Sex, Drugs, and Situation

Abstract

Although the general populace has stereotyped bathhouses that cater to men seeking sex with other men as facilitators of HIV transmission, little research has been conducted that examines such claims. The authors conducted structured, in-depth topical interviews with 41 men who frequent bathhouses in Houston, Texas. Qualitative data were collected. The qualitative data were analyzed using an inductive and deductive analytical process. The study finds that bathhouses are a setting in which sex occurs, but bathhouses per se do not determine the nature of sexual activities. Instead, the meanings patrons attach to the commercial public sex environment bath-houses and to the activities they perform there account for men's sexual risk behaviors. Many participants reported accurate knowledge regarding HIV and safer sex practices and also reported either avoiding penetrative sex or using condoms in this setting. Data are presented that elucidate the relationships between perceptions, drug use, and sexual risk behaviors. Findings are discussed in regard to intervention and future research.