caa a22 4500 60623117X CHVBK 20210128101218.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s10508-015-0521-5 doi (NATIONALLICENCE)springer-10.1007/s10508-015-0521-5 To Have Sex or Not to Have Sex? An Online Focus Group Study of Sexual Decision Making Among Sexually Experienced and Inexperienced Gay and Bisexual Adolescent Men [Elektronische Daten] [L. DuBois, Kathryn Macapagal, Zenaida Rivera, Tonya Prescott, Michele Ybarra, Brian Mustanski] Adolescent gay and bisexual men (AGBM) are at disproportionately high risk for HIV and other sexually transmitted infections, yet healthy sexuality and HIV prevention programs grounded in experiences unique to AGBM (e.g., coming out) are lacking, as is the formative work necessary to inform such programs. A richer understanding of factors informing AGBM's decisions to have or not have sex is needed. To fill this gap in the literature, we conducted qualitative and mixed-methods analyses of data collected in online focus groups with 75 ethnically diverse 14-18-year-old AGBM across the United States. Findings suggest that many reasons why AGBM choose to have or abstain from sex mirror those noted in the previous literature as influential for heterosexual adolescents (e.g., temptation, "horniness”). AGBM conveyed additional experiences/concerns that appeared unique to their sexual identity, particularly fears about pain during anal sex, and difficulties safely and accurately identifying same-sex partners. Both sexually experienced and inexperienced youth voiced reasons to wait or stop having sex. Sexually inexperienced youth said their motivations centered on wanting to avoid STIs and HIV, a desire to wait for the right partner, and the specialness of sex. On the other hand, sexually experienced AGBM said they stopped having sex if there was not an available partner they had interest in, or to improve their romantic relationship. Thus, while our findings suggest that there may be common factors across sexual identities that impact youth's sexual decision making, healthy sexuality programs for AGBM also need to address issues specific to being gay and bisexual. Springer Science+Business Media New York, 2015 Abstinence nationallicence Young men who have sex with men (YMSM) nationallicence Male homosexuality nationallicence Sexual initiation nationallicence Lesbian, gay, bisexual youth nationallicence HIV prevention nationallicence DuBois L. Department of Anthropology, University of Massachusetts, Boston, MA, USA aut Macapagal Kathryn Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 625N. Michigan Ave., Suite 2700, 60611, Chicago, IL, USA aut Rivera Zenaida Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 625N. Michigan Ave., Suite 2700, 60611, Chicago, IL, USA aut Prescott Tonya Center for Innovative Public Health Research, San Clemente, CA, USA aut Ybarra Michele Center for Innovative Public Health Research, San Clemente, CA, USA aut Mustanski Brian Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 625N. Michigan Ave., Suite 2700, 60611, Chicago, IL, USA aut Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/7(2015-10-01), 2027-2040 0004-0002 44:7<2027 2015 44 10508 https://doi.org/10.1007/s10508-015-0521-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10508-015-0521-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- DuBois L. Department of Anthropology, University of Massachusetts, Boston, MA, USA aut NATIONALLICENCE 700 1- Macapagal Kathryn Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 625N. Michigan Ave., Suite 2700, 60611, Chicago, IL, USA aut NATIONALLICENCE 700 1- Rivera Zenaida Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 625N. Michigan Ave., Suite 2700, 60611, Chicago, IL, USA aut NATIONALLICENCE 700 1- Prescott Tonya Center for Innovative Public Health Research, San Clemente, CA, USA aut NATIONALLICENCE 700 1- Ybarra Michele Center for Innovative Public Health Research, San Clemente, CA, USA aut NATIONALLICENCE 700 1- Mustanski Brian Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 625N. Michigan Ave., Suite 2700, 60611, Chicago, IL, USA aut NATIONALLICENCE 773 0- Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/7(2015-10-01), 2027-2040 0004-0002 44:7<2027 2015 44 10508