Etienne Meunier is a sociologist studying the sexual cultures and sexual health of sex and gender minorities. Dr. Meunier has published ethnographic, qualitative, and quantitative research on the impact of structural, contextual, and cultural factors on sexuality. He is currently working on NIH-funded studies looking at HIV treatment as prevention, group sex venues, and male sex work. His research on group sex behavior has shown how public health policies in New York City have pushed gay public sex venues (such as bathhouses) into clandestinity, creating new spaces and new forms of social-sexual practices that present both opportunities and challenges for sexual-health promotion. Dr. Meunier has conducted a harm-reduction training program for male sex workers in NYC and is currently coordinating an NIH-funded study exploring the risk-taking behaviors of men who find transactional sex partners online. He has also contributed work on HIV-related, NIH-funded studies with diverse populations including, for instance, HIV-affected heterosexual couples, HIV-positive crack-cocaine users, and heterosexual men and women who find sex partners online.
Areas of Expertise
Select Urban Health Activities
Acceptability and Feasibility of HIV/STI Prevention Research with Men and Transgender People Who Attend Collective Sex Environments: Collective sex environments like bathhouses, sex clubs, backrooms, or public sex venues can present risks for HIV & STIs, but also great opportunities for sexual-health promotion. In New York City, because of local regulations, collective sex often happens in private sex clubs or sex parties. Sex-clubs organizers have different strategies to encourage safer-sex at their events, and sometimes work with local health organizations to facilitate HIV/STI testing for their clientele. However, to date, there are few data assessing the impact of different HIV/STI prevention strategies on the sexual health of people who attend collective sex venues. This project will learn from sex-venue organizers and attendees about the types of sexual-health promotion strategies they would find interesting, useful, and acceptable at sex venues, as well as the feasibility of conducting studies to assess these strategies. Participants will be recruited via advertisement by sex-venue promoters for an online survey. A subset of participants will be invited for qualitative interviews. This project is financially supported by a training grant from Fordham University's HIV & Drug Abuse Prevention Research Ethics Training Institute and the National Institute on Drug Abuse (R25DA031608, Awardee: E. Meunier; PI: Celia B. Fisher).
Acceptability of HIV Treatment as Prevention among MSM: HIV treatment as prevention (TasP) represents an important tool for reducing HIV incidence but also for fighting HIV-related stigma and improving the well-being of HIV-positive people. However, despite strong evidence that HIV-positive people who are virally suppressed present effectively no risk of sexually transmitting HIV to their uninfected sex partners, a majority of men who have sex with men are skeptical about the effectiveness of TasP and unlikely to be willing to rely on it. To inform the development of interventions to address barriers to TasP adoption among men and transgender people who have sex with men (MTSM), we propose a mixed-method (primarily qualitative) investigation of the awareness, perceived effectiveness, willingness to use, and actual use of TasP among MTSM in the US. This project is supported by the National Institute On Minority Health And Health Disparities of the National Institutes of Health under Award Number R21MD014701 (PI: E. Meunier/ K. Siegel).
Meunier, E., Cai, X., Bamonte, A., Callander, D., & Schrimshaw, E. W. (2021). Exchange Sex and Condom Use Among Gay, Bisexual, and Other Men Who Have Sex with Men Who Use Social and Sexual Networking Technologies. Annals of LGBTQ Public and Population Health, 2(2), 166–180.
Meunier, E., Sundelson, A. E., Tellone, S., Alohan, D., Fisher, C. B., & Grov, C. (2021). Willingness to Attend Sex Venues in the Context of the COVID-19 Pandemic in New York City: Results from an Online Survey with Sexual and Gender Minority Individuals. Journal of Urban Health.
Meunier, E., Siegel, K., Sundelson, A., & Schrimshaw, E. (2020). Stages of Adoption of “Treatment as Prevention” among HIV-Negative Men Who Have Sex with Men who Engage in Exchange Sex. AIDS Patient Care & STDs.
Meunier, E. (2014). No Attitude, No Standing Around: The Organization of Social and Sexual Interaction at a Gay Male Private Sex Party in New York City. Archives of Sexual Behavior, 43(4), 685-695.
Chandler, C.J., Meunier, E, Eaton, L.A., Andrade, E., Bukowski, L.A., Matthews, D.D., Raymond, H.F., Stall, R.D., Friedman, M.R. Syndemic health disparities and STI burden among Black MSM engaged in sex work in the United States. Archives of Sexual Behavior.
Meunier, E., Escoffier, J. & Siegel, K. (2019). Rethinking Risks and Interventions Beyond HIV: The Importance of Contextualizing Collective Sex. Archives of Sexual Behavior, 48(1), 51-56.
Callander, D., Meunier, E., DeVeau, R., Grov, C., Donovan, B., Minichiello, V., Kim, J., & Duncan, D. (2020). Investigating the effects of COVID-19 on global male sex work populations: A longitudinal study of digital data. Sexually Transmitted Infections.
Meunier, E. (2018). Social Interaction and Safer Sex at Sex Parties: Collective and Individual Norms at Gay Group Sex Venues in NYC. Sexuality Research and Social Policy, 15(3), 329-341.
Meunier, E. & Siegel, K. (2019). Sex club/party attendance and sexually transmitted infections among men who have sex with men: Results from an online survey in New York City. Sexually Transmitted Infections.
Meunier, E., & Siegel, K. (2018). Sexual Risk Behaviors and Perceptions of Men Who Go to Gay Sex Parties in New York City: Comparisons Between Three HIV Groups. The Journal of Sex Research, 55(7), 880-891.