Lubricant use at last sexual encounter with a male partner: findings from a nationally representative sample of self-identified gay and bisexual men in the United States
Brian Dodge A F , Randolph D. Hubach B , Vanessa Schick C , Debby Herbenick A , Michael Reece A , Stephanie A. Sanders D and J. Dennis Fortenberry EA Indiana University – Bloomington, Center for Sexual Health Promotion, Bloomington, IN 47405, USA.
B Oklahoma State University, School of Applied Health & Educational Psychology, Stillwater, OK 74078, USA.
C University of Texas, Health Science Center, Houston, TX 77030, USA.
D Indiana University – Bloomington, The Kinsey Institute for Research in Sex, Gender & Reproduction, Bloomington, IN 47405, USA.
E Indiana University School of Medicine, Division of Adolescent Medicine, Indianapolis, IN 46202, USA.
F Corresponding author. Email: bmdodge@indiana.edu
Sexual Health 12(4) 300-307 https://doi.org/10.1071/SH14186
Submitted: 23 September 2014 Accepted: 18 March 2015 Published: 25 May 2015
Abstract
Background: There is a lack of research that examines event-level lubricant use and outcomes among gay and bisexual men, with the majority of current research addressing lubricant use within the context of sexual risk. Most studies examining sexual health among gay and bisexual men have relied on convenience sampling strategies for participant recruitment. Methods: Data were collected from the 2012 wave of the National Survey of Sexual Health and Behaviour (NSSHB), which involved the administration of an online questionnaire to a nationally representative probability sample of women and men in the United States aged 18 years and older, including an oversampling of self-identified gay and bisexual men and women. The findings from gay (n = 307) and bisexual (n = 25) participants who reported sexual behaviours with other male partners during their last sexual encounter are included in this paper. Post-stratification data weights were applied to the data to maximise the generalisability of the findings. Results: Men who reported lubricant use during their last sexual event with a male partner (n = 163) were significantly more likely to be non-White, Hispanic and between 30 and 39 years old. Bisexual men had lower odds of using lubricant than gay-identified men. The majority of men reported using lubricant during anal intercourse, along with lower numbers with a range of other sexual behaviours. Conclusion: Public health promotion specialists should consider recommending continued lubricant use as a part of comprehensive sexual health promotion efforts for gay and bisexual men, including that it reduces pain and maximises pleasure.
Additional keywords: men who have sex with men, probability sample, sexual behaviour, sexual health.
References
[1] Martin DJ. Inappropriate lubricant use with condoms by homosexual men. Public Health Rep 1992; 107 468–73.| 1:STN:280:DyaK38zltVylsg%3D%3D&md5=751f57f5e82ef741e62f87346cf49a5eCAS | 1641445PubMed |
[2] Kiran D, Manjunath R, Aswin KK, Patil BK, Mahabalaraju DK. A study on risk factors associated with inconsistent condom and lubricant use among men who have sex with men in central Karnataka, India. Australasian Med J 2011; 4 469–73.
| 1:STN:280:DC%2BC3szmtVKjtw%3D%3D&md5=f19c6f99383bc91c1861a82ae6db76e0CAS |
[3] Butler LM, Osmond DH, Jones AG, Martin JN. Use of saliva as a lubricant in anal sexual practices among homosexual men. J Acquir Immune Defic Syndr 2009; 50 162–7.
| Use of saliva as a lubricant in anal sexual practices among homosexual men.Crossref | GoogleScholarGoogle Scholar | 19131893PubMed |
[4] Gorbach PM, Weiss RE, Fuchs E, Jeffries RA, Hezerah M, Brown S, Voskanian A, Robbie E, Anton P, Cranston RD. The slippery slope: lubricant use and rectal sexually transmitted infections: a newly identified risk. Sex Transm Dis 2012; 39 59–64.
| The slippery slope: lubricant use and rectal sexually transmitted infections: a newly identified risk.Crossref | GoogleScholarGoogle Scholar | 22183849PubMed |
[5] Carballo-Diéguez A, Stein Z, Sáez H, Dolezal C, Nieves-Rosa L, Díaz F. Frequent use of lubricants for anal sex among men who have sex with men: the HIV prevention potential of a microbicidal gel. Am J Public Health 2000; 90 1117–21.
| Frequent use of lubricants for anal sex among men who have sex with men: the HIV prevention potential of a microbicidal gel.Crossref | GoogleScholarGoogle Scholar | 10897191PubMed |
[6] Clark JL, Salvatierra HJ, Segura ER, Salazar X, Konda K, Galea J, Klausner JD, Coates TJ, Caceres CF. Frequency, patterns, and preferences of lubricant use during anal intercourse within male sexual partnerships in Lima, Peru: implications for a rectal microbicide HIV prevention intervention. AIDS Care 2013; 25 579–85.
| Frequency, patterns, and preferences of lubricant use during anal intercourse within male sexual partnerships in Lima, Peru: implications for a rectal microbicide HIV prevention intervention.Crossref | GoogleScholarGoogle Scholar | 23082796PubMed |
[7] Herbenick D, Reece M, Schick V, Sanders SA, Fortenberry JD. Women’s use and perceptions of commercial lubricants: prevalence and characteristics in a nationally representative sample of American adults. J Sex Med 2014; 11 642–52.
| Women’s use and perceptions of commercial lubricants: prevalence and characteristics in a nationally representative sample of American adults.Crossref | GoogleScholarGoogle Scholar | 24521034PubMed |
[8] Reece M, Herbenick D, Schick V, Sanders SA, Fortenberry JD. Men’s use and perceptions of commercial lubricants: prevalence and characteristics in a nationally representative sample of American adults. J Sex Med 2014; 11 1125–35.
| Men’s use and perceptions of commercial lubricants: prevalence and characteristics in a nationally representative sample of American adults.Crossref | GoogleScholarGoogle Scholar | 24612606PubMed |
[9] Reece M, Mark KP, Herbenick D, Jawed-Wessel S, Hensel D, Dodge B. An event-level analysis of adding exogenous lubricant to condoms in a sample of men who have vaginal sex with women. J Sex Med 2012; 9 672–8.
| An event-level analysis of adding exogenous lubricant to condoms in a sample of men who have vaginal sex with women.Crossref | GoogleScholarGoogle Scholar | 22239955PubMed |
[10] Rosen RC, Bachmann GA, Reese JB, Gentner L, Leiblum S, Wajszczuk C, Wanser R. Female Sexual Well-Being Scale™ (FSWB Scale™): development and psychometric validation in sexually functional women. J Sex Med 2009; 6 1297–305.
| Female Sexual Well-Being Scale™ (FSWB Scale™): development and psychometric validation in sexually functional women.Crossref | GoogleScholarGoogle Scholar | 19473284PubMed |
[11] Hoffman S, Morrow K, Mantell J, Rosen R, Carballo-Diéguez A, Gai F. Covert use, vaginal lubrication, and sexual pleasure: a qualitative study of urban U.S. women in a vaginal microbicide clinical trial. Arch Sex Behav 2010; 39 748–60.
| Covert use, vaginal lubrication, and sexual pleasure: a qualitative study of urban U.S. women in a vaginal microbicide clinical trial.Crossref | GoogleScholarGoogle Scholar | 19636696PubMed |
[12] Javanbakht M, Murphy R, Gorbach P, LeBlanc M, Pickett J. Preferences and practices relating to lubricant use during anal intercourse: implications for rectal microbicides. Sex Health 2010; 7 193–8.
| Preferences and practices relating to lubricant use during anal intercourse: implications for rectal microbicides.Crossref | GoogleScholarGoogle Scholar | 20465986PubMed |
[13] Meyer IH, Wilson PA. Sampling lesbian, gay, and bisexual populations. J Couns Psychol 2009; 56 23–31.
| Sampling lesbian, gay, and bisexual populations.Crossref | GoogleScholarGoogle Scholar |
[14] Dodge B, Sandfort TGM. A review of mental health research on bisexual individuals when compared to homosexual and heterosexual individuals. In BA Firestein, editors. Becoming visible: counseling bisexuals across the lifespan. New York: Columbia University Press; 2007. pp. 28–51.
[15] Dodge B, Schnarrs PW, Reece M, Goncalves G, Martinez O, Nix R, Malebranche D, Van Der Pol B, Murray M, Fortenberry JD. Community involvement among behaviourally bisexual men in the Midwestern USA: experiences and perceptions across communities. Cult Health Sex 2012; 14 1095–110.
| Community involvement among behaviourally bisexual men in the Midwestern USA: experiences and perceptions across communities.Crossref | GoogleScholarGoogle Scholar | 22978551PubMed |
[16] Friedman MR, Dodge B, Schick V, Herbenick D, Hubach RD, Bowling J, Goncalves G, Krier S, Reece M. From bias to bisexual health disparities: Attitudes toward bisexual men and women in the United States. LGBT Health 2014; 1 309–18.
| From bias to bisexual health disparities: Attitudes toward bisexual men and women in the United States.Crossref | GoogleScholarGoogle Scholar | 25568885PubMed |
[17] Dodge B, Schick V, Herbenick D, Reece M, Sanders S, Fortenberry JD. Frequency, reasons for, and perceptions of lubricant use among a nationally representative sample of self-identified gay and bisexual men in the United States. J Sex Med 2014; 11 2396–405.
| Frequency, reasons for, and perceptions of lubricant use among a nationally representative sample of self-identified gay and bisexual men in the United States.Crossref | GoogleScholarGoogle Scholar | 25088090PubMed |
[18] Reece M, Herbenick D, Schick V, Sanders SA, Dodge B, Fortenberry JD. Sexual behaviors, relationships, and perceived health among adult men in the United States: results from a national probability sample. J Sex Med 2010; 7 291–304.
| Sexual behaviors, relationships, and perceived health among adult men in the United States: results from a national probability sample.Crossref | GoogleScholarGoogle Scholar | 21029386PubMed |
[19] Sanders SA, Reece M, Herbenick D, Schick V, Dodge B, Fortenberry JD. Condom use during most recent vaginal intercourse event among a probability sample of adults in the United States. J Sex Med 2010; 7 362–73.
| Condom use during most recent vaginal intercourse event among a probability sample of adults in the United States.Crossref | GoogleScholarGoogle Scholar | 21029391PubMed |
[20] Silver RC, Holman EA, McIntosh DN, Poulin M, Gil-Rivas V. Nationwide longitudinal study of psychological responses to September 11. JAMA 2002; 288 1235–44.
| Nationwide longitudinal study of psychological responses to September 11.Crossref | GoogleScholarGoogle Scholar | 12215130PubMed |
[21] Baker L, Wagner TH, Singer S, Bundorf MK. Use of the Internet and E-mail for health care information: results from a national survey. JAMA 2003; 289 2400–6.
| Use of the Internet and E-mail for health care information: results from a national survey.Crossref | GoogleScholarGoogle Scholar | 12746364PubMed |
[22] Heiss F, McFadden D, Winter J. Who failed to enroll in Medicare Part D, and why? Early results. Health Aff 2006; 25 w344–54.
| Who failed to enroll in Medicare Part D, and why? Early results.Crossref | GoogleScholarGoogle Scholar |
[23] Hensel DJ, Rosenberger JG, Novak DS, Reece M. Sexual event-level characteristics of condom use during anal intercourse among HIV-negative men who have sex with men. Sex Transm Dis 2012; 39 550–5.
| Sexual event-level characteristics of condom use during anal intercourse among HIV-negative men who have sex with men.Crossref | GoogleScholarGoogle Scholar | 22706218PubMed |
[24] Pines HA, Gorbach PM, Reback CJ, Landovitz RJ, Mutchler MG, Mitsuyasu R. Commercial lubricant use among HIV-negative men who have sex with men in Los Angeles: implications for the development of rectal microbicides for HIV prevention. AIDS Care 2014; 26 1609–18.
| Commercial lubricant use among HIV-negative men who have sex with men in Los Angeles: implications for the development of rectal microbicides for HIV prevention.Crossref | GoogleScholarGoogle Scholar | 25022198PubMed |
[25] Dodge B, Reece M, Herbenick D, Schick V, Sanders SA, Fortenberry JD. Sexual health among US Black and Hispanic men and women: a nationally representative study. J Sex Med 2010; 7 330–45.
| Sexual health among US Black and Hispanic men and women: a nationally representative study.Crossref | GoogleScholarGoogle Scholar | 21029389PubMed |
[26] Rosser BRS, Metz ME, Bockting WO, Buroker T. Sexual difficulties, concerns, and satisfaction in homosexual men: an empirical study with implications for HIV prevention. J Sex Marital Ther 1997; 23 61–73.
| Sexual difficulties, concerns, and satisfaction in homosexual men: an empirical study with implications for HIV prevention.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK2s3ksl2itg%3D%3D&md5=3ba3961332b2f2d2bc92f0bd00d1747aCAS |
[27] Hubach RD, Dodge B, Goncalves G, Malebranche D, Reece M, Van Der Pol B, Martinez O, Schnarrs PW, Fortenberry JD. Gender matters: condom use and nonuse among behaviorally bisexual men. Arch Sex Behav 2014; 43 707–17.
| 23912775PubMed |
[28] Sullivan PS, Carballo-Diéguez A, Coates T, Goodreau SM, McGowan I, Sanders EJ, Smith A, Goswani P, Sanchez J. Successes and challenges of HIV prevention in men who have sex with men. Lancet 2012; 380 388–99.
| Successes and challenges of HIV prevention in men who have sex with men.Crossref | GoogleScholarGoogle Scholar | 22819659PubMed |