ABSTRACT

Sexual role identities for anal sex and anal sex positionings are often conflated in research. This study aimed to identify profiles of sexual minority men based on sexual role identity and anal sex positioning and determine correlates of these profiles, including individual (i.e., HIV-status identity, condom use, partner type, sexual orientation) and cultural (i.e., same-race partnering, country of birth, acculturation) factors. A sample of Brazilian, Colombian, and Dominican immigrant sexual minority men (n = 480) living in New York City were surveyed about identity and positioning at the two most recent encounters. Individual and cultural factors were examined as correlates of profiles identified through latent class analysis. Four latent classes were identified: No Labels (12%), Receptive Bottoms (16%), Insertive Tops (23%), Insertive and Receptive Versatiles (49%). We found a concordance rate of ~70% between identity and behavior. A proportion (12%) of behaviorally versatile men chose not to use sexual role labels. Living with HIV was associated with receptive and versatile classes, sex with main partners was associated with versatility, and sexual orientation differed across classes. Identity and behavior should not be used interchangeably in research or applied domains, particularly given the complexities of versatility and men who prefer to not use labels.

摘要

肛交的性角色身份和肛交定位在研究中经常混为一谈。本研究旨在根据性角色身份和肛交定位确定性少数男性的概况，并确定这些概况的相关性，包括个人（即 HIV 状态身份、安全套使用、伴侣类型、性取向）和文化（即，同种族伴侣、出生国家、文化适应）因素。对生活在纽约市的巴西、哥伦比亚和多米尼加移民性少数男性 (n = 480) 的样本进行了关于最近两次相遇时的身份和定位的调查。个人和文化因素被检查为通过潜在类别分析确定的配置文件的相关性。确定了四个潜在类别：无标签(12%)、接受底部(16%)，插入顶部(23%)，插入和接收多功能(49%)。我们发现身份和行为之间的一致性约为 70%。一部分 (12%) 行为多变的男性选择不使用性角色标签。感染 HIV 与接受性和多才多艺的班级有关，与主要伴侣发生性关系与多才多艺有关，并且不同班级的性取向不同。身份和行为不应在研究或应用领域互换使用，特别是考虑到多功能性和男性不喜欢使用标签的复杂性。