title: Difference in Condom Use Between Bear Concordant and Discordant Dyads During the Last Anal Sex Event.
abstract: The purpose of this study was to understand how bear identity influenced condom use during the last anal sex event. Participants were recruited to complete an online, anonymous self-report survey through bear-related sexual and social networking websites. A total of 1,080 men who identified as gay or bisexual and as a member of the bear community and were 18 years or older completed the survey. Overall, fewer than a third of men reported condom use during the most recent receptive (28%) and insertive (30%) anal sex event. Men in bear concordant pairings were less likely to use a condom during receptive and insertive anal sex compared to those is discordant pairings (p < .05). Findings suggest that bear identity concordance influences condom use during anal sex after accounting for an individual's relationship to their most recent partner as well as other confounding variables.
authors.affiliation: a Department of Kinesiology, Health and Nutrition , The University of Texas at San Antonio , San Antonio , Texas , USA.|b The South Texas Consortium for HIV & STI Research , San Antonio , Texas , USA.
authors.forename: Phillip W
authors.initials: PW
authors.lastname: Schnarrs
authors.affiliation: c Department of Biobehavioral Health , Pennsylvania State University, University Park , Pennsylvania , USA.
authors.forename: Joshua G
authors.initials: JG
authors.lastname: Rosenberger
authors.affiliation: d Division of Management, Policy and Community Health , The University of Texas School of Public Health , Houston , Texas , USA.
authors.forename: Vanessa
authors.initials: V
authors.lastname: Schick
authors.affiliation: a Department of Kinesiology, Health and Nutrition , The University of Texas at San Antonio , San Antonio , Texas , USA.|e San Antonio AIDS Foundation , San Antonio , Texas , USA.
authors.forename: Adolph
authors.initials: A
authors.lastname: Delgado
authors.affiliation: f Department of Health and Community Services , California State University at Chico , Chico , California , USA.
authors.forename: Lindsay
authors.initials: L
authors.lastname: Briggs
authors.affiliation: g Department of Applied Health Science , Indiana University School of Public Health at Bloomington , Bloomington , Indiana , USA.
authors.forename: Brian
authors.initials: B
authors.lastname: Dodge
authors.affiliation: g Department of Applied Health Science , Indiana University School of Public Health at Bloomington , Bloomington , Indiana , USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Reece
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D008875:Middle Aged; D017280:Condoms / Q000706:statistics & numerical data; D018451:Homosexuality, Male / Q000706:statistics & numerical data; D021841:Safe Sex; D012725:Sexual Behavior / Q000706:statistics & numerical data; D012747:Sexual Partners; D011795:Surveys and Questionnaires
keywords: Anal sex; MSM; bear community; condom use; gay men; identity; sexual behavior