Sexual Negotiation, HIV-Status Disclosure, and Sexual Risk Behavior Among Latino Men Who Use the Internet to Seek Sex with Other Men
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As part of a wider study of Internet-using Latino men who have sex with men (MSM), we studied the likelihood that HIV-negative (n=200) and HIV-positive (n=50) Latino MSM would engage in sexual negotiations and disclosure of their HIV status prior to their first sexual encounters with men met over the Internet. We also analyzed the sexual behaviors that followed online encounters. Our results showed that both HIV-negative and positive men were significantly more likely to engage in sexual negotiation and serostatus disclosure on the Internet than in person. Those who engaged in sexual negotiations were also more likely to use condoms for anal intercourse. Compared to HIV-negative MSM, HIV-positive MSM were significantly less likely to disclose their serostatus, and 41% of them acknowledged having misrepresented their serostatus to a prospective sexual partner met over the Internet. Although similar proportions of HIV-positive and negative men had condomless anal intercourse, HIV-positive MSM were more likely to report lack of intention to use condoms. Pleasure was the reason most frequently cited for lack of condom use. Cybersex was reported by only one-fifth of the sample. We conclude that the Internet, an understudied milieu of sexual networking, may present new possibilities for the implementation of risk reduction strategies, such as the promotion of sexual negotiation prior to first in-person encounter and serostatus disclosure.
- Benotsch, E. G., Kalichman, S., & Cage, M. (2002). Men who have met sex partners via the Internet: Prevalence, predictors, and implications for HIV prevention. Archives of Sexual Behavior, 31, 177–183. CrossRef
- Carballo-Diéguez, A., & Dolezal, C. (1996). HIV risk behaviors and obstacles to condom use among Puerto Rican men in New York City who have sex with men. American Journal of Public Health, 86, 1619–1622. CrossRef
- Catania, J., Osmond, D., Stall, R., Pollack, L., Paul, J., Blower, S., et al. (2001). The continuing HIV epidemic among men who have sex with men. American Journal of Public Health, 91, 907–914.
- Derlaga, V. J., Winstead, B. A., Greene, K., Serovich, J., & Elwood, W. N. (2002). Perceived HIV-related stigma and HIV disclosure to relationship partners after finding out about the seropositive diagnosis. Journal of Health Psychology, 7, 415–432. CrossRef
- Diaz, R. M., Ayala, G., Bein, E., Henne, J., & Marin, B. V. (2001). The impact of homophobia, poverty, and racism on the mental health of gay and bisexual Latino men: Findings from 3 US cities. American Journal of Public Health, 91, 927–932.
- Gurak, L., & Rosser, B. R. S. (2003, August 25–27). The challenges of ensuring participant consent in Internet studies: A case study of the Men's INTernet Study (MINTS). Abstracts of the STD/HIV Prevention and the Internet Conference, Washington, DC, pp. 62–63.
- Kippax, S., Noble, J., Prestage, G., Crawford, J. M., & Campbell, D. (1997). Sexual negotiation in the AIDS era: Negotiated safety revisited. AIDS, 11, 191–197. CrossRef
- Konstan, J. A., Rosser, S., Stanton, J., Brady, P., Gurak, L., & Edwards, W. (2004). Protecting subject data privacy in Internet-based HIV survey research. Manuscript submitted for publication.
- Mansergh, G., Marks, G., & Simoni, J. M. (1995). Self-disclosure of HIV infection among men who vary in time since seropositive diagnosis and symptomatic status. AIDS, 9, 639–644.
- Marin, B. V. Tschann, J. M., Gomez, C. A., & Gregorich, S. (1998). Self-efficacy to use condoms in unmarried Latino adults. American Journal of Community Psychology, 26, 53–71. CrossRef
- Marin, G., Sabogal, F., Marin, B. V., Otero-Sabogal, R., & Perez-Stable, E. J. (1987). Development of a short acculturation scale of Hispanics. Hispanic Journal of Behavioral Sciences, 9, 183–205. CrossRef
- Marks, G., Ruiz, M. S., Richardson, J. L., Reed, D., Mason, H. R. C., Sotelo, M., et al. (1994). Anal intercourse and disclosure of HIV infection among seropositive gay and bisexual men. Journal of Acquired Immune Deficiency Syndrome, 7, 866–869.
- Mason, H. R. C., Marks, G., Simoni, J. M., Ruiz, M. S., & Richardson, J. L. (1995). Culturally sanctioned secrets? Latino men's nondisclosure of HIV infection to family, friends, and lovers. Health Psychology, 14, 6–12. CrossRef
- Prestage, G., Van de Ven, P., Grulich, A., Kippax, S., McInnes, D., & Hendry, O. (2001). Gay men's casual sex encounters: Discussing HIV and using condoms. AIDS Care, 13, 277–284 CrossRef
- Ramirez-Valles, J., & Brown, A. U. (2003). Latinos’ community involvement in HIV/AIDS: Organizational and individual perspectives on volunteering. AIDS Education & Prevention, 15(Suppl. 1), 90–104.
- Rietmeijer, C. A., Bull, S. S., McFarlane, M., Patnaik, J. L., & Douglas, J. M. (2003). Risks and benefits of the Internet for populations at risk for sexually transmitted infections (STIs). Sexually Transmitted Diseases, 30, 15–19. CrossRef
- Ross, M. W., Rosser, B. R. S., Stanton, J., & Konstan, J. (2004). Characteristics of Latino men who have sex with men on the Internet who complete and drop out of an Internet–based sexual behavior survey. Manuscript submitted for publication.
- Ross, M. W., Tikkanen, R., & Månsson, S.-A. (2000). Differences between Internet samples and conventional samples of men who have sex with men: Implications for research and HIV interventions. Social Science and Medicine, 51, 749–758. CrossRef
- Rosser, B. R. S., Bockting, W. O., Miner, M. H., Carballo-Diéguez, A., Marin, R., Ross, M. W., et al. (2004). Recruiting high-risk Latino men who have sex with men for Internet HIV prevention research: Results of the Men's Internet Study (MINTS). Manuscript submitted for publication.
- Rosser, B. R. S., Miner, M. H., Bockting, W. O., Ross, M. W., Konstan, J., Gurak, L., et al. (2006). HIV risk and the Internet: Results of the Men's INTernet Study (MINTS). AIDS & Behavior, under editorial consideration.
- Semple, S. J., Patterson, T. L., & Grant, I. (2000). The sexual negotiation behavior of HIV-positive gay and bisexual men. Journal of Consulting and Clinical Psychology, 68, 934–937. CrossRef
- Suarez, T. P., Kelly, J. A., Pinkerton, S. D., Stevenson, Y. L., Hayat, M., Smith, M. D., et al. (2001). Influence of a partner's HIV serostatus, use of highly active antiretroviral therapy, and viral load on perceptions of sexual risk behavior in a community sample of men who have sex with men. Acquired Immune Deficiency Syndromes, 28, 471–477.
- Suarez, T., & Miller, J. (2001). Negotiating risks in context: A perspective on unprotected anal intercourse and barebacking among men who have sex with men: Where do we go from here? Archives of Sexual Behavior, 30, 287–300. CrossRef
- U.S. Census Bureau. (2000).The Hispanic Population: Census 2000 Brief. Retrieved on August 12, 2004 from www.census. gov/prod/cen2000.
- Zea, M. C., Reisen, C. A., Poppen, P. J., & Diaz, R. M. (2003). Asking and telling: Communication about HIV status among Latino HIV-positive gay men. AIDS and Behavior, 7, 143–152. CrossRef
- Sexual Negotiation, HIV-Status Disclosure, and Sexual Risk Behavior Among Latino Men Who Use the Internet to Seek Sex with Other Men
Archives of Sexual Behavior
Volume 35, Issue 4 , pp 473-481
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Unprotected anal intercourse
- HIV status
- Industry Sectors
- Author Affiliations
- 1. HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, 1051 Riverside Drive, Unit 15, New York, 10032, USA
- 2. Center for HIV/STI Intervention and Prevention Studies (HIPS), Program in Human Sexuality, Department Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, Minnesota, USA