Original Paper

AIDS and Behavior

, Volume 17, Issue 4, pp 1488-1498

The Effects of Gay Sexually Explicit Media on the HIV Risk Behavior of Men Who Have Sex with Men

  • B. R. Simon RosserAffiliated withHIV/STI Intervention & Prevention Studies (HIPS) Program, Division of Epidemiology & Community Health, Department of Epidemiology and Community Health, University of Minnesota School of Public Health Email author 
  • , Derek J. SmolenskiAffiliated withHIV/STI Intervention & Prevention Studies (HIPS) Program, Division of Epidemiology & Community Health, Department of Epidemiology and Community Health, University of Minnesota School of Public Health
  • , Darin EricksonAffiliated withHIV/STI Intervention & Prevention Studies (HIPS) Program, Division of Epidemiology & Community Health, Department of Epidemiology and Community Health, University of Minnesota School of Public Health
  • , Alex IantaffiAffiliated withHIV/STI Intervention & Prevention Studies (HIPS) Program, Division of Epidemiology & Community Health, Department of Epidemiology and Community Health, University of Minnesota School of Public Health
  • , Sonya S. BradyAffiliated withHIV/STI Intervention & Prevention Studies (HIPS) Program, Division of Epidemiology & Community Health, Department of Epidemiology and Community Health, University of Minnesota School of Public Health
  • , Jeremy A. GreyAffiliated withHIV/STI Intervention & Prevention Studies (HIPS) Program, Division of Epidemiology & Community Health, Department of Epidemiology and Community Health, University of Minnesota School of Public Health
  • , Gert Martin HaldAffiliated withDepartment of Public Health, University of Copenhagen
  • , Keith J. HorvathAffiliated withDepartment of Psychiatry & Behavioral Medicine, Medical College of Wisconsin
  • , Gunna KilianAffiliated withHIV/STI Intervention & Prevention Studies (HIPS) Program, Division of Epidemiology & Community Health, Department of Epidemiology and Community Health, University of Minnesota School of Public Health
    • , Bente TræenAffiliated withDepartment of Psychology, University of Tromsø
    • , J. Michael WilkersonAffiliated withSchool of Public Health, University of Texas

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Abstract

This study sought to study consumption patterns of gay-oriented sexually explicit media (SEM) by men who have sex with men (MSM); and to investigate a hypothesized relationship between gay SEM consumption and HIV risk behavior. Participants were 1,391 MSM living in the US, recruited online to complete a SEM consumption and sexual risk survey. Almost all (98.5 %) reported some gay SEM exposure over the last 90 days. While 41 % reported a preference to watch actors perform anal sex without condoms (termed “bareback SEM”), 17 % preferred to actors perform anal sex with condoms (termed “safer sex SEM”) and 42 % reported no preference. Overall SEM consumption was not associated with HIV risk; however participants who watched more bareback SEM reported significantly greater odds of engaging in risk behavior. The results suggest that a preference for bareback SEM is associated with engaging in risk behavior. More research to understand how MSM develop and maintain preferences in viewing SEM, and to identify new ways to use SEM in HIV prevention, is recommended.

Keywords

Gay Pornography Cyberpornography HIV prevention Internet Unsafe sex

Resumen

Este estudio trató de estudiar a los hombres que practican sexo con otros hombres (HSH) y sus patrones de consumo de los medios de comunicación consistiendo en contenido sexualmente explícito con una orientación homosexual (SEM); y de investigar una relación conjeturada entre el consumo homosexual de SEM y el riesgo de VIH. Había 1,391 participantes HSH que vivían en los EE.UU., cuales fueron reclutados por Internet para rellenar una encuesta sobre su consumo de SEM y su riesgo sexual. Casi todos (98.5 %) comunicaron algo exposición a SEM en los últimos 90 días. Mientras el 41 % declaró una preferencia para ver a los actores desempeñando el sexo anal sin preservativo (se da en llamar “bareback SEM”), el 17 % prefirió ver a los actores desempeñando el sexo anal con preservativo (se da en llamar “sexo seguro SEM”) y el 42 % expresó una falta de preferencia. En general, el consumo de SEM no se relacionó con el riesgo de VIH; sin embargo, los participantes que miraron más de el “bareback SEM” informaron una probabilidad significativamente más elevada de participar en conductas de alto riesgo. Los resultados sugieren que una preferencia por bareback SEM está asociado con la participación en el comportamiento de alto riesgo. Se recomienda más estudios para entender cómo los HSH desarrollan y mantienen sus preferencias de ver el SEM, e identificar nuevas maneras de utilizar SEM para la prevención del VIH.

Palabras claves

Pornografía gay/homosexual Cyberpornography Prevención del VIH Internet Relaciones sexuales sin protección