Archives of Sexual Behavior

, Volume 44, Issue 2, pp 509–519 | Cite as

Meeting Sex Partners Through the Internet, Risky Sexual Behavior, and HIV Testing Among Sexually Transmitted Infections Clinic Patients

  • Monique J. Brown
  • River Pugsley
  • Steven A. Cohen
Original Paper

Abstract

The Internet has now become a popular venue to meet sex partners. People who use the Internet to meet sex partners may be at a higher risk for contracting HIV and STIs. This study examined the association between meeting sex partners from the Internet, and HIV testing, STI history, and risky sexual behavior. Data were obtained from the Virginia Department of Health STD Surveillance Network. Logistic regression models were used to obtain crude and adjusted odds ratios, and 95 % confidence intervals for the associations between meeting sex partners through the Internet and ever tested for HIV, HIV testing in the past 12 months, STI history, and risky sexual behavior. Logistic regression was also used to determine if gender and men who have sex with men interaction terms significantly improved the model. Women who met a sex partner from the Internet were more likely to have had an HIV test in the past 12 months than women who did not meet a partner in this way. On the other hand, men who met a sex partner through the Internet were more likely to have ever had an HIV test than other men, but this was only seen for heterosexual men. All populations who met a sex partner from the Internet were more likely to take part in risky sexual behavior. HIV prevention strategies should emphasize annual testing for all populations.

Keywords

Internet HIV testing STI Risky behavior Surveillance 

Notes

Acknowledgments

Portions of the data used for this analysis were collected with support from CDC Grant number 5H25PS001282, the STD Surveillance Network (SSuN), to the Virginia Department of Health, Division of Disease Prevention.

References

  1. Al-Tayyib, A. A., McFarlane, M., Kachur, R., & Rietmeijer, C. A. (2009). Finding sex partners on the Internet: What is the risk for sexually transmitted infections? Sexually Transmitted Infections, 85, 216–220.CrossRefPubMedGoogle Scholar
  2. 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.CrossRefPubMedGoogle Scholar
  3. Bolding, G., Davis, M., Hart, G., Sherr, L., & Elford, J. (2006). Heterosexual men and women who seek sex through the Internet. International Journal of STD and AIDS, 17, 530–534.CrossRefPubMedGoogle Scholar
  4. Branson, B. M., Handsfield, H. H., Lampe, M. A., Janssen, R. S., Taylor, A. W., … Clark, J. E. (2006). Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. Morbidity and Mortality Weekly Report, 55, 1–17.Google Scholar
  5. Brown, M. J., Weitzen, S., & Lapane, K. L. (2013). Association between intimate partner violence and preventive screening among women. Journal of Women’s Health, 22, 947–952.CrossRefPubMedGoogle Scholar
  6. Buhi, E. R., Klinkenberger, N., McFarlane, M., Kachur, R., Daley, E. M., Baldwin, J., … Rietmeijer C. (2013). Evaluating the Internet as a sexually transmitted disease risk environment for teens: Findings from the communication, health, and teens study. Sexually Transmitted Diseases, 40, 528–533.Google Scholar
  7. Centers for Disease Control and Prevention. (2012). Sexually Transmitted Disease Surveillance, 2011. Atlanta, GA: U.S. Department of Health and Human Services.Google Scholar
  8. Clark, T., Marquez, C., Hare, C. B., John, M. D., & Klausner, J. D. (2012). Methamphetamine use, transmission risk behavior and Internet use among HIV-infected patients in medical care, San Francisco, 2008. AIDS and Behavior, 16, 396–403.PubMedCentralCrossRefPubMedGoogle Scholar
  9. Coleman, E., Horvath, K. J., Miner, M., Ross, M. W., Oakes, M., & Rosser, B. (2010). Compulsive sexual behavior and risk for unsafe sex among Internet using men who have sex with men. Archives of Sexual Behavior, 39, 1045–1053.PubMedCentralCrossRefPubMedGoogle Scholar
  10. Cooper, A. (1998). Sexuality and the Internet: Surfing into the new millennium. Cyberpsychology & Behavior, 1, 187–193.CrossRefGoogle Scholar
  11. Davis, M., Hart, G., Bolding, G., Sherr, L., & Elford, J. (2006). Sex and the Internet: Gay men, risk reduction and serostatus. Culture, Health & Sexuality, 8, 161–174.CrossRefGoogle Scholar
  12. Elford, J., Bolding, G., & Sherr, L. (2001). Seeking sex on the Internet and sexual risk behavior among gay men using London gyms. AIDS, 15, 1409–1415.CrossRefPubMedGoogle Scholar
  13. Garofalo, R., Herrick, A., Mustanski, B. S., & Donenberg, G. R. (2007). Tip of the iceberg: Young men who have sex with men, the Internet, and HIV risk. American Journal of Public Health, 97, 1113–1117.PubMedCentralCrossRefPubMedGoogle Scholar
  14. Grov, C., Agyemang, L., Ventuneac, A., & Breslow, A. S. (2013). Navigating condom use and HIV status disclosure with partners met online: A qualitative pilot study with gay and bisexual men from Craigslist.org. AIDS Education and Prevention, 25, 72–85.PubMedCentralCrossRefPubMedGoogle Scholar
  15. Hays, R. B., Paul, J., Ekstrand, M., Kegeles, S. M., Stall, R., & Coates, T. J. (1997). Actual versus perceived HIV status, sexual behaviors and predictors of unprotected sex among young gay and bisexual men who identify as HIV-negative, HIV-positive and untested. AIDS, 11, 1495–1502.CrossRefPubMedGoogle Scholar
  16. Holt, M., Rawstorne, P., Wilkinson, J., Worth, H., Bittman, M., & Kippax, S. (2012). HIV testing, gay community involvement and Internet use: Social and behavioral correlates of HIV testing among Australian men who have sex with men. AIDS and Behavior, 16, 13–22.CrossRefPubMedGoogle Scholar
  17. Horvath, K. J., Rosser, B. R., & Remafedi, G. (2008). Sexual risk taking among young Internet-using men who have sex with men. American Journal of Public Health, 98, 1059–1067.PubMedCentralCrossRefPubMedGoogle Scholar
  18. Jenness, S. M., Neaigus, A., Hagan, H., Wendel, T., Gelpi-Acosta, C., & Murrill, C. S. (2010). Reconsidering the Internet as an HIV/STD risk for men who have sex with men. AIDS and Behavior, 14, 1353–1361.CrossRefPubMedGoogle Scholar
  19. King, S. A. (1999). Internet gambling and pornography: Illustrative examples of the psychological consequences of communication anarchy. Cyberpsychology & Behavior, 2, 175–193.CrossRefGoogle Scholar
  20. Klein, H. (2011). Using a syndemics theory approach to study HIV risk taking in a population of men who use the Internet to find partners for unprotected sex. American Journal of Men’s Health, 5, 466–476.CrossRefPubMedGoogle Scholar
  21. 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.CrossRefPubMedGoogle Scholar
  22. Matarelli, S. A. (2013). Sexual sensation seeking and Internet sex-seeking of Middle-Eastern men who have sex with men. Archives of Sexual Behavior, 42, 1285–1297.CrossRefPubMedGoogle Scholar
  23. 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.CrossRefPubMedGoogle Scholar
  24. McFarlane, M., Kachur, R., Bull, S., & Rietmeijer, C. (2004). Women, the Internet, and sexually transmitted infections. Journal of Women’s Health, 13, 689–694.CrossRefPubMedGoogle Scholar
  25. Mustanski, B. S. (2007). Are sexual partners met online associated with HIV/STI risk behaviours? Retrospective and daily diary data in conflict. AIDS Care, 19, 822–827.CrossRefPubMedGoogle Scholar
  26. Newman, L. M., Dowell, D., Bernstein, K., Donnelly, J., Martins, S., Stenger, M., …Weinstock, H. (2012). A tale of two gonorrhea epidemics: Results from the STD surveillance network. Public Health Reports, 127, 282–292Google Scholar
  27. Ogilvie, G. S., Taylor, D. L., Trussler, T., Marchand, R., Gilbert, M., Moniruzzaman, A., & Rekart, M. L. (2008). Seeking sexual partners on the Internet: A marker for risky sexual behaviour in men who have sex with men. Canadian Journal of Public Health, 99, 185–188.PubMedGoogle Scholar
  28. Oshri, A., Tubman, J. G., Morgan-Lopez, A. A., Saavedra, L. M., & Csizmadia, A. (2013). Sexual sensation seeking, co-occurring sex and alcohol use, and sexual risk behavior among adolescents in treatment for substance use problems. American Journal on Addictions, 22, 197–205.CrossRefPubMedGoogle Scholar
  29. Rietmeijer, C.A., Donnelly, J., Bernstein K. T., Bissette, J. M., Martins, S., Pathela, P., … Newman, L. M. (2009). Here comes the SSuN: Early experiences with the STD Surveillance Network. Public Health Reports, 124, 72–77Google Scholar
  30. Stall, R., Mills, T. C., Williamson, J., Hart, T., Greenwood, G., Paul, J., … Catania, J. A. (2003). Association of co-occurring psychosocial health problems and increased vulnerability to HIV/AIDS among urban men who have sex with men. American Journal of Public Health, 93, 939–942Google Scholar
  31. Taylor, M., Aynalem, G., Smith, L., Bemis, C., Kenney, K., & Kerndt, P. (2004). Correlates of Internet use to meet sex partners among men who have sex with men diagnosed with early syphilis in Los Angeles County. Sexually Transmitted Diseases, 31, 552–556.CrossRefPubMedGoogle Scholar
  32. Virginia Department of Health, Office of Epidemiology Division of Disease Prevention. (2011). STD Surveillance Network Report.Google Scholar
  33. White, J. M., Mimiaga, M. J., Reisner, S. L., & Mayer, K. H. (2013). HIV sexual risk behavior among black men who meet other men on the Internet for sex. Journal of Urban Health, 90, 464–481.PubMedCentralCrossRefPubMedGoogle Scholar
  34. Whiteley, L. B., Brown, L. K., Swenson, R. R., Valois, R. F., Vanable, P. A., Carey, M. P., … Romer, D. (2012). African American adolescents meeting sex partners online: Closing the digital research divide in STI/HIV prevention. Journal of Primary Prevention, 33, 13–18Google Scholar
  35. Wulfert, E., Safren, S. A., Brown, I., & Wan, C. K. (1999). Cognitive, behavioral, and personality correlates of HIV-positive persons’ unsafe sexual behavior. Journal of Applied Social Psychology, 29, 223–244.CrossRefGoogle Scholar
  36. Young, S. D., & Rice, E. (2011). Online social networking technologies, HIV knowledge, and sexual risk and testing behaviors among homeless youth. AIDS and Behavior, 15, 253–260.PubMedCentralCrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Monique J. Brown
    • 1
  • River Pugsley
    • 1
    • 2
  • Steven A. Cohen
    • 1
  1. 1.Department of Family Medicine and Population HealthVirginia Commonwealth University School of MedicineRichmondUSA
  2. 2.Office of Epidemiology, Division of Disease PreventionVirginia Department of HealthRichmondUSA

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