https://orcid.org/0000-0002-7793-3090
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ABSTRACT
Men who have sex with men (MSM) continue to account for a large number of new HIV infections across the United States. While numerous studies have focused on MSM sexual risk behavior and substance use, some research has also examined how public and private environments, such as a bathhouse setting, may play an important role. This cross-sectional study analyzed data surrounding HIV/AIDS complacency, substance use, and sexual risk behavior among a sample of 168 MSM in a bathhouse located within a major urban city. Of the sample, 73.2% had completed at least college, 67.9% were single, 56.5% were identified as Caucasian (both Hispanic and Non-Hispanic), 76.2% identified as gay, and 77.4% were HIV negative. Results demonstrated an association between complacency and sexual risk behavior among participants. Being Black (both Hispanic and Non-Hispanic), HIV-positive, or those reporting drug and/or alcohol usage influenced their safe sex practices and was found to be associated with sexual risk behavior. Implications are examined related to HIV education and prevention efforts among MSM as well as affirming practice and service delivery efforts.