Sexually Explicit Online Media and Sexual Risk Among Men Who Have Sex with Men in the United States
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This study aimed to describe sexually explicit online media (SEOM) consumption among men who have sex with men (MSM) in the United States and examine associations between exposure to unprotected anal intercourse (UAI) in SEOM and engagement in both UAI and serodiscordant UAI. MSM in the U.S. who accessed a men-seeking-men website in the past year (N = 1,170) were recruited online for a cross-sectional, Internet-based survey of sexual risk and SEOM consumption. In the 3 months prior to interview, more than half (57 %) of the men reported viewing SEOM one or more times per day and almost half (45 %) reported that at least half of the SEOM they viewed portrayed UAI. Compared to participants who reported that 0–24 % of the SEOM they viewed showed UAI, participants who reported that 25–49, 50–74, or 75–100 % of the SEOM they viewed portrayed UAI had progressively increasing odds of engaging in UAI and serodiscordant UAI in the past 3 months. As SEOM has become more ubiquitous and accessible, research should examine causal relations between SEOM consumption and sexual risk-taking among MSM as well as ways to use SEOM for HIV prevention.
KeywordsHIV Men who have sex with men (MSM) Sexually explicit media Pornography Sexual risk-taking
We would like to thank our participants, as well as the Simoni Lab for their help with this project. Research reported in this publication was supported by NIMH of the National Institutes of Health under award numbers F31MH088851 and K24MH093243. Additional support was provided by the Department of Psychology at the University of Washington, the American Psychological Association of Graduate Students, and the University of Washington Center for AIDS Research (CFAR), an NIH-funded program (P30AI27757) which is supported by the following NIH Institutes and Centers (NIAID, NCI, NIMH, NIDA, NICHD, NHLBI, NIA). The content of this publication is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or other sources of support.
- Bancroft, J. (2000). Individual differences in sexual risk taking: A biopsychosocial theoretical approach. In J. Bancroft (Ed.), The role of theory in sex research (pp. 177–212). Bloomington: Indiana University Press.Google Scholar
- Centers for Disease Control and Prevention. (2011). High-impact HIV prevention: CDC’s approach to reducing HIV infections in the United States. Atlanta, GA: Author. Retrieved April 24, 2013 from http://www.cdc.gov/hiv/strategy/dhap/pdf/nhas_booklet.pdf.
- Centers for Disease Control and Prevention. (2012a). HIV surveillance report, 2010 (Vol. 22). Retrieved February 12, 2013 from http://www.cdc.gov/hiv/topics/surveillance/recourses/reports/.
- Centers for Disease Control and Prevention. (2012b). Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 U.S. dependent areas—2010. Retrieved February 13, 2013 from http://www.cdc.gov/hiv/surveillance/resources/reports/2010supp_vol17no3/index.htm.
- Crepaz, N., Marks, G., Liau, A., Mullins, M. M., Aupont, L. W., Marshall, K. J., … HIV/AIDS Prevention Research Synthesis (PRS) Team. (2009). Prevalence of unprotected anal intercourse among HIV-diagnosed MSM in the United States: A meta-analysis. AIDS, 23, 1617–1629. doi: 10.1097/QAD.0b013e32832effae.Google Scholar
- Crooks, R. L., & Baur, K. (2010). Our sexuality (11th ed.). Belmont, CA: Cengage Learning.Google Scholar
- Czaja, R. (1998). Questionnaire pretesting comes of age. Marketing Bulletin, 9, 52–66.Google Scholar
- Downing, M. J., Schrimshaw, E. W., Antebi, N., & Siegel, K. (2013). Sexually explicit media on the Internet: A content analysis of sexual behaviors, risk, and media characteristics in gay male adult videos. Archives of Sexual Behavior. doi: 10.1007/s10508-013-0121-1.PubMedCentralPubMedGoogle Scholar
- Finlayson, T. J., Le, B., Smith, A., Bowles, K., Cribbin, M., Miles, I., … Division of HIV/AIDS National Center for HIV/AIDS Prevention. (2011). HIV risk, prevention, and testing behaviors among men who have sex with men—National HIV Behavioral Surveillance System, 21 U.S. Cities, United States, 2008. Morbidity and Mortality Weekly Report Surveillance Summaries, 60, 1–34.Google Scholar
- George, W. H., Davis, K. C., Norris, J., Heiman, J. R., Stoner, S. A., Schacht, R. L., … Kajumulo, K. F. (2009). Indirect effects of acute alcohol intoxication on sexual risk-taking: The roles of subjective and physiological sexual arousal. Archives of Sexual Behavior, 38, 498–513. doi: 10.1007/s10508-008-9346-9.PubMedCentralCrossRefPubMedGoogle 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, 291–302. doi: 10.1007/s10508-011-9854-x.PubMedCentralCrossRefPubMedGoogle Scholar
- Guy, R. J., Wand, H., Wilson, D. P., Prestage, G., Jin, F., Templeton, D. J., … Kaldor, J. M. (2011). Using population attributable risk to choose HIV prevention strategies in men who have sex with men. BMC Public Health, 11, 247. doi: 10.1186/1471-2458-11-247.PubMedCentralCrossRefPubMedGoogle Scholar
- Hald, G. M., Smolenski, D., & Rosser, B. R. S. (2013). Perceived effects of sexually explicit media among men who have sex with men and psychometric properties of the Pornography Consumption Effects Scale (PCES). Journal of Sexual Medicine, 10, 757–767. doi: 10.1111/j.1743-6109.2012.02988.x.PubMedCentralCrossRefPubMedGoogle 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, 227–234. doi: 10.1007/s12160-011-9275-z.PubMedCentralCrossRefPubMedGoogle Scholar
- Mayer, K. H., Wheeler, D. P., Bekker, L.-G., Grinsztejn, B., Remien, R. H., Sandfort, T. G. M., & Beyrer, C. (2013). Overcoming biological, behavioral, and structural vulnerabilities: New directions in research to decrease HIV transmission in men who have sex with men. Journal of Acquired Immune Deficiency Syndromes, 63(Suppl. 2), S161–S167. doi: 10.1097/QAI.0b013e318298700e.PubMedCentralCrossRefPubMedGoogle Scholar
- McNeil, D. G. (2012, November 5). Unlikely model for H.I.V. prevention: Adult film industry. The New York Times. Retrieved April 23, 2013 from http://www.nytimes.com/2012/11/06/health/unlikely-model-for-hiv-prevention-porn-industry.html.
- Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis : An expanded sourcebook (2nd ed.). Thousand Oaks, CA: Sage.Google Scholar
- Muhr, T. (2004). ATLAS.ti 5.2 [computer software]. Berlin: Scientific Software Development.Google Scholar
- Rich, F. (2001, May 20). Naked capitalists. New York Times Magazine, 51–55, 80–81, 92.Google Scholar
- Rosenberger, J. G. (2012, November). Event-level examination of online pornography consumption among gay and bisexual men. Paper presented at the meeting of the Society for the Scientific Study of Sexuality, Tampa, FL.Google 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, 1373–1381. doi: 10.1007/s10461-012-0135-z.PubMedCentralCrossRefPubMedGoogle Scholar
- Rosser, B., Hatfield, L., Miner, M., Ghiselli, M., Lee, B., Welles, S., & Positive Connections Team. (2010). Effects of a behavioral intervention to reduce serodiscordant unsafe sex among HIV positive men who have sex with men: The Positive Connections randomized controlled trial study. Journal of Behavioral Medicine, 33, 147–158. doi: 10.1007/s10865-009-9244-1.Google Scholar
- Rosser, B. R. S., Miner, M. H., Bockting, W. O., Ross, M. W., Konstan, J., Gurak, L., … Coleman, E. (2009a). HIV risk and the Internet: Results of the Men’s INTernet Sex (MINTS) Study. AIDS and Behavior, 13, 746–756. doi: 10.1007/s10461-008-9399-8.
- Rosser, B. R. S., Oakes, J. M., Horvath, K. J., Konstan, J. A., Danilenko, G. P., & Peterson, J. L. (2009b). 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, 488–498. doi: 10.1007/s10461-009-9524-3.
- 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, 1488–1498. doi: 10.1007/s10461-013-0454-8.CrossRefPubMedGoogle Scholar
- Rural Health Research Center. (2005). Rural urban commuting area codes data. Retrieved March 13, 2013 from http://depts.washington.edu/uwruca/ruca-approx.php.
- StataCorp. (2011). Stata statistical software: Release 12. College Station, TX: StataCorp LP.Google 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, 411–419. doi: 10.1007/s10508-011-9789-2.PubMedCentralCrossRefPubMedGoogle Scholar
- Thomas, J. (2000). Gay male video pornography: Past, present and future. In R. Weitzer (Ed.), Sex for sale: Prostitution, pornography, and the sex industry (pp. 49–66). New York: Routledge.Google Scholar
- Weitzer, R. J. (Ed.). (2010). Sex for sale: Prostitution, pornography, and the sex industry. New York: Routledge.Google Scholar