Gay men who look for sex on the Internet: is there more HIV/STI risk with online partners?

被引:175
作者
Bolding, G
Davis, M
Hart, G
Sherr, L
Elford, J
机构
[1] City Univ London, St Bartholomew Sch Nursing & Midwifery, Inst Hlth Sci, London EC1Y 4TY, England
[2] MRC, Social & Publ Hlth Sci Unit, Glasgow G12 8QQ, Lanark, Scotland
[3] UCL Royal Free & Univ Coll, Sch Med, RoyFre, London, England
关键词
Internet; gay men; sexual behaviour; sexually transmitted infection; HIV;
D O I
10.1097/01.aids.0000171411.84231.f6
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Objective: To examine whether the excess risk for HIV and sexually transmitted infection (STI) seen among gay men who look for sex through the Internet occurs with men they meet online (through the Internet) rather than offline (in bars, clubs, etc). Methods: In 2002-2003, 4225 London gay men were surveyed in an HIV treatment clinic, HIV testing clinic, gyms and on UK Internet sites (gaydar and gay.com). All men completed a self-administered questionnaire concerning Internet use and sexual risk behaviour. Unprotected anal intercourse (UAI) with a partner of unknown or discordant HIV status was classified as non-concordant. Results: Between 40 and 50% of men surveyed in the clinics and gyms used the Internet to look for sex. HIV-positive men who looked for sex through the Internet were more likely to report UAI with HIV-positive casual partners they met online rather than offline (clinic sample: met online only 9.9%, met offline only 3.8%, McNemar P < 0.05). Regardless of HIV status, however, men who looked for sex through the Internet were no more likely to report UAI with non-concordant casual partners they met online than offline (eg, HIV-negative men, Internet sample: met online only 9.71%, offline only 11.1%, McNemar P = 0.6). Conclusions: In London, HIV-positive gay men appear to meet casual UAI partners of the same status through the Internet. This presents a risk for STI transmission. However, gay men were no more likely to meet casual UAI partners of unknown or discordant HIV status - which presents a risk for HIV transmission - online rather than offline. (c) 2005 Lippincott Williams & Wilkins.
引用
收藏
页码:961 / 968
页数:8
相关论文
共 27 条
[1]   Men who have met sex partners via the Internet: Prevalence, predictors, and implications for HIV prevention [J].
Benotsch, EG ;
Kalichman, S ;
Cage, M .
ARCHIVES OF SEXUAL BEHAVIOR, 2002, 31 (02) :177-183
[2]   Use of anabolic steroids and associated health risks among gay men attending London gyms [J].
Bolding, G ;
Sherr, L ;
Elford, J .
ADDICTION, 2002, 97 (02) :195-203
[3]  
BOLDING G, 2003, BEHAV SURVEILLANCE G
[4]   Soliciting sex on the Internet -: What are the risks for sexually transmitted diseases and HIV? [J].
Bull, SS ;
McFarlane, M .
SEXUALLY TRANSMITTED DISEASES, 2000, 27 (09) :545-550
[5]   Recruitment and retention of an online sample for an HIV prevention intervention targeting men who have sex with men: the Smart Sex Quest Project [J].
Bull, SS ;
Lloyd, L ;
Rietmeijer, C ;
McFarlane, M .
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2004, 16 (08) :931-943
[6]  
DAVIS M, 2004, 15 INT C AIDS BANGK
[7]   Web-based behavioral surveillance among men who have sex with men: A comparison of online and offline samples in London, UK [J].
Elford, J ;
Bolding, G ;
Davis, M ;
Sherr, L ;
Hart, G .
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2004, 35 (04) :421-426
[8]   Seeking sex on the Internet and sexual risk behaviour among gay men using London gyms [J].
Elford, J ;
Bolding, G ;
Sherr, L .
AIDS, 2001, 15 (11) :1409-1415
[9]   Sexual risk behaviour among gay men in a relationship [J].
Elford, J ;
Bolding, G ;
Maguire, M ;
Sherr, L .
AIDS, 1999, 13 (11) :1407-1411
[10]   The Internet and HIV study: design and methods [J].
Elford, J ;
Bolding, G ;
Davis, M ;
Sherr, L ;
Hart, G .
BMC PUBLIC HEALTH, 2004, 4 (1)