Lee E
authors.initials: LE
authors.lastname: Klosinski
authors.forename: Gina
authors.initials: G
authors.lastname: Secura
mesh_terms: D000328:Adult; D003710:Demography; D015658:HIV Infections / Q000517:prevention & control*; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D011633:Public Facilities; D011795:Surveys and Questionnaires