AIDS and Behavior

, Volume 13, Issue 3, pp 488–498 | Cite as

HIV Sexual Risk Behavior by Men Who use the Internet to Seek Sex with Men: Results of the Men’s INTernet Sex Study-II (MINTS-II)

  • B. R. Simon Rosser
  • J. Michael Oakes
  • Keith J. Horvath
  • Joseph A. Konstan
  • Gene P. Danilenko
  • John L. Peterson
Original Research

Abstract

This study sought to identify the magnitude of HIV risk in a diverse sample of Men who use the Internet to seek Sex with Men (MISM), and test if specific subpopulations are at sufficiently increased risk to warrant tailored interventions. A sample of 2,716 American MISM, stratified by race/ethnicity, completed an Internet survey of online and offline sex seeking behavior during the last 3 months. Across most demographics, a minority of MISM reported unprotected anal intercourse with male partners (UAIMP). Across all demographics, risk of UAIMP substantially increased with partners met online. Other predictors of increased online partner risk include being 30–39 years old, having children, not living in the Northeast, and low income. HIV-positive men and African Americans reported increased online and offline partner risk. To address higher risk of UAIMP, online HIV interventions should prioritize the needs of MISM, especially HIV-positive men, with content focused on online-mediated liaisons.

Keywords

High-risk sex Unprotected sex Homosexuality Internet Demographic factors HIV seropositivity 

References

  1. Benotsch, E. G., Kalichman, S., & Cage, M. (2002). Men who have men sex partners via the Internet: Prevalence, predictors and implications for HIV prevention. Archives of Sexual Behavior, 31(2), 177–193. doi:10.1023/A:1014739203657.PubMedCrossRefGoogle Scholar
  2. Bolding, G., Davis, M., Hart, G., Sherr, L., & Elford, J. (2005). Gay men who look for sex on the Internet: Is there more HIV/STI risk with online partners? AIDS (London, England), 19, 961–968. doi:10.1097/01.aids.0000171411.84231.f6.Google Scholar
  3. Centers for Disease Control and Prevention. (1999a). Gonococcal isolate surveillance project. Atlanta, GA: CDC.Google Scholar
  4. Centers for Disease Control and Prevention. (1999b). Resurgent bacterial sexually transmitted disease among men who have sex with men—King County, Washington, 1997–1999. Morbidity and Mortality Weekly Report, 48, 773–777.Google Scholar
  5. Centers for Disease Control and Prevention. (2007). HIV/AIDS surveillance report, 2005 (Vol. 17). Atlanta, GA: Department of Health and Human Services, Centers for Disease Control and Prevention.Google Scholar
  6. Coates, T. J. (2008). The US HIV epidemic: Why is prevention failing? Postgraduate Institute for Medicine and Clinical Care Options. Retrieved March 1, 2008.Google Scholar
  7. Dawley, H. (2007). Among gay sites, all the talk is global. Retrieved October 27, 2008, from http://www.medialifemagazine.com/artman/publish/article_11038.asp.
  8. Greene, W. H. (1997). Econometric analysis. Upper Saddle River, NJ: Prentice Hall.Google Scholar
  9. Gross, M. (2003). The second wave will drown us. American Journal of Public Health, 93(6), 872–881. doi:10.2105/AJPH.93.6.872.PubMedCrossRefGoogle Scholar
  10. Halkitis, P. N., & Parsons, J. T. (2003). Intentional unsafe sex (barebacking) among HIV-positive gay men who seek sexual partners on the Internet. AIDS Care, 15, 367–378. doi:10.1080/0954012031000105423.PubMedCrossRefGoogle Scholar
  11. Halkitis, P., Parsons, J. T., & Wilton, L. (2003). Barebacking among gay and bisexual men in New York city: Explanations for the emergence of intentional unsafe behavior. Archives of Sexual Behavior, 32(4), 351–357. doi:10.1023/A:1024095016181.PubMedCrossRefGoogle Scholar
  12. Horvath, K. J., Bowen, A. M., & Williams, M. L. (2006). Virtual and physical venues as contexts for HIV risk among rural men who have sex with men. Extramural Health Psychology, 25(2), 237–242. doi:10.1037/0278-6133.25.2.237.CrossRefGoogle Scholar
  13. Hospers, H. J., Kok, G., Harterink, P., & de Zwart, O. (2005). A new meeting place: Chatting on the Internet, e-dating and sexual risk behaviour among Dutch men who have sex with men. AIDS (London, England), 19, 1097–1101. doi:10.1097/01.aids.0000174457.08992.62.Google Scholar
  14. Jaffe, H. W., Valdiserri, R. O., & De Cock, K. M. (2007). The re-emerging HIV/AIDS epidemic in men who have sex with men. Journal of the American Medical Association, 298, 2412–2414. doi:10.1001/jama.298.20.2412.PubMedCrossRefGoogle Scholar
  15. Kim, A. A., Kent, C., McFarland, W., & Klausner, J. D. (2001). Cruising the Internet highway. Journal of Acquired Immune Deficiency Syndromes, 28, 89–93.PubMedGoogle Scholar
  16. Klausner, J. D., Wolf, W., Fischer Ponce, L., Zolt, I., & Katz, M. H. (2000). Tracing a syphilis outbreak through cyberspace. Journal of the American Medical Association, 284, 447–449. doi:10.1001/jama.284.4.447.PubMedCrossRefGoogle Scholar
  17. Koblin, B. A., Chesney, M. A., Husnik, M. J., Bozeman, S., Celum, C. L., Buchbinder, S., et al. (2003). High-risk behaviors among men who have sex with men in 6 U.S. cities: Baseline data from the EXPLORE study. American Journal of Public Health, 93, 926–932. doi:10.2105/AJPH.93.6.926.PubMedCrossRefGoogle Scholar
  18. Liau, A., Millett, G., & Marks, G. (2006). Meta-analytic examination of online sex-seeking and sexual risk behavior among men who have sex with men. Sexually Transmitted Diseases, 33, 576–584. doi:10.1097/01.olq.0000204710.35332.c5.PubMedCrossRefGoogle Scholar
  19. Long, J. S. (1997). Regression models for categorical and limited dependent variables. Newbury Park, CA: Sage.Google Scholar
  20. McFarlane, M., Bull, S. S., & Rietmeijer, C. A. (2000). The Internet as a newly emerging risk environment for sexually transmitted diseases. Journal of the American Medical Association, 284, 443–446. doi:10.1001/jama.284.4.443.PubMedCrossRefGoogle Scholar
  21. Millett, G. A., Flores, S. A., Peterson, J. L., & Bakeman, R. (2007). Explaining disparities in HIV infection among black and white men who have sex with men: A meta-analysis of HIV risk behaviors. AIDS (London, England), 21, 2083–2091.Google Scholar
  22. Millett, G. A., Peterson, J. L., Wolitski, R. J., & Stall, R. (2006). Greater risk for HIV infection of Black men who have sex with men: A critical literature review. American Journal of Public Health, 96(6), 1007–1019. doi:10.2105/AJPH.2005.066720.PubMedCrossRefGoogle Scholar
  23. PlanetOut Inc. (2006). About PlanetOut Inc. Company overview. Retrieved April 1, 2006 from http://www.planetoutinc.com/company/.
  24. Rosser, B. R. S., Miner, M. H., Bockting, W. O., Ross, M. W., Konstan, J., Gurak, L., et al. (2008). HIV risk and the Internet: Results of the Men’s INTernet study (MINTS). AIDS and Behavior. Online first, May 30. doi: 10.1007/s10461-008-9399-8.
  25. Tashima, K., Alt, E. N., Harwell, J. I., Fiebich-Perez, D. K., & Flanigan, T. P. (2003). Internet sex-seeking leads to acute HIV infection: A report of two cases. International Journal of STDs and AIDS, 14, 285–286.CrossRefGoogle Scholar
  26. Tikkanen, R., & Ross, M. W. (2003). Technological tearoom trade: Characteristics of Swedish men visiting gay Internet chat rooms. AIDS Education and Prevention, 15(2), 122–132. doi:10.1521/aeap.15.3.122.23833.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • B. R. Simon Rosser
    • 1
  • J. Michael Oakes
    • 1
  • Keith J. Horvath
    • 1
  • Joseph A. Konstan
    • 2
  • Gene P. Danilenko
    • 1
  • John L. Peterson
    • 3
  1. 1.Division of Epidemiology and Community HealthUniversity of MinnesotaMinneapolisUSA
  2. 2.Department of Computer Science and EngineeringUniversity of MinnesotaMinneapolisUSA
  3. 3.Department of PsychologyGeorgia State UniversityAtlantaUSA

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