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Downing MJ
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In this Together
BackgroundThe objective of this study was to explore the relationship between online sex-seeking, community/social attachment and sexual behaviour. Methods: Respondent-driven sampling was used to recruit 774 sexually active gay and bisexual men in Vancouver, Canada, aged 16 years. Multivariable logistic regression compared men who had used online sex-seeking apps/websites in the past 6 months (n=586) with those who did not (n=188). Results: Multivariable results showed that online sex seekers were more likely to be younger [adjusted odds ratio (aOR)=0.95, 95% CI: (0.930.96)], college educated [aOR=1.60, 95% CI: (1.07, 2.40)], have more Facebook friends [aOR=1.07, 95% CI: (1.01, 1.13)], spend more social time with other gay men [aOR=1.99, 95% CI: (1.332.97)], and were less likely to identify emotionally with the gay community [aOR=0.93, 95% CI: (0.861.00)]. Further, they had displayed high sensation-seeking behaviour [aOR=1.08, 95% CI: (1.031.13)], were more likely to engage in serodiscordant/unknown condomless anal sex [aOR=2.34, 95% CI: (1.503.66)], use strategic positioning [aOR=1.72, 95% CI: (1.082.74)], ask their partners HIV-status prior to sex [aOR=2.06, 95% CI: (1.273.37)], and have ever been tested for HIV [aOR=4.11, 95% CI: (2.048.29)]. Conclusion: These findings highlight the online and offline social behaviour exhibited by gay and bisexual men, pressing the need for pro-social interventions to promote safe-sex norms online. We conclude that both Internet and community-based prevention will help reach app/web users.
Sexual Health – CSIRO Publishing
Published: Dec 16, 2016
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