Bareback Sexually Explicit Media Consumption and Men Who Have Sex with Men’s Responses to Sexual Partners Who Prefer Anal Intercourse With or Without Condoms
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This study investigated whether “bareback” (i.e., condomless) sexually explicit media (SEM) consumption is differentially associated with men who have sex with men’s (MSM) concerns about, and willingness to have, condomless anal intercourse (CAI) versus anal intercourse with condoms. Participants were 659 Australian MSM who all reported their bareback SEM consumption and read a vignette in which they were propositioned for sex by a hypothetical male target. Participants were randomly assigned to one of four vignettes, in which the target exclusively preferred either CAI or anal intercourse with condoms, and either did or did not disclose that they took pre-exposure prophylaxis (PrEP). Perceived partner attractiveness was also measured as a potential moderator. Greater bareback SEM consumption was associated with reduced concerns about, and intentions to have, sex with a target who exclusively preferred CAI. Bareback SEM consumption, however, was not related to concerns about, or intentions to have, sex with a target who exclusively preferred anal intercourse with condoms. PrEP disclosure was not causally related to either concern about having, or intentions to have, sex with the target, nor did it moderate the relationship between bareback SEM consumption and these outcomes. Perceived partner attractiveness moderated the effect of bareback SEM consumption on general sexual intentions, such that bareback SEM was only associated with greater intentions to have sex when the partner was perceived to be highly attractive.
KeywordsSexually explicit media Condomless anal intercourse Pre-exposure prophylaxis (PrEP) Men who have sex with men (MSM) Sexual orientation
The authors wish to thank Brendan Farrugia for agreeing to be photographed as the male target in the present study.
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institution at which the studies were conducted.
Informed consent was obtained from all individual participants included in the study.
- Beymer, M. R., Weiss, R. E., Bolan, R. K., Rudy, E. T., Bourque, L. B., Rodriguez, J. P., & Morisky, D. E. (2014). Sex on demand: Geosocial networking phone apps and risk of sexually transmitted infections among a cross-sectional sample of men who have sex with men in Los Angeles county. Sexually Transmitted Infections, 90, 567–572. https://doi.org/10.1136/sextrans-2013-051494.CrossRefPubMedPubMedCentralGoogle Scholar
- Birnholtz, J., Fitzpatrick, C., Handel, M., & Brubaker, J. R. (2014). Identity, identification and identifiability: The language of self-presentation on a location-based mobile dating app. In MobileHCI 2014—Proceedings of the 16th ACM international conference on human–computer interaction with mobile devices and services (pp. 3–12). Association for Computing Machinery, Inc. https://dx.doi.org/10.1145/2628363.2628406.
- Carballo-Diéguez, A., Miner, M., Dolezal, C., Rosser, B. R. S., & Jacoby, S. (2006). 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, 35(4), 473–481. https://doi.org/10.1007/s10508-006-9078-7.CrossRefPubMedGoogle Scholar
- Downing, M. J., & Schrimshaw, E. W. (2014). Self-presentation, desired partner characteristics, and sexual behavior preferences in online personal advertisements of men seeking non-gay-identified men. Psychology of Sexual Orientation and Gender Diversity, 1, 30–39. https://doi.org/10.1037/sgd0000022.CrossRefPubMedPubMedCentralGoogle Scholar
- Goedel, W. C., & Duncan, D. T. (2015). Geosocial-networking app usage patterns of gay, bisexual, and other men who have sex with men: Survey among users of Grindr, a mobile dating app. JMIR Public Health and Surveillance, 1(1), e4. https://doi.org/10.2196/publichealth.4353.CrossRefPubMedPubMedCentralGoogle Scholar
- Golub, S. A., Kowalczyk, W., Weinberger, C. L., & Parsons, J. T. (2010). Pre-exposure prophylaxis and predicted condom use among high-risk men who have sex with men. Journal of Acquired Immune Deficiency Syndromes, 54(5), 548–555. https://doi.org/10.1097/QAI.0b013e3181e19a54.CrossRefPubMedGoogle Scholar
- 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(1), 72–85. https://doi.org/10.1521/aeap.2013.25.1.72.CrossRefPubMedPubMedCentralGoogle Scholar
- Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.Google Scholar
- Kalichman, S. C., Roffman, R. A., Picciano, J. F., & Bolan, M. (1997). Sexual relationships, sexual behavior, and HIV infection: HIV-seropositive gay and bisexual men seeking prevention services. Professional Psychology: Research and Practice, 28(4), 355–360. https://doi.org/10.1037/0735-7028.28.4.355.CrossRefGoogle Scholar
- Kubicek, K., Carpineto, J., McDavitt, B., Weiss, G., & Kipke, M. D. (2011). Use and perceptions of the internet for sexual information and partners: A study of young men who have sex with men. Archives of Sexual Behavior, 40(4), 803–816. https://doi.org/10.1007/s10508-010-9666-4.CrossRefPubMedGoogle Scholar
- Nelson, K. M., Leickly, E., Yang, J. P., Pereira, A., & Simoni, J. M. (2014a). The influence of sexually explicit online media on sex: Do men who have sex with men believe they “do what they see”? AIDS Care, 26(7), 931–934. https://doi.org/10.1080/09540121.2013.871219.CrossRefPubMedPubMedCentralGoogle Scholar
- Nelson, K. M., Simoni, J. M., Morrison, D. M., George, W. H., Leickly, E., Lengua, L. J., & Hawes, S. E. (2014b). Sexually explicit online media and sexual risk among men who have sex with men in the United States. Archives of Sexual Behavior, 43(4), 833–843. https://doi.org/10.1007/s10508-013-0238-2.CrossRefPubMedPubMedCentralGoogle Scholar
- Newcomb, M. E., Mongrella, M. C., Weis, B., McMillen, S. J., & Mustanski, B. (2016). Partner disclosure of PrEP use and undetectable viral load on geosocial networking apps: Frequency of disclosure and decisions about condomless sex. Journal of Acquired Immune Deficiency Syndromes, 71(2), 200–206. https://doi.org/10.1097/QAI.0000000000000819.CrossRefPubMedGoogle Scholar
- Parsons, J. T., Schrimshaw, E. W., Wolitski, R. J., Halkitis, P. N., Purcell, D. W., Hoff, C. C., & Gómez, C. A. (2005). Sexual harm reduction practices of HIV-seropositive gay and bisexual men: Serosorting, strategic positioning, and withdrawal before ejaculation. AIDS, 19, S13–S25. https://doi.org/10.1097/01.aids.0000167348.15750.9a.CrossRefPubMedPubMedCentralGoogle Scholar
- Reisen, C. A., & Poppen, P. J. (1999). Partner-specific risk perception: A new conceptualization of perceived vulnerability to STDs. Journal of Applied Social Psychology, 29(4), 667–684. https://doi.org/10.1111/j.1559-1816.1999.tb02018.x.CrossRefGoogle Scholar
- Rosser, B. R. S., Grey, J. A., Wilkerson, J. M., Iantaffi, A., Brady, S. S., Smolenski, D. J., & Horvath, K. J. (2012). A commentary on the role of sexually explicit media (SEM) in the transmission and prevention of HIV among men who have sex with men (MSM). AIDS and Behavior, 16(6), 1373–1381. https://doi.org/10.1007/s10461-012-0135-z.CrossRefPubMedPubMedCentralGoogle Scholar
- Rosser, B. R. S., Smolenski, D. J., Erickson, D., Iantaffi, A., Brady, S. S., Grey, J. A., & Wilkerson, J. M. (2013). The effects of gay sexually explicit media on the HIV risk behavior of men who have sex with men. AIDS and Behavior, 17(4), 1488–1498. https://doi.org/10.1007/s10461-013-0454-8.CrossRefPubMedGoogle Scholar
- Stein, D., Silvera, R., Hagerty, R., & Marmor, M. (2012). Viewing pornography depicting unprotected anal intercourse: Are there implications for HIV prevention among men who have sex with men? Archives of Sexual Behavior, 41(2), 411–419. https://doi.org/10.1007/s10508-011-9789-2.CrossRefPubMedGoogle Scholar
- Træen, B., Hald, G. M., Noor, S. W., Iantaffi, A., Grey, J., & Rosser, B. R. S. (2014). The relationship between use of sexually explicit media and sexual risk behavior in men who have sex with men: Exploring the mediating effects of sexual self-esteem and condom use self-efficacy. International Journal of Sexual Health, 26(1), 13–24. https://doi.org/10.1080/19317611.2013.823900.CrossRefPubMedGoogle Scholar
- Vanable, P. A., Ostrow, D. G., McKirnan, D. J., Taywaditep, K. J., & Hope, B. A. (2000). Impact of combination therapies on HIV risk perceptions and sexual risk among HIV-positive and HIV-negative gay and bisexual men. Health Psychology, 19(2), 134–145. https://doi.org/10.1037/0278-6184.108.40.206.CrossRefPubMedGoogle Scholar
- Wilkerson, J. M., Iantaffi, A., Smolenski, D. J., Brady, S. S., Horvath, K. J., Grey, J. A., & Rosser, B. R. S. (2012). The SEM risk behavior (SRB) model: A new conceptual model of how pornography influences the sexual intentions and HIV risk behavior of MSM. Sexual and Relationship Therapy, 27(3), 217–230. https://doi.org/10.1080/14681994.2012.734605.CrossRefPubMedPubMedCentralGoogle Scholar
- Wilkerson, J. M., Iantaffi, A., Smolenski, D. J., Horvath, K. J., & Rosser, B. R. S. (2013). Acceptability of HIV-prevention messages in sexually explicit media viewed by men who have sex with men. AIDS Education and Prevention, 25(4), 315–326. https://doi.org/10.1521/aeap.2013.25.4.315.CrossRefPubMedPubMedCentralGoogle Scholar