Online Partner Seeking and Sexual Risk Among HIV+ Gay and Bisexual Men: A Dialectical Perspective
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For almost two decades, researchers have explored the relationship between online partner seeking (OPS) and HIV/STI transmission risk behavior among men who have sex with men (MSM), including gay- and bisexual-identified men. A dichotomy has emerged with some findings that OPS is associated with greater sexual risk behavior, and a sparser but emerging literature that men may use OPS for sexual risk reduction. This study examined the association between proportion of partners met online and sexual risk behavior in a sample of 170 HIV-positive gay- and bisexual-identified men. Participants completed assessments including psychosocial factors and a comprehensive assessment of sexual behavior, including total number of male partners, and condomless insertive and receptive anal sex with HIV-negative/unknown serostatus partners or HIV-positive male partners. Our findings support taking a dialectical stance and indicate that OPS may impact risk differently given different individual and contextual circumstances.
KeywordsSexual minority men HIV Internet Online partner seeking Sexual behavior Sexual orientation
This study was funded by an NIMH research Grant (R34MH087120). This research was also partially supported by an NIMH training Grant (T32MH074387).
Compliance with Ethical Standards
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.
Informed consent was obtained from all individual participants included in the study.
Conflicts of Interest
Co-author Seth C. Kalichman has current research grants from both NIMH and NIDA. All other co-authors declare no conflict of interest.
- Centers for Disease Control and Prevention (CDC). (2013). HIV surveillance report, 2011 (Vol. 23). Atlanta, GA: Author. http://www.cdc.gov/hiv/topics/surveillance/resources/reports/. Accessed June 2016.
- Chiasson, M. A., Hirshfield, S., Remien, R. H., Humberstone, M., Wong, T., & Wolitski, R. J. (2007). A comparison of on-line and off-line sexual risk in men who have sex with men: An event-based on-line survey. Journal of Acquired Immune Deficiency Syndrome, 44, 235–243. doi:10.1097/QAI.0b013e31802e298c.CrossRefGoogle Scholar
- Grov, C., Hirshfield, S., Remien, R. H., Humberstone, M., & Chiasson, M. A. (2013). Exploring the venue’s role in risky sexual behavior among gay and bisexual men: An event-level analysis from a national online survey in the U.S. Archives of Sexual Behavior, 42(2), 291–302. doi:10.1007/s10508-011-9854-x.CrossRefPubMedGoogle Scholar
- Hatzenbuehler, M. L., O’Cleirigh, C., Mayer, K. H., Mimiaga, M. J., & Safren, S. A. (2011). Prospective associations between HIV-related stigma, transmission risk behaviors, and adverse mental health outcomes in men who have sex with men. Annals of Behavioral Medicine, 42(2), 227–234.CrossRefPubMedPubMedCentralGoogle Scholar
- Kalichman, S. C., Cherry, C., White, D., Jones, M., Grebler, T., Kalichman, M.O., … Schinazi, R.F. (2011). Sexual HIV transmission and antiretroviral therapy: A prospective cohort study of behavioral risk factors among men and women living with HIV/AIDS. Annals of Behavioral Medicine, 42(1), 111–119Google Scholar
- Kalichman, S. C., Eaton, L., White, D., Cherry, C., Pope, H., Cain, D., & Kalichman, M. O. (2007). Beliefs about treatments for HIV/AIDS and sexual risk behaviors among men who have sex with men, 1997–2006. Journal of Behavioral Medicine, 30, 497–503. doi:10.1007/s10865-007-9123-6.CrossRefPubMedPubMedCentralGoogle Scholar
- Lewnard, J. A., & Berrang-Ford, L. (2014). Internet-based partner selection and risk for unprotected anal intercourse in sexual encounters among men who have sex with men: A meta-analysis of observational studies. Sexually Transmitted Infections, 90, 290–296. doi:10.1136/sextrans-2013-051332.CrossRefPubMedGoogle Scholar
- LimeSurvey Project Team & Schmitz, C. (2011). LimeSurvey: An open source survey tool. Hamburg: LimeSurvey Project.Google Scholar
- Menza, T. W., Kerani, R. P., Handsfield, H. H., & Golden, M. R. (2011). Stable sexual risk behavior in a rapidly changing risk environment: Findings from population-based surveys of men who have sex with men in Seattle, Washington, 2003–2006. AIDS and Behavior, 15, 319–329. doi:10.1007/s10461-009-9626-y.CrossRefPubMedGoogle Scholar
- Parsons, J. T., Grov, C., & Golub, S. A. (2012). Sexual compulsivity, co-occurring psychosocial health problems, and HIV risk among gay and bisexual men: Further evidence of a syndemic. American Journal of Public Health, 102(1), 156–162. doi:10.2105/AJPH.2011.300284.CrossRefPubMedPubMedCentralGoogle Scholar
- Perry, N. S., Taylor, S. W., Elsesser, S., Safren, S. A., & O’Cleirigh, C. (2015). The predominant relationship between sexual environment characteristics and HIV-serodiscordant condomless anal sex among HIV-positive men who have sex with men (MSM). AIDS and Behavior. doi:10.1007/s10461-015-1202-z.Google Scholar
- Rosser, B. S., Oakes, J. M., Horvath, K. J., Konstan, J. A., Danilenko, G. P., & Peterson, J. L. (2009). 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). AIDS and Behavior, 13(3), 488–498. doi:10.1007/s10461-009-9524-3.CrossRefPubMedGoogle Scholar
- Safren, S. A., O’Cleirigh, C., Skeer, M. R., Driskell, J., Goshe, B. M., Covahey, C., & Mayer, K. H. (2011). Demonstration and evaluation of a peer-delivered, individually-tailored, HIV prevention intervention for HIV-infected MSM in their primary care setting. AIDS and Behavior, 15(5), 949–958.CrossRefPubMedGoogle Scholar
- Scott-Sheldon, L. A. J., Walstrom, P., Carey, K. B., Johnson, B. T., Carey, M. P., & the MASH Research Team. (2013). Alcohol use and sexual risk behaviors among individuals infected with HIV: A systematic review and meta-analysis 2012 to early 2013. Current HIV/AIDS Reports, 10(4), 314–323. doi:10.1007/s11904-013-0177-5.CrossRefPubMedPubMedCentralGoogle Scholar
- Shiu, C. S., Chen, Y. C., Tseng, P. C., Chung, A. C., Wu, M. T., Hsu, S. T., & Ko, N. Y. (2014). Curvilinear relationship between depression and unprotected sexual behaviors among men who have sex with men. Journal of Sexual Medicine, 11(10), 2466–2473. doi:10.1111/jsm.12638.CrossRefPubMedGoogle Scholar
- Sullivan, P. S., Hamouda, O., Delpech, V., Geduld, J. E., Prejean, J., Semaille, C., … The Annecy MSM Epidemiology Study Group. (2009). Reemergence of the HIV epidemic among men who have sex with men in North America, Western Europe, and Australia, 1996–2005. Annals of Epidemiology, 19(6), 423–431. doi:10.1016/j.annepidem.2009.03.004.CrossRefPubMedGoogle Scholar
- Wells, H. K. (1972). Alienation and dialectical logic. Kansas Journal of Sociology, 8(1), 7–32.Google Scholar