August 7, 2008
My name is Kathy Triffitt, from Positive Life New South Wales, Sydney. The poster is "Sex Pigs: A Rough Guide to Dirty Sex -- A New Approach to HIV Prevention."
Tell us a little bit about your poster. Does it describe a program, or a study that you are doing?
I work in social marketing and education, and we're funded by New South Wales Health. I received a directive to develop a prevention campaign for guys who have been described as being into sexually adventurous sex -- group sex, fisting, drugs, and so on. Because we're an organization geared toward HIV-positive people, what we're doing here is we're speaking to HIV-positive guys who choose to use risk-reduction strategies (other than condoms) with guys they know or assume to be HIV positive.
Can you describe the sex pig culture? Is it just in Australia?
No, no. It's a subculture all over the world, really. The biggest difficulty we have had in Australia is actually describing the culture. Because people tend to move in and out of the culture -- it's there when people need it. As we said here, it's the whole thing about how you define the culture. What language do you use, and what imagery?
The way that I work is that whatever campaign I'm asked to do, I will work with the people we're trying to speak to. In this case, we did discussion groups, community forums, interviews, etc., [with people involved in sex pig culture,] and asked questions about how they define their culture and what language we should be using.
I particularly like this one here, where guys talk about "keeping it real" -- using everyday language and imagery. So this particular narrative here, from Dmitri [see poster]: "We need to be involved in describing what it means for us. It's good to talk about sex pigs, because it acknowledges sex drive and opens up discussions on social boundaries, drugs, moral codes and assumptions made about HIV status. Talking about sex pigs demystifies and destigmatizes what we do."
HIV prevention for "sex pigs": Sex Pigs: A Rough Guide to Dirty Sex (PDF)
What sorts of messages do you use?
The messages are about sexual health. It's more serious for an HIV-positive guy to get syphilis, for example -- it progresses a lot faster. So there's a message there around testing for STIs. There are messages there around changing gloves and condoms when you're moving from partner to partner -- from ass to ass, if you want to be graphic. Because there's not only syphilis, but there's also sexually transmitted hep C [hepatitis C], which is really starting to emerge as an area that we need to be looking at. Actually, just before I left Australia, I finished a draft focusing on sexually transmitted hep C for this particular group.
Lots of guys get together and the choice may be not to use condoms between pos [HIV-positive] guys. But when they're in a group sex situation, there might be HIV-negative guys that come into it, and assumptions are made about serostatus.
The campaign also acknowledges the role of the Internet in negotiating sex and building confidence around discussing HIV status -- obviously, issues around disclosure are very difficult for pos guys. The campaign also aims to increase awareness around PEP [post-exposure prophylaxis], and of the hep C transmission risk around fisting.
How do you get the message out about the program and get people involved? Do you do outreach? Do you go to sex clubs and put out literature?
Yes. The resources -- in particular the booklet, which has limited distribution -- are distributed throughout "sex-on-premises" venues. Three of the community forums that we ran, "Sex Pigs I and II" and "Hot Fuck," were actually run in a place in Sydney called Manacle, which is where these guys hang out, and we got huge attendance. So that's kind of getting out the message and spreading awareness around the campaign.
Of course, we advertised the campaign on the Internet. We have Gaydar, as well, so we had banners on Gaydar, Manhunt and other community media. We have two major community newspapers in Sydney: the Sydney Star Observer and SX, where we also advertised. Positive Life has its own magazine called Talkabout, where we obviously promote our campaigns.
It's really important for campaigns like this to be multilayered. While resources are important, I think it's important to create spaces for men to be able to talk about sex and the risks that they take. I have found that with some of the interviews that I've done, guys talk about how it's important to be able to get together and talk about sex, and risk-taking, because people are judged around risk-taking.
One guy who participated in the campaign said that if we had a safe place in which to talk about risk-taking, maybe there'd be more understanding, therefore, that may contribute in some way to less risk-taking.
It's really interesting. We do create a lot of spaces for guys, and in particular HIV-positive guys, to come together and talk about these things. But we also have found -- because gay men move in and out of the same social and sexual spaces -- that our campaigns really do speak to both HIV-positive and HIV-negative gay men, or MSM [men who have sex with men].
Does your organization have a Web site?
We do have a Web site. It's www.positivelife.org.au. We also do a whole range of campaigns. So look at our Web site, because we've done work with living longer with HIV, STIs, serodiscordant relationships. There's a whole range.
Great. Thank you so much, Kathy.