Anal Sex and Gay Men

SUMMARY

In this article, the structure and meaning of anal sex among gay men in the era; of AIDS are analyzed. Based on sexual script theory and using a grounded theory approach, 71 Dutch gay and bisexual men were interviewed. During each sexual encounter decisions have to be made; about whether or not anal sex will take place, who will play what;role, and if protection is used. The decisions taken are not only related to individual preferences, but to a large extent also to those of the partner involved. HIV is one, but not the only factor, influencing these decisions. Four distinct scenarios have been identified which structure and give meaning to anal sex: the physical, the intimate,! the reciprocal, and the power scenario. Related to these scenarios are obstacles and stimuli to use condoms. In the physical scenario, condoms are an obstacle to bodily pleasure. In the intimate scenario, condoms hinder emotional closeness. In the reciprocal scenario, condoms are disruptive for each act of anal sex. The rules of the power scenario facilitate the integration of condom use. Suggestions are made on how to incorporate these results in HIV prevention.