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Items regarding sexual history were posed with regard to mutual masturbation, oral sex performed, oral sex received, insertive anal sex, and receptive anal sex. Perceived familial SES was measured by asking participants to identify the socioeconomic status of their families Halkitis et al.

This group constitutes the third such generation since the Stonewall Riots ina major catalyst of the modern LGBTQ rights movement, and the second to come of age since the depathologization of homosexuality in Halkitis, Several studies have found that earlier age of sexual debut among sexual minority men is associated with a range of sexual and health risk behaviors, including increased likelihood of condomless sex; tobacco, alcohol, and other substance use; psychological distress; suicidality; and earlier age of HIV diagnosis Dewaele et al.

Corresponding author: Perry N. Age of sexual debut is a critical health indicator for young sexual minority men YSMMassociated with increased likelihood of HIV acquisition, use of alcohol, tobacco and other substances, and psychological distress.

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1 in 3 Boys : Therefore, many rely on sexually explicit online media (SEOM;

Young gay, bisexual, and other men who have sex with men (YGBMSM) in particular are at elevated risk for adverse sexual health outcomes. Myriad interconnected biological, psychological, social, and structural factors influence youth development, and these factors play a significant role in shaping adult behavior, including sexual behavior Gottlieb et al.

Sexual health is another important health domain for LGBT adolescents. However, while this study disaggregated oral and anal sex, unlike many previous studies which used broader definitions of sexual activity for sexual debut, it did not examine positionality e.

The emergence of same-sex sexual behavior is a critical milestone in the development of gay identity and may be associated with differences in identity development trajectories and engagement in health and well-being Flowers et al. Sociocultural conditions may influence both gay identity development and age of sexual debut, as we see that developmental milestones, such as coming out and sexual debut, occur at younger ages in more recent birth cohorts, and in the context of increasingly accepting social and legal environments Grov et al.

At baseline, eligible participants were required to: 1 be 18 or 19 years old, 2 live in the NYC metropolitan area, 3 be assigned male at birth, 4 report sex with a man in the previous 6 months, and 5 report a negative or unknown HIV serostatus.

It is in this light that we consider patterns of same-sex sexual debut among emerging adult gay men who have come of age in this new millennium. Participants provided written informed consent at baseline, and the New York University Institutional Review Board approved all study activities.

The mean age of sexual debut of any behavior was Overall, mutual masturbation occurred at the youngest mean age, followed by performed oral, received oral, receptive anal, and insertive anal intercourse. Share sensitive information only on official, secure websites.

This study examined the age of same-sex sexual debut for five sexual behaviors in a sample of racially/ethnically and socioeconomically diverse gay-identified YSMM in New York City.

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These findings are relevant to trends in HIV incidence in the U. These findings also underscore a need for comprehensive and inclusive sex education at younger ages. The mean age of sexual debut of any behavior was years old and 19% of the sample reported sexual debut prior to age Black gay, bisexual, and other men who have sex with men (BMSM) experience the highest rates of HIV acquisition annually out of any population in the United States, and young BMSM (YBMSM) are heavily impacted by this inequity as they enter adulthood.

Briefly, participants were recruited between May —Juneusing active and passive recruitment methods. All sociodemographic characteristics were self-reported. We sought to contribute to this extant literature on sexual debut by exploring the debut of a broader range of sexual behaviors among a new generation of gay men Halkitis, Findings from this investigation may provide information on the optimal developmental timing of sex education programming for young gay men, which is critical considering that less than half of U.

P18 study details and methodology have been described in detail elsewhere Halkitis et al. At baseline and every six months thereafter, for a period of three years, participants completed study visits which included completing: an audio-computer assisted self-interview ACASI survey, which contained measures of sociodemographic characteristics, psychosocial and mental health factors, substance use, and sexual behaviors; an interviewer-administered Timeline Follow-Back TLFB measure of past day substance use and sexual behavior; and rapid HIV-antibody testing, with confirmatory testing for preliminary positive tests and viral load draws at follow-up visits for those who seroconverted during the study period.

Despite a high annual HIV incidence, extant literature has found BMSM to engage in fewer sexual risk behaviors than White and Hispanic/Latino men.