Early sexual experiences of adolescent men who have sex with men

Chen Wang; Christopher K. Fairley; Rebecca Wigan; Suzanne M. Garland; Catriona S. Bradshaw; Marcus Y. Chen; Eric P. F. Chow

doi:10.1071/SH23211

RESEARCH ARTICLE (Open Access)

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Early sexual experiences of adolescent men who have sex with men

Chen Wang

^A ^B ^* , Christopher K. Fairley

^A ^B ^C , Rebecca Wigan ^A ^B , Suzanne M. Garland ^D ^E ^F , Catriona S. Bradshaw ^A ^B ^C , Marcus Y. Chen ^A ^B ^§ and Eric P. F. Chow

^A ^B ^C ^§

+ Author Affiliations

- Author Affiliations

^A Melbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia.

^B School of Translational Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Vic., Australia.

^C Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Vic., Australia.

^D Department of Obstetrics and Gynaecology, The University of Melbourne, Melbourne, Vic., Australia.

^E Murdoch Children’s Research Institute, Melbourne, Vic., Australia.

^F Centre for Women’s Infectious Diseases, The Royal Women’s Hospital, Melbourne, Vic., Australia.

^* Correspondence to: wangchen01189@gmail.com, cwan0129@student.monash.edu

Handling Editor: Megan Lim

Sexual Health 21, SH23211 https://doi.org/10.1071/SH23211

Submitted: 11 January 2024 Accepted: 2 May 2024 Published: 20 May 2024

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)

Abstract

Background

There are limited studies examining the early experiences of adolescent men who have sex with men (MSM), and the magnitude of changes in sexual practice among adolescent MSM is unclear. Therefore, we compared the sexual practice and trajectory among adolescent men who are MSM aged 16–20 years in two cohorts, 5 years apart in Melbourne, Australia.

Methods

A total of 200 self-identified same-sex attracted men aged 16–20 years were recruited in each of HYPER1 (2010–2012) and HYPER2 (2017–2018) using similar methodology. Men completed a questionnaire about their sexual practices. Men were also asked to report the age of first sex with different sexual activities with men and women.

Results

Compared to HYPER1, the median age at first sex with men was slightly increased in HYPER2: receiving oral sex (17.2 years in HYPER2 vs 16.5 years in HYPER1), performing oral sex (17.3 years vs 16.4 years), receptive anal sex (18 years vs 17.0 years) and insertive anal sex (18 years vs 17.3 years). Similar patterns were also observed in sexual practice with women: performing oral sex (17.0 years in HYPER2 vs 16.8 years in HYPER1), receiving oral sex (17.0 years vs 16.3 years) and vaginal sex (17.0 years vs 16.7 years).

Conclusions

In general, there was a small delay in first-sex activity among adolescent MSM between two cohorts 5 years apart. Most adolescent MSM started their sexual practices before the age of 18 years and have engaged in activities that are at risk of HIV and STI. Health education and promotion, including regular sexual health check-ups, are important for HIV and STI prevention and intervention in this population.

Keywords: adolescent, men who have sex with men, sexual behaviours, sexual debut, sexual practices, STI, youth.

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