Net Gay-Bi-Trans Baromètre #17

Main issues of the Net Gay Barometre 2017 edition
Following up on the previous editions of the NGB study (2003, 2006, 2009, 2013), the 2017 survey addresses new subjects, allowing more inclusivity and understanding of the diverse populations constituted by MSM (Men who have Sex with other Men) and trans people.

While the 2013 survey emphasized measuring the feeling of being discriminated against numerous personal components, two new study objectives were added to the 2017 edition (in addition to the various adjustments that were made): 1) combination/diverse prevention strategies integrating the biomedical approach 2) inclusion of trans people among all the sections of the study, integrating a section questioning their health regarding their transition process. This section recaptures a certain number of subjects addressed by the “TRANS AND SEXUAL HEALTH” study by the INSERM and directed by Alain Giami, with whom a research partnership was established.

The design and programming of the survey were slightly revised to be more trans people and young MSM inclusive. The questionnaire will be publicized on all gay partner sites, on Facebook and among Hornet users.

Remember the NGB survey is a privileged occasion for every participant to explore and relate their personal experiences, particularly regarding development and maintaining of social, affective or sexual relationships with partners met online or offline in the past 12 months. The structure of the questions allows us to address the complexity of numerous relational configurations and possible sexual risk-taking among: couple relationships, sexual relations with masculine or feminine occasional partners, sex workers/ transactional sex clients, etc.

Health issues encountered in the past 12 months and their intensity are questioned by category: physical, mental, relational and sexual health, addiction, etc. The feeling of being discriminated against many aspects is also questioned: sexual orientation (homophobia, biphobia), gender identity (transphobia) and attitudes, positive HIV serological status (serophobia), ethnical background (racism), body image and ageing, etc. as well as the contexts where these discriminations take place: at school, workspace, within society in general, but also in the gay community, which is rarely questioned. The intersection of the multiple discrimination targets or contexts could concern certain groups of participants that are more exposed and vulnerable than others (e.g.: visible minority MSM, sex workers, seropositive MSM, trans people, etc.) and enable more comprehension of their life path.

These are the main changes that were validated in 2017 after 1) concertation with research team of the MOBILISE! project (UQAM, Québec) 2) consultation with the AIDES association (France) 3) initiation of a scientific partnership project about this study with a team of the INSERM :
1. The impact of the mobile applications is addressed with more details in the sections corresponding to the use of social networks and the occasional sexual relations (linked or otherwise to sexual risk taking).
2. The inclusion of trans people will allow to draw up a better portrait and to evaluate their transition process, their specific issues and their health needs.
3. The study was also extended to reach men having a less homocentered path, for example in a relationship with a woman, but having occasional sexual relations with other gay or bisexual men and/or trans people.
4. The improvement of the section on substance consumption was based on the creation of new scales allowing to measure polyconsumption and addressing addiction to Chem’sex and the routes of administration, notably injection drug use, in more details.
5. The “Sex work” section was reviewed to include female trans sex workers and to address the impact of the client criminalization in France and in Canada. Contacts were made with “Médecins du monde” and “Strass” associations in France and “RÉZO” in Québec.
6. Sexual risk-taking reduction with occasional sexual partners is now addressed at the end of the questionnaire and is based on the “MOBILISE!” project, in which we are now involved. The questions refer to combined prevention and its biomedical issues, particularly regarding PrEP (pre-exposition prophylaxis) (knowledge, presuppositions, monitored or wild use, acceptability, accessibility, availability, entry into protocol, observance, etc.), TASP (treatment as prevention for seropositive MSM), including the appropriation of AUTO-TESTS (in France) and TRODs conducted in community organizations.
7. Concerning seropositive people, a section addressing treatment alleviation is proposed.