Bugchasing (or bug chasing) is a slang term for a subculture of gay men who desire and actively pursue HIV infection. Bugchasers "chase the bug" by seeking sexual partners who are HIV positive for the purpose of having unprotected sex and sero-converting; giftgivers are HIV+ men who attempt to infect bugchasers with HIV.
Bugchasing is not viewed favorably in the gay community. Many people, who consider it a reprehensible activity, seek to eliminate the practice.
In reviewing the scarce unpublished and published materials on bugchasing, as well as general healthcare speculations, a common theme appears- the lumping of bug chasers with barebackers...Although these two groups share some of the same practices, namely unprotected anal intercourse (UAI), there are distinctions that differentiate bug chasing...even though all bug chasers are indeed barebackers, not all barebackers are bugchasers.
Some bugchasers organise and participate in "bug parties" or "conversion parties," sex parties where HIV positive and negative men engage in unprotected sex, in hopes of acquiring HIV ("getting the gift").
Drs. Christian Grov and Jeffrey T. Parsons' (2006) research using the Internet profiles of 1,228 Bug Chasers and Gift Givers identified six categories of bug chasers and gift givers.
1. "The Committed Bug Chaser" included men who indicated they were HIV-negative and seeking HIV-positive partners. Of the committed bug chasers having indicated a desired sexual position, the majority were bottoms (62.2% anal receptive). Only 7.5% of the sample were classified as committed bug chasers
2. "The Opportunistic Bug Chaser" included men who were HIV-negative and indicated that their partner’s HIV status did not matter. Most of these men were either versatile (43.6%; meaning anal receptive and anal insertive) or bottoms (46.3%). In total, 12.1% of their sample included opportunistic bug chasers.
3. "The Committed Gift Giver" Included men who were HIV-positive that also indicated they were seeking HIV-negative partners. Notably, only five men from the entire sample of 1,228 fell into this category.
4. "The Opportunistic Gift Giver" included men who indicated they were HIV-positive and that their partner’s status did not matter to them. Most of these men (61.8%) were versatile. Opportunistic Gift Givers comprised 26% of the sample.
5. "The Serosorter." Although all men Drs. Grov and Parsons sampled indicated they were a gift giver and/or a bug chaser in their Internet profile, behavioral intentions did not consistently match with bug chaser/gift giver identity. Some HIV-positive men (8.5% of total sample) indicated preference for other HIV-positive men. Meanwhile, some HIV-negative men (12.5% of total sample) indicated preference for other HIV-negative men. Although having indicated they were a bug chaser or a gift giver, these men were serosorting for partners of similar HIV status.
6. "The Ambiguous Bug Chaser or Gift Giver" included men who indicated they did not know their HIV status and thus it was difficult to determine if they were seeking to bug chase or give the gift. This category comprised 16.3% of the sample.
In total, Drs. Christian Grov and Jeffrey T. Parsons concluded that bug chasing and gift giving might occur among a select few individuals. Further, their research found that there was substantial variation in intentions to spread HIV (with some not intent on spreading HIV) among those who indicated they were gift givers or bug chasers.
Dr. Mark Blechner found that some bug chasers were lonely and alienated, and saw HIV as a path to becoming part of a community that elicits public sympathy and caretaking. Other bug chasers were so overwhelmed by the anxiety of contracting HIV that they thought it would be a relief from that anxiety to become HIV-positive and "get it over with." And most recently, Dr. David Moskowitz and Dr. Michael Roloff attempted to quantitatively explain why bug chasers chase HIV. They claimed that individuals who look for HIV are more likely sex addicts. These individuals have exhausted the sexual high they previously derived by performing other sexual risk taking behaviors, and now turn to bug chasing to achieve the risk-oriented high.
Dr. Bruce D. LeBlanc (2007) conducted an exploratory study involving survey responses from self identified bug chasers, one of the first published studies involving direct responses from this identified group. His findings challenge "common sense" and research findings regarding bug chasers. Examining psychological and social motivations for seeking HIV the most frequent response was that individuals could not identify a psychological (internal thought process) or social (interactions with others) factor for seeking HIV. Regarding motivations for seeking infection the most frequent response was seeing becoming infection as a thrill, hot, or erotic, as well as seeing the semen through a similar lens. Few respondents identified "getting it over with" as a motivating factor. There was some limited identification of becoming part of the "community" or "brotherhood" was identified. Other variables studied included methods for finding partners, sexual behaviors undertaken while seeking infection, average number of sexual partners, length of time for which they will seek infection and life event changes if they were successful in becoming infected with HIV.
All research mentioned here has been cited below.
Writer Daniel Hill outlined a scenario where such behavior might occur: "In private sex clubs across the U.S. men gather for a chance to participate in what is called Russian Roulette. Ten men are invited, nine are HIV-, one is HIV+. The men have agreed to not speak of AIDS, nor HIV. They participate in as many unsafe sexual encounters with each other as possible, thus increasing their chances to receive "the bug." These are the men known as 'Bug Chasers.'"
Writer/director Daniel Bort made a 2003 short film on the subject called Bugchaser, which premièred at the 16th Annual Austin Gay and Lesbian Film Festival, and was shot mainly in New York sex clubs. In an interview with the Austin Chronicle, he explained: "The matter-of-fact declarations of a string of articulate, apparently nonsensical people … affected me tremendously. I had to find out the reasons why such individuals will seek suicide in this almost symbolic way." At the Austin G&L Film Festival, the film was shown with an accompanying documentary The Gift by Louise Hogarth.
HIV positive man Ricky Dyer, who investigated the apparent bug chasing phenomenon for a 2006 BBC programme,I love being HIV, said that an air of complacency about the realities of living with the virus may be one reason why infection rates have been rising. However, the BBC also described bugchasing as more internet fantasy than reality, saying that, "Dyer finds that the overwhelming majority of the talk is pure fantasy." The article also quotes Will Nutland, head of health promotion at Terrence Higgins Trust, as saying, "The concepts of 'gift giving' and 'bug chasers' are definitely based more in fantasy than reality" as well as Deborah Jack, chief executive of the National AIDS Trust saying, "There is very little evidence of people trying to get infected with HIV."
Fictional movie: