The study of Married Men who have Sex with Men (MMSM) explores the social, sexual and demographical aspects of MMSM, to guide a better understanding of this group, promote education initiatives, support and explore the risk environments and prevent the spread of sexually transmissible infections (STIs) including HIV.
Methods Quantitative (surveys) and qualitative (interviews) research methods were used to explore the social aspects, attitudes, practices and contexts of and interactions of sexual encounters, sexual practices, sexual pleasure, partner choice and protective practices. Attitudes, values and knowledge of STIs and HIV/AIDS were recorded. Results Data from the 110 questionnaires completed at the time of this analysis were included here. Respondents were aged between 21 – 74 (mean age 48y/o), most live in Western Sydney. 64% were employed professionally. 32% identified as bisexual, 65% had been married from 6 months to 40+ years. 67% had sex with men prior to marriage, 41 % continued sex with men during marriage, with 38% having male-to-male sex more than once weekly.
Sexual practices practiced by some MMSM make them vulnerable to certain risks in their pursuit for sex and highlights possible naivety of the potential risk of HIV and STIs. Reasons for marriage indicate a pursuit for heterosexual normalization through a family lifestyle. 56% indicated love or emotional attachment to female partner as a reason. 37% commenced sexual activities with men because of lack of sex during their heterosexual relationship with 45% female partners not aware of their sexual activities.
The study provides valuable insights for researchers & health professionals that may help develop appropriate interventions & directions for future research.
Conflict of Interest: None disclosed
Financial Support/Funding: None disclosed
Sydney, Australia, April 2007
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