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PubMed1997

Anal sphincter structure and function in homosexual males engaging in anoreceptive intercourse.

OBJECTIVES: To evaluate the structure and function of the internal (IAS) and external (EAS) anal sphincters in anoreceptive homosexual men and to determine whether anoreceptive intercourse (ARI) is associated with a higher risk of incontinence in this population. METHODS: We studied 14 anoreceptive homosexual males and 10 age-matched non-anoreceptive heterosexual males in a controlled, prospective cohort study. Subjects underwent evaluation of resting and maximum squeeze anal canal pressures (maximum squeeze pressure obtained over resting pressure) by station pull-through technique, using a manometric perfusion catheter followed by endoanal ultrasonography to evaluate the structure of the IAS and EAS. Manometry also was performed in age-matched male controls. All subjects completed a questionnaire that assessed sexual practices and bowel habits, including fecal incontinence. RESULTS: Resting pressures were significantly lower in subjects engaging in ARI (70.7 +/- 3.2 mm Hg vs. 91.4 +/- 5.2 mm Hg; mean +/- SEM, p < 0.003), whereas there was no significant difference in the mean maximum squeeze pressures, compared with controls (177.1 +/- 14.1 mm Hg vs. 151.8 +/- 19.6 mm Hg; mean +/- SEM, p = 0.32). No disruptions of the IAS or EAS were identified in either the anoreceptive or control group. Anoreceptive men tended to have thinner anal sphincters than controls, but the difference was not statistically significant. Furthermore, there were no complaints of fecal incontinence by the study subjects. CONCLUSIONS: Passive ARI is associated with decreased resting anal canal pressures, but total pressures are normal. There were no IAS or EAS defects, as well as no fecal incontinence, in our subjects. Better relaxation of the ARI subjects during anal canal manometry may explain the lower resting pressures.

Adolescent↗
PubMed1997

Risk factors for hepatitis B virus infection among homosexual men attending a sexually transmitted diseases clinic in Italy.

Prevalence of and risk factors for hepatitis B virus (HBV) infection were determined among 252 homosexual men with no history of intravenous drug use (median age 33 years, range 18-77) treated at a sexually transmitted disease (STD) clinic in Rome. The overall prevalence of antibodies to HBV core antigen (anti-HBc) was 50.8%, a rate nearly nine times as high as the 5.8% found recently in a national sample of young male adults, aged 18-26 years, and twice as high as the 22% found in heterosexuals attending the same clinic over the same period of time. Multiple logistic regression analysis showed that the risk of anti-HBc positivity was independently associated with increasing age, five or more sexual partners in the previous year, positive HIV serology and positive syphilis serology. Lower level of schooling, lack of condom use, history of non-ulcerative STD, current or past history of genital herpes, and positive anti-HCV serology were not associated with anti-HBc positivity. These findings corroborate the importance of sexual transmission of HBV in homosexual men. Behavioural factors, such as multiple sexual partners, probably enhance the efficiency of this mode of HBV transmission.

Adolescent↗
PubMed1998

[Genetic evaluation of male homosexuality].

The family trees of 16 homosexual males are evaluated in the material of their Genetic Counselling Clinic. The familial cluster of three cases corresponded to the X-linked recessive inheritance. The results of family, twin and adoption studies are reviewed and the recent findings of molecular genetic and brain researches are summarised. Male homosexuality comprises of different subgroups, but one major entity is caused by X-linked recessive gene(s). This genetic background represent a predisposition which is triggered or suppressed by external factors.

Genes, Recessive↗
PubMed1976

Combined intervention for controlling unwanted homosexual behavior: an extended follow-up.

Of 49 patients who were able via previous therapy to control their sexual arousal in the presence of homosexual stimuli, 31 (63%) were contracted for follow-up. The average period since the end of treatment was 4 years. Nineteen subjects (61%) have remained exclusively heterosexual, whereas nine (29%) have had homosexual intercourse. Heterosexual intercourse was reported in 28 (90%), including the previous nine subjects. Three (10%) subjects have had neither homonor heterosexual intercourse.

Behavior Therapy↗
PubMed1998

Active surveillance of sexual behaviour among homosexual men in London.

The objective of this study was to establish a surveillance programme to monitor high risk sexual behaviour among homosexual and bisexual men socializing and/or using health care services in London. Between November 1996 and January 1997 a brief, self-completed questionnaire was distributed in various commercial venues (bars, clubs, and saunas) and genitourinary medicine (GUM) clinics in inner London. A total of 2482 questionnaires were returned (response rate 75%). A third of men (32%) reported having had unprotected anal intercourse in the previous year and 18% had done so with one or more partners of unknown or different HIV status. High risk sexual behaviour was associated with younger age, having casual partners, and recruitment from GUM clinics. The combination of high levels of both sexual risk behaviour and HIV prevalence demonstrates the need for sustained and innovative health promotion campaigns among homosexual men in London.

Adult↗
PubMed1979

Female homosexual behavior in Macaca mulatta.

Homosexual activity among adult females in a heterosexual group of rhesus monkeys (Macaca mulatta) is documented and discussed. The mounter was usually in the follicular stage of the menstrual cycle and the mountee was in the ovulatory period. Activity during the luteal phase was low for all animals. Female mounting did not appear to be a preparation or substitute for heterosexual activity. Ritualized solicitation patterns among the females were intense and varied, strongly resembling those for heterosexual pairs. Dominance, partner preference, sexual stimulation, reproductive state, individual characteristics, and past experience are discussed in the framework of multiple factors influencing the homosexual relationship.

Animals↗
PubMed1999

A pilot study of immigration status, homosexual self-acceptance, social support, and HIV reduction in high risk Asian and Pacific Islander men.

This article reports the results of a cross-sectional study that was conducted to describe the sexual behavior and HIV risk reduction behaviors of homosexual and bisexual Asian and Pacific Islander men and to relate immigration status, self-acceptance as a homosexual, and levels of social support to the adoption of safe sexual behaviors in this population. Thirty-one gay and bisexual Asian and Pacific Islander men in San Diego County, California, participated. Generally high levels of knowledge about HIV and transmission risks as well as self-acceptance and social support were found. While most (84%) reported some attempts to increase condom use in the previous 6 months, 42% reported engaging in unprotected intercourse during that same time period. An inverse relationship between self-acceptance and utilization of risk reduction strategies was found. No association was found between immigration status or self-reported HIV status and level of HIV knowledge, level of HIV risk behavior, or level of HIV risk reduction efforts. The findings are discussed within the context of other social network studies and HIV prevention programs for gay and bisexual Asian and Pacific Islander men.

Journal Article↗
PubMedDate not supplied

Was the gender identity disorder of childhood diagnosis introduced into DSM-III as a backdoor maneuver to replace homosexuality? A historical note.

Over the years, the DSM diagnosis of gender identity disorder (and its predecessors gender identity disorder of childhood [GIDC] and transsexualism) has attracted controversy as a mental disorder, for its diagnostic criteria, as a target of therapeutic intervention, and for its relationship to a homosexual sexual orientation. Another point of controversy is the claim that the diagnosis of GIDC was introduced into the DSM-III in 1980 as a kind of "backdoor maneuver" to replace homosexuality, which was deleted from the DSM-II in 1973. In this article, we challenge this historical interpretation and provide an alternative account of how the GIDC diagnosis (and transsexualism) became part of psychiatric nosology in the DSM-III. We argue that GIDC was included as a psychiatric diagnosis because it met the generally accepted criteria used by the framers of DSM-IIIfor inclusion (for example, clinical utility, acceptability to clinicians of various theoretical persuasions, and an empirical database to propose explicit diagnostic criteria that could be tested for reliability and validity). In this respect, the entry of GIDC into the psychiatric nomenclature was guided by the reliance on "expert consensus" (research clinicians)--the same mechanism that led to the introduction of many new psychiatric diagnoses, including those for which systematic field trials were not available when the DSM-III was published.

Child↗
PubMed1992

Alcohol and recreational drug use by HIV-seropositive homosexual men.

The objectives of this study were to describe the patterns of alcohol and recreational drug use of HIV-seropositive homosexual men and to determine the effect of alcohol use on HIV risk-taking behaviour. Of particular interest was the effect of knowledge of HIV status on these behaviours. Information on alcohol and drug use was obtained from 485 HIV-seropositive homosexual and bisexual men presenting to a HIV-antibody testing and medical management clinic. Heavy alcohol use was common, with 46.2% reporting consumption of six or more standard drinks on one day recently. Men who knew that they were HIV infected drank significantly more than those men who had yet to learn of their HIV status at the time of interview. There was clear evidence in this study for a role of alcohol use in HIV risk-taking behaviour. Almost one-third (27%) of the HIV-seropositive men reported unprotected anal intercourse during the previous 3 months with approximately one-third of these (27/76, 35.5%) nominating alcohol as contributing to their high HIV-risk behaviour.

Journal Article↗
PubMed1994

Differences in assessment and treatment approaches for homosexual clients.

This study was undertaken to discover the similarities and the differences in assessment and treatment approaches for heterosexual and for homosexual clients. The purpose of the study was to investigate to what extent sexual orientation is incorporated into treatment plans and what effect this had for treatment outcomes. Responses to nine questions were obtained from 50 self-reporting heterosexual and 50 self-reporting homosexual clients of a range of treatment providers. Differences were found at each stage of the assessment and treatment process. There was evidence of sexual orientation not being utilized as a treatment factor. For both groups there was evidence of inadequate significant-other involvement in treatment and post-treatment planning.

Journal Article↗
PubMed1978

Sex role conformity in homosexual and heterosexual males.

Nine principal components were extracted from the scores of 26 homosexual and 26 heterosexual males matched on age, education, occupation status, and sampling frame on Adjective Check List, Bem Sex Role Inventory, Chapin Social Insight Test, Experience Inventory, and Sixteen Personality Factor Questionnaire scales selected to represent a variety of "masculine" and "feminine" sex role attributes. The four most general varimax factors, accounting for 48% of the total variance, were: I) "Feminine Openness," II) "Masculine Boldness," III) "Reflection," and IV) "Novelty Seeking." Factor scores were constructed and indicated that the homosexual sample was significantly more identified with Factor I (p < .00l; 17% of total variance). There was no significant difference between the samples on Factor II, nor on the remaining two general factors which were not sex typed.

Journal Article↗
PubMed1973

Fading to increase heterosexual responsiveness in homosexuals.

Heterosexual responsiveness, measured by penile responses and reports of behavior, was strengthened in three homosexuals through a fading procedure. Using two slide projectors, colored slides of nude females were superimposed on colored slides of nude males. As the sexual response was emitted, the nude male was faded out and the nude female faded in. Heterosexual arousal decreased when the fading procedure was reversed or stopped and increased once again when fading was resumed. Homosexual arousal remained high during this experiment but had decreased in two subjects at follow-up. The results suggest that fading was responsible for altering stimulus control of sexual arousal and that aversive techniques may not be necessary in the treatment of sexual deviation.

Journal Article↗
PubMedDate not supplied

[Sodomites, homosexuals, gay: from persecution to demedicalization].

Since 1895, when Oscar Wilde was put on trial, almost 80 years passed until the beginning of the process that led to delete homosexuality from DSM (APA) and contributed to its despenalization. Over that period, moral and legal persecution and mass killings in concentrations camps gave way to gay pride. Here we analyze this process in relation to DSM and we search for answers to the question of why homosexuality between consenting adults was far more persecuted than sexual behaviors that clearly affects the rights of other persons as paedophilia or rape.

Crime↗
PubMed1985

A case comparison of acquired immune deficiency syndrome (AIDS) in homosexual males with spindle-endothelial cell abnormalities and with recrudescent melioidosis.

The AIDS syndrome includes cases of biopsy-proven Kaposi's sarcoma in persons under 60 years of age, or biopsy- or culture-proven Pneumocystis carinii pneumonia, or either of the life-threatening opportunistic infections in young previously healthy persons with no underlying cause of immunodeficiency (Center for Disease Control criteria). Here we described the first case of AIDS with early Kaposi's sarcoma-like lesions in homosexual male drug addict and have compared the clinical and laboratory findings with those of another homosexual male having recrudescent melioidosis due to Pseudomonas pseudomallei.

Acquired Immunodeficiency Syndrome↗
PubMed1983

Gastrointestinal cytomegalovirus infection in a homosexual man with severe acquired immunodeficiency syndrome.

A 44-yr-old white homosexual man with a history of Pneumocystis carinii pneumonia developed watery diarrhea and fever. Flexible sigmoidoscopy revealed yellow plaques in the sigmoid colon suggestive of pseudomembranous colitis. Stool examination for ova and parasites, Clostridium difficile toxin, and cultures for pathogens, including Clostridium difficile, were negative. Infection with multiple organisms, including Mycobacterium avium intracellulare, Toxoplasma gondii, herpes simplex, and cytomegalovirus, was demonstrated. Postmortem examination showed esophageal and colonic ulcerations with cytomegalic inclusions, and cytomegalovirus was cultured from the colonic lesions. This report describes a case of disseminated cytomegalovirus infection with esophageal and colonic involvement in a homosexual man with the acquired immunodeficiency syndrome.

Acquired Immunodeficiency Syndrome↗
PubMed1995

A psychoanalytical theory of 'drug addiction': unconscious fantasies of homosexuality, compulsions and masturbation within the context of traumatogenic processes.

Drug addiction is considered in terms of an addiction syndrome, and a theory for its motivation is proposed, based on the treatment of several drug addicts in psychoanalysis and psychotherapy. It is suggested that the main cause of the addiction syndrome is the unconscious need to entertain and to enact various kinds of homosexual and perverse fantasies, and at the same time to avoid taking responsibility for this. It is hypothesised that specific drugs facilitate specific fantasies and using drugs is considered to be a displacement from, and a concomitant of, the compulsion to masturbate while entertaining homosexual and perverse fantasies. The addiction syndrome is also hypothesised to be associated with life trajectories that have occurred within the context of traumatogenic processes, the phases of which include social, cultural and political factors, encapsulation, traumatophilia, and masturbation as a form of self-soothing. This hypothesis about the traumatic origins of the addiction syndrome is illustrated with data from the psychoanalyses of addicts.

Adult↗
PubMed1994

AIDS knowledge and attitudes towards homosexuals of black first-year university students: 1990-1992.

Using an anonymous structured questionnaire to obtain baseline data on knowledge and attitudes of first-year black university students about the Acquired Immunodeficiency Syndrome (AIDS) and their attitudes towards homosexuals during 1990, 1991, and 1992 (ns = 1902, 2113, and 1558), the following information was obtained. Students' knowledge of AIDS was inadequate and misconceptions about AIDS transmission prevalent as were prejudiced and exclusionary beliefs about people with AIDS. Little difference was evident on any of the scales over the three-year period.

Acquired Immunodeficiency Syndrome↗
PubMed1982

Risk factors for Kaposi's sarcoma in homosexual men.

An investigation of 20 homosexual men with histologically confirmed Kaposi's sarcoma and 40 controls revealed significant associations between Kaposi's sarcoma and use of a number of drugs (amyl nitrite, ethyl chloride, cocaine, phencyclidine, methaqualone, and amphetamine), history of mononucleosis, and sexual activity in the year before onset of the disease. Patients with Kaposi's sarcoma also reported substantially higher rates of sexually transmitted infections than did controls. Multivariate analysis indicated independent significant associations for amyl nitrite and sexual activity and showed use of phencyclidine, methaqualone, and ethyl chloride to be non-significant. Evaluated at the median exposure for patients, the analysis yielded risk-ratio estimates of 12.3 for amyl nitrite (95% confidence limits 4.2, 35.8) and 2.0 for sexual activity (95% confidence limits 1.3, 3.1).

Adult↗