In the Dark: Young Men’s Stories of Sexual Initiation in the Absence of Relevant Sexual Health Information
This 2011 study draws on a mixed-methods study in Los Angeles, USA, with 526 young men who have sex with men (YMSM). It explores how and where YMSM receive relevant information on sexual health/behavior. Findings indicate that information related to gay men’s sexuality is not readily available from family, friends or schools. At initiation of anal intercourse, respondents generally had limited information about HIV and STIs. In some cases, this resulted in the perception that activities such as unprotected sex were "low risk". Many mentioned they first learned about anal sex during their sexual debut, describing painful and/or unpleasant experiences. Some relied on older/more experienced partners, the Internet and pornography for information. Findings are discussed in relation to how providers can help YMSM build solid foundations of sexual education to protect them from STI and HIV infection.
