Associations of sexual identity with a range of sexual and sexual health behaviours were investigated amongst men who have sex with men (MSM) Data from 1816 MSM recruited from four Celtic Nations (Scotland; Wales; Northern Ireland, NI; and the Republic of Ireland, RoI) were collected via a cross-sectional online survey advertised via social media. 18.3% were non-gay identified MSM (NGI MSM). In the last year, 30% of NGI MSM reported high risk unprotected anal intercourse, 45% reported never having had an STI test. When compared to MSM who were gay identified (GI MSM), NGI MSM were more likely to be older, have a female partner, fewer sex partners, fewer anal sex partners, STI diagnoses, and less likely to be HIV positive, more likely to never use the gay scene and be geographically further from a gay venue. NGI MSM were also less likely to report STI and HIV testing behaviours. The findings highlight variations in risk by sexual identities, and unmet sexual health needs amongst NGI MSM across Celtic nations. Innovative research is required regarding the utility of social media for reaching populations of MSM and developing interventions which target the heterogeneity of MSM and their specific sexual health needs.
- gay men
- sexual health