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If You Film It Will They Watch? Factors Associated with Willingness to View Safer Sex Messaging in Internet-Based Sexually Explicit Media

Abstract

Research on the association between viewing condomless sex in sexually explicit media (SEM) and engaging in risk behavior suggests the need for SEM-based safer sex messaging (e.g., PrEP, condom use), though few studies have considered viewer willingness to watch SEM containing HIV/STI prevention messages. Online survey data from a racially diverse sample of 859 men and women were used to investigate factors associated with willingness to watch SEM with safer sex messaging. Analyses were conducted separately for three groups: heterosexual men and other men who only report sex with women, heterosexual women and other women who only report sex with men, and gay, bisexual, and other men who have sex with men. All three groups expressed some willingness to view safer sex messages in SEM and a majority viewed the SEM industry as having some responsibility to provide this type of messaging. Factors associated with greater willingness varied across the three groups. These findings have implications for the design and implementation of safer sex messaging in SEM.

Resumen

La investigación sobre la asociación entre ver sexo sin condón en medios sexualmente explícitos (MSE) y participar en conductas de riesgo sugieren la necesidad de mensajes de sexo seguro basados en MSE (por ejemplo, PrEP, uso de condones), aunque pocos estudios han considerado la voluntad del televidente en ver MSE conteniendo mensajes de prevención de VIH/ITS. Se utilizaron datos de una encuesta en línea de una muestra racialmente diversa de 859 hombres y mujeres para investigar los factores asociados con la voluntad a ver MSE con mensajes de sexo seguro. Los análisis se realizaron por separado para tres grupos: hombres heterosexuales y otros hombres que solo informan sexo con mujeres, mujeres heterosexuales y otras mujeres que solo informan sexo con hombres y homosexuales, bisexuales y otros hombres que tienen sexo con hombres. Los tres grupos expresaron cierta voluntad a ver mensajes de sexo seguro en MSE y una mayoría consideró que la industria de MSE tiene alguna responsabilidad a proveer este tipo de mensajes. Los factores asociados con la mayor voluntad variaron entre los tres grupos. Estos hallazgos tienen implicaciones para el diseño y la implementación de mensajes de sexo seguro en MSE.

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References

  1. 1.

    Nelson KM, Simoni JM, Morrison DM, et al. Sexually explicit online media and sexual risk among men who have sex with men in the United States. Arch Sex Behav. 2014;43(4):833–43.

    Article  PubMed  PubMed Central  Google Scholar 

  2. 2.

    Rosser BR, Smolenski DJ, Erickson D, et al. The effects of gay sexually explicit media on the HIV risk behavior of men who have sex with men. AIDS Behav. 2013;17(4):1488–98.

    Article  PubMed  Google Scholar 

  3. 3.

    Schrimshaw EW, Antebi-Gruszka N, Downing MJ Jr. Viewing of internet-based sexually explicit media as a risk factor for condomless anal sex among men who have sex with men in four U.S. cities. PLoS ONE. 2016;11(4):e0154439.

    Article  PubMed  PubMed Central  Google Scholar 

  4. 4.

    Stein D, Silvera R, Hagerty R, Marmor M. Viewing pornography depicting unprotected anal intercourse: are there implications for HIV prevention among men who have sex with men? Arch Sex Behav. 2012;41(2):411–9.

    Article  PubMed  Google Scholar 

  5. 5.

    Downing MJ Jr, Schrimshaw EW, Antebi N, Siegel K. Sexually explicit media on the internet: a content analysis of sexual behaviors, risk, and media characteristics in gay male adult videos. Arch Sex Behav. 2014;43(4):811–21.

    Article  PubMed  Google Scholar 

  6. 6.

    Carroll JS, Padilla-Walker LM, Nelson LJ, Olson CD, Barry CM, Madsen SD. Generation XXX. Pornography acceptance and use among emerging adults. J Adolesc Res. 2008;23(1):6–30.

    Article  Google Scholar 

  7. 7.

    Traeen B, Daneback K. The use of pornography and sexual behaviour among Norwegian men and women of differing sexual orientation. Sexologies. 2013;22(2):e41–8.

    Article  Google Scholar 

  8. 8.

    Weinberg MS, Williams CJ, Kleiner S, Irizarry Y. Pornography, normalization, and empowerment. Arch Sex Behav. 2010;39(6):1389–401.

    Article  PubMed  Google Scholar 

  9. 9.

    Harkness EL, Mullan B, Blaszczynski A. Association between pornography use and sexual risk behaviors in adult consumers: a systematic review. Cyberpsychol Behav Soc Netw. 2015;18(2):59–71.

    Article  PubMed  Google Scholar 

  10. 10.

    Smith LW, Liu B, Degenhardt L, Richters J, Patton G, Wand H, et al. Is sexual content in new media linked to sexual risk behaviour in young people? A systematic review and meta-analysis. Sex Health. 2016. https://doi.org/10.1071/sh16037.

    PubMed Central  Google Scholar 

  11. 11.

    Simon W, Gagnon J. Sexual scripts. Society. 1984;22(1):53–60.

    Article  Google Scholar 

  12. 12.

    Bandura A. Social learning theory. Englewood Cliffs: Prentice Hall; 1977.

    Google Scholar 

  13. 13.

    Prochaska JO, DiClemente CC, Norcross JC. In search of how people change. Applications to addictive behaviors. Am Psychol. 1992;47(9):1102–14.

    CAS  Article  PubMed  Google Scholar 

  14. 14.

    Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot. 1997;12(1):38–48.

    CAS  Article  PubMed  Google Scholar 

  15. 15.

    Stulhofer A, Busko V, Landripet I. Pornography, sexual socialization, and satisfaction among young men. Arch Sex Behav. 2010;39(1):168–78.

    Article  PubMed  Google Scholar 

  16. 16.

    Jonas KJ, Hawk ST, Vastenburg D, de Groot P. “Bareback” pornography consumption and safe-sex intentions of men having sex with men. Arch Sex Behav. 2014;43(4):745–53.

    Article  PubMed  Google Scholar 

  17. 17.

    Nelson KM, Leickly E, Yang JP, Pereira A, Simoni JM. The influence of sexually explicit online media on sex: do men who have sex with men believe they “do what they see”? AIDS Care. 2014;26(7):931–4.

    Article  PubMed  PubMed Central  Google Scholar 

  18. 18.

    Wilkerson JM, Iantaffi A, Smolenski DJ, et al. The SEM risk behavior (SRB) model: a new conceptual model of how pornography influences the sexual intentions and HIV risk behavior of MSM. Sex Relat Ther. 2012;27(3):217–30.

    Article  Google Scholar 

  19. 19.

    Nelson KM, Eaton LA, Gamarel KE. Preferences for condomless sex in sexually explicit media among Black/African American men who have sex with men: implications for HIV prevention. Arch Sex Behav. 2017;46(4):977–85.

    Article  PubMed  Google Scholar 

  20. 20.

    Galos DL, Smolenski DJ, Grey JA, Iantaffi A, Rosser BRS. Preferred aspects of sexually explicit media among men who have sex with men: where do condoms fit in? Psychol Sex. 2015;6(2):147–65.

    PubMed  Google Scholar 

  21. 21.

    Loftus D. Watching sex: how men really respond to pornography. New York: Thunder’s Mouth Press; 2002.

    Google Scholar 

  22. 22.

    Paul P. Pornified: how pornography is transforming our lives, our relationships, and our families. New York: Holt; 2005.

    Google Scholar 

  23. 23.

    Gold D. An industrial hygienist looks at porn. J Occup Environ Hyg. 2015;12(8):D184–90.

    Article  PubMed  Google Scholar 

  24. 24.

    Grudzen CR, Elliott MN, Kerndt PR, Schuster MA, Brook RH, Gelberg L. Condom use and high-risk sexual acts in adult films: a comparison of heterosexual and homosexual films. Am J Public Health. 2009;99(Suppl 1):S152–6.

    Article  PubMed  PubMed Central  Google Scholar 

  25. 25.

    Escoffier J. Bigger than life: the history of gay porn cinema from beefcake to hardcore. Philadelphia: Running Press; 2009.

    Google Scholar 

  26. 26.

    Schieber D. Money, morals, and condom use: the politics of health in gay and straight adult film production. Soc Probl. 2017. https://doi.org/10.1093/socpro/spw046.

    Google Scholar 

  27. 27.

    Bishop CJ. ‘Cocked, locked and ready to fuck?’: a synthesis and review of the gay male pornography literature. Psychol Sex. 2015;6(1):5–27.

    Google Scholar 

  28. 28.

    Cronin B, Davenport E. E-rogenous zones: positioning pornography in the digital economy. Inf Soc. 2001;17:33–48.

    Article  Google Scholar 

  29. 29.

    Green ST. HIV and AIDS, the internet pornography industry and safer sex. Int J STD AIDS. 2004;15(3):206–8.

    CAS  Article  PubMed  Google Scholar 

  30. 30.

    Griffith J, Adams L, Hart C, et al. Pornography actors: a qualitative analysis of motivations and dislikes. N Am J Psychol. 2012;14(2):245–56.

    Google Scholar 

  31. 31.

    Andriote J-M. Porn flicks or virtual coliseum? Risking actors’ lives for sport. The Huffington Post. 2016. http://www.huffingtonpost.com/johnmanuel-andriote/gay-porn-hiv_b_1297752.html.

  32. 32.

    Hurley R. How gay porn undermines safe sex campaigns. Br Med J. 2009;338:775.

    Article  Google Scholar 

  33. 33.

    Acworth P. Open letter to Michael Weinstein, President AIDS Healthcare Foundation. 2014. http://www.peteracworth.com/open-letter-to-michael-weinstein-president-aids-healthcare-foundation/.

  34. 34.

    Kinser J. Michael Lucas explains his controversial decision to make condom-free adult films. Queerty. 2014. http://www.queerty.com/michael-lucas-explains-his-controversial-decision-to-make-condom-free-adult-films-20140331.

  35. 35.

    Nichols JS. Paul Morris, Treasure Island Media’s maverick, sets the record straight about porn, HIV, & “the complex behavioral language of gay sex”—Part 1. Let’s Talk About Sex. 2011. http://ltasex.info/home/2011/4/25/paul-morris-treasure-island-medias-maverick-sets-the-record.html.

  36. 36.

    Free Speech Coalition. FSC responds to mailman condom study. 2016. https://www.freespeechcoalition.com/fsc-responds-to-mailman-condom-study/.

  37. 37.

    Nussbaum D. Pulling out, California porn industry faces new risks. 2015. http://www.breitbart.com/big-hollywood/2015/01/26/pulling-out-california-porn-industry-faces-new-risks/.

  38. 38.

    Czarny HN, Broaddus MR. Acceptability of HIV prevention information delivered through established geosocial networking mobile applications to men who have sex with men. AIDS Behav. 2017. https://doi.org/10.1007/s10461-017-1743-4.

    PubMed  Google Scholar 

  39. 39.

    Shrestha R, Karki P, Copenhaver M. Interest in use of mHealth technology in HIV prevention and associated factors among high-risk drug users enrolled in methadone maintenance program. AIDS Care. 2017. https://doi.org/10.1080/09540121.2017.1325439.

    Google Scholar 

  40. 40.

    Wilkerson JM, Iantaffi A, Smolenski DJ, Horvath KJ, Rosser BR. Acceptability of HIV-prevention messages in sexually explicit media viewed by men who have sex with men. AIDS Educ Prev. 2013;25(4):315–26.

    Article  PubMed  PubMed Central  Google Scholar 

  41. 41.

    Wilken JA, Ried C, Rickett P, et al. Occupational HIV transmission among male adult film performers—multiple states, 2014. MMWR Morb Mortal Wkly Rep. 2016;65(5):110–4.

    Article  PubMed  Google Scholar 

  42. 42.

    CDC. Pre-exposure prophylaxis (PrEP) for HIV prevention. Fact Sheet. 2014.

  43. 43.

    Goldstein BY, Steinberg JK, Aynalem G, Kerndt PR. High chlamydia and gonorrhea incidence and reinfection among performers in the adult film industry. Sex Transm Dis. 2011;38(7):644–8.

    Article  PubMed  Google Scholar 

  44. 44.

    Rodriguez-Hart C, Chitale RA, Rigg R, Goldstein BY, Kerndt PR, Tavrow P. Sexually transmitted infection testing of adult film performers: is disease being missed? Sex Transm Dis. 2012;39(12):989–94.

    Article  PubMed  Google Scholar 

  45. 45.

    Solon O. Where’s Johnny? Porn studio digitally removes condoms. Wired. 2014. http://www.wired.co.uk/article/condoms-digitally-removed-from-porn.

  46. 46.

    Valinsky J. A gay porn studio is going to “digitally remove condoms” from its films. Observer. 2014. http://observer.com/2014/01/a-gay-porn-studio-is-going-to-digitally-remove-condoms-from-its-films/.

  47. 47.

    Downing MJ Jr, Schrimshaw EW, Scheinmann R, Antebi-Gruszka N, Hirshfield S. Sexually explicit media use by sexual identity: a comparative analysis of gay, bisexual, and heterosexual men in the United States. Arch Sex Behav. 2017;46(6):1763–76.

    Article  PubMed  Google Scholar 

  48. 48.

    Mustanski B, Birkett M, Greene GJ, Rosario M, Bostwick W, Everett BG. The association between sexual orientation identity and behavior across race/ethnicity, sex, and age in a probability sample of high school students. Am J Public Health. 2014;104:237–44.

    Article  PubMed  PubMed Central  Google Scholar 

  49. 49.

    Nield J, Magnusson B, Brooks C, Chapman D, Lapane KL. Sexual discordance and sexual partnering among heterosexual women. AIDS Behav. 2015;44:885–94.

    Google Scholar 

  50. 50.

    Pathela P, Hajat A, Schillinger J, Blank S, Sell R, Mostashari F. Discordance between sexual behavior and self-reported sexual identity: a population-based survey of New York City men. Ann Intern Med. 2006;145:416–25.

    Article  PubMed  Google Scholar 

  51. 51.

    Bauermeister JA, Meanley S, Pingel E, Soler JH, Harper GW. PrEP awareness and perceived barriers among single young men who have sex with men. Curr HIV Res. 2013;11(7):520–7.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  52. 52.

    Lo V, Wei R. Third-person effect, gender, and pornography on the internet. J Broadcast Electron Media. 2002;46(1):13–33.

    Article  Google Scholar 

  53. 53.

    IBM. Statistical Package for the Social Sciences (version 22.0). 2013.

  54. 54.

    Schrimshaw EW, Downing MJ, Jr. Consider porn viewers’ health before you vote. San Francisco Chronicle. 2016. http://www.sfchronicle.com/opinion/openforum/article/Consider-porn-viewers-health-before-you-vote-10426079.php.

  55. 55.

    Cassels P. Taking aim at barebacking videos. edge media network. 2010. http://www.edgemedianetwork.com/entertainment///106024.

  56. 56.

    Pornhub. http://www.pornhub.com/sex/. Accessed 15 Feb 2017.

  57. 57.

    Traffic Junky Media Kit. 2015. http://www.trafficjunky.com/.

  58. 58.

    Murdoch C. Pornhub wants to be the hottest destination for sex ed. Mashable. 2017. http://mashable.com/2017/02/01/porn-hub-sex-ed/#JCOPQVCFe5q9.

  59. 59.

    Weiler T (Chief Sponsor). Concurrent resolution on the public health crisis. State of Utah. 2016. http://le.utah.gov/~2016/bills/static/SCR009.html.

  60. 60.

    Eaton LA, Driffin DD, Bauermeister J, Smith H, Conway-Washington C. Minimal awareness and stalled uptake of pre-exposure prophylaxis (PrEP) among at risk, HIV-negative, black men who have sex with men. AIDS Patient Care STDs. 2015;29(8):423–9.

    Article  PubMed  PubMed Central  Google Scholar 

  61. 61.

    Goedel WC, Halkitis PN, Greene RE, Hickson DA, Duncan DT. HIV risk behaviors, perceptions, and testing and preexposure prophylaxis (PrEP) awareness/use in Grindr-using men who have sex with men in Atlanta, Georgia. J Assoc Nurses AIDS Care. 2016;27(2):133–42.

    Article  PubMed  Google Scholar 

  62. 62.

    Rucinski KB, Mensah NP, Sepkowitz KA, Cutler BH, Sweeney MM, Myers JE. Knowledge and use of pre-exposure prophylaxis among an online sample of young men who have sex with men in New York City. AIDS Behav. 2013;17(6):2180–4.

    Article  PubMed  Google Scholar 

  63. 63.

    Koechlin FM, Fonner VA, Dalglish SL, et al. Values and preferences on the use of oral pre-exposure prophylaxis (PrEP) for HIV prevention among multiple populations: a systematic review of the literature. AIDS Behav. 2017;21(5):1325–35.

    Article  PubMed  Google Scholar 

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Acknowledgements

This research was supported by a grant from the Foundation for the Scientific Study of Sexuality to Martin J. Downing, Jr., Ph.D.

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Correspondence to Martin J. Downing Jr..

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This research was supported by a grant from the Foundation for the Scientific Study of Sexuality to Martin J. Downing, Jr., Ph.D. (no award number provided). The authors declare that they have no other conflicts of interest.

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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.

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Downing, M.J., Antebi-Gruszka, N., Schrimshaw, E.W. et al. If You Film It Will They Watch? Factors Associated with Willingness to View Safer Sex Messaging in Internet-Based Sexually Explicit Media. AIDS Behav 22, 1295–1312 (2018). https://doi.org/10.1007/s10461-017-1971-7

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Keywords

  • Sexually explicit media
  • Pornography
  • Internet
  • HIV prevention