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Rethinking Risk, Culture, and Intervention in Collective Sex Environments

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A Commentary to this article was published on 25 June 2018

A Commentary to this article was published on 31 May 2018

Abstract

This article provides a narrative overview of research on HIV/STI risk and collective sexual behavior based on an inclusive analysis of research on environments where people gather for sexual activity—sex clubs, swingers’ clubs, bathhouses, parks, private sex parties, etc. The aim is to analyze how collective sex has been approached across disciplines to promote conversation across paradigms and suggest new lines of inquiry. Attention to context—such as the location of sex—was a necessary redress to universalizing models of sexual risk-taking behavior, leading to insights rooted in the particularities of each environment and its users. However, the identification of ever more precise risk groups or environmental idiosyncrasies eventually becomes theoretically restrictive, leading to an overestimation of the uniqueness of sexual enclaves, and of the difference between any given enclave and the broader social milieu. Using a theoretical framework of transgression to interpret the interdisciplinary literature, similarities in the spatial and social organization of collective sex environments are identified. Insights generated from this complementary perspective are then applied to understandings of collective sex: first, the example of male–female (MF) “swingers” is used to illustrate the need to establish, rather than assume, the distinctiveness of each non-normative sexual enclave, and to broaden the conceptualization of context; second, questions are raised about the practicality of interventions in collective sex environments. Finally, new lines of intellectual inquiry are suggested to shed light not just on collective sex but on sociosexual issues more generally, such as increasing protective sexual health behavior or negotiating consent in sexual encounters.

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Notes

  1. Micro versus macro is a common distinction in sociology to differentiate between theories that look at broader social structures or processes (politics, economy, etc.) and micro processes (interactions, emotions, etc.).

  2. https://www.cdc.gov/hpv/parents/questions-answers.html.

Abbreviations

CSV:

Commercial sex venue

GSE:

Group sex event

PSE:

Public sex environment

PSV:

Public sex venue

SOPV:

Sex on premises venue

CAS:

Condomless anal sex

CAI:

Condomless anal intercourse

CLAIC:

Condomless anal intercourse with casual partners

CVI:

Condomless vaginal intercourse

PAI:

Protected anal intercourse

PNP:

Party and play

sdUAI:

Serodiscordant unprotected anal intercourse

sdUAS:

Serodiscordant unprotected anal sex

UAI:

Unprotected anal sex

UI:

Unprotected intercourse (vaginal or anal)

UIAI:

Unprotected insertive anal intercourse

URAI:

Unprotected receptive anal intercourse

UVI:

Unprotected vaginal sex

BDSM:

Bondage/domination/sadism/masochism (umbrella term)

CNM:

Consensual non-monogamy

CT:

Chlamydia trachomatis

GBM:

Gay bisexual men

GSS:

General Social Survey

HCV:

Hepatitis C

HIV:

Human immunodeficiency virus

HPV:

Human papillomavirus

HRH:

High-risk heterosexuals

IDU:

Intravenous drug user

MF:

Male–female (MF couples might be heterosexual or composed of MSMW and/or WSMW; MF environments are designated as such based on assumed biological sex of participants)

MSM:

Men who have sex with men

MSMW:

Men who have sex with men and women

NG:

Neisseria gonorrhea

PrEP:

Pre-exposure prophylaxis

STD:

Sexually transmitted disease

STI:

Sexually transmitted infections

WSW:

Women who have sex with women

WSMW:

Women who have sex with men and women

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Acknowledgments

I would like to thank the anonymous reviewers, along with Christian Grov, Edward Fernandes, Keith McNeal, and Paul Vasey for comments on earlier drafts of this paper.

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Frank, K. Rethinking Risk, Culture, and Intervention in Collective Sex Environments. Arch Sex Behav 48, 3–30 (2019). https://doi.org/10.1007/s10508-018-1153-3

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