Abstract
Men who have sex with men (MSM) often use smartphone geosocial networking applications (GSN apps) to meet sex partners. Relative to non-GSN app users, MSM GSN app users have more sex partners. Research also reveals sexual-risk taking is associated with alcohol consumption and sexual sensation seeking (SSS) in MSM. We examined if GSN app use moderated relationships between SSS and risky sexual behaviors, as well as relationships between alcohol use and risky sexual behaviors. Participants were 423 MSM who completed survey measures concerning demographics, app use, alcohol consumption, SSS, and risky sexual behavior recruited via various social networking websites (e.g., Reddit, Facebook). Data revealed that app use predicted recent numbers of male sex partners, and SSS predicted recent and lifetime male sex partners and receptive unprotected anal intercourse (UAI). GSN app use did not moderate relationships between SSS and risky sexual behaviors or between alcohol use and risky sexual behaviors. Although app use did not serve as a moderator, relationships between app use and number of sex partners and SSS and UAI suggest future work should consider how sexual health programming might be incorporated into GSN apps.
Similar content being viewed by others
Notes
The above moderation analyses treated app use as a dichotomous variable (yes vs no). Additional analyses were performed in order to examine whether app use frequency (number of times men logged on to apps during a typical week) served as a moderator of the variables of interest. Similar to the prior analyses, results revealed no significant interactions. App use frequency did not moderate relationships between SSS and all sexual-risk outcomes or between alcohol use and all sexual-risk outcomes.
References
Berkowitz, A. D. (2004). The social norms approach: theory, research, and annotated bibliography. posted on theHEC social norms website https://www.edc.org/hec/socialnorms
Bien, C. H., Best, J. M., Muessig, K. E., Wei, C., Han, L., & Tucker, J. D. (2015). Gay apps for seeking sex partners in China: Implications for MSM sexual health. AIDS and Behavior, 19(6), 941–946.
Bourne, C., Knight, V., Guy, R., Wand, H., Lu, H., & McNulty, A. (2011). Short message service reminder intervention doubles sexually transmitted infection/HIV re-testing rates among men who have sex with men. Sexually Transmitted Infections, 87(3), 229–231.
Centers for Disease Control and Prevention. (2016). HIV among gay and bisexual men. Retrieved November 15, 2016. https://www.cdc.gov/hiv/group/msm/
Celentano, D. D., Valleroy, L. A., Sifakis, F., MacKellar, D. A., Hylton, J., Thiede, H., McFarland, W., Shehan, D. A., Stoyanoff, S. R., LaLota, M., Koblin, B. A., Katz, M. H., & Torian, L. V. (2006). Associations between substance use and sexual risk among very young men who have sex with men. Sexually Transmitted Diseases, 33(4), 265–271.
Collins, R. L., Parks, G. A., & Marlatt, G. A. (1985). Social determinants of alcohol consumption: the effects of social interaction and model status on the self-administration of alcohol. Journal of Consulting and Clinical Psychology, 53(2), 189–200.
Cooper, M. L. (2002). Alcohol use and risky sexual behavior among college students and youth: evaluating the evidence. Journal of Studies on Alcohol, supplement, 14, 101–117.
Crawford, I., Hammack, P. L., McKirnan, D. J., Ostrow, D., Zamboni, B. D., Robinson, B., & Hope, B. (2003). Sexual sensation seeking, reduced concern about HIV and sexual risk behaviour among gay men in primary relationships. AIDS Care, 15(4), 513–524.
DiClemente, R., Milhausen, R. R., Salazar, L. F., Spitalnick, J., McDermott Sales, J., Crosby, R. A., Younge, S. N., & Wingood, G. M. (2010). Development of the sexual sensation-seeking scale for African American adolescent women. International Journal of Sexual Health, 22(4), 248–261.
Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*power 3.1: tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149–1160.
Field, M., Wiers, R. W., Christiansen, P., Fillmore, M. T., & Verster, J. C. (2010). Acute alcohol effects on inhibitory control and implicit cognition: implications for loss of control over drinking. Alcoholism: Clinical and Experimental Research, 34(8), 1346–1352.
Finlayson, T. J., Le, B., Smith, A., Bowles, K., Cribbin, M., Miles, I., Oster, A. M., Martin, T., Edwards, A., & DiNenno, E. (2011). HIV risk, prevention, and testing behaviors among men who have sex with men—National HIV Behavioral Surveillance System, 21 US cities, United States, 2008. MMWR Surveillance Summaries, 60(14), 1–34.
Fisher, J. C., Cook, P. A., & Kapiga, S. H. (2010). Alcohol use before sex and HIV risk: situational characteristics of protected and unprotected encounters among high-risk African women. Sexually Transmitted Diseases, 37(9), 571–578.
Gaither, G. A., & Sellbom, M. (2003). The sexual sensation seeking scale: reliability and validity within a heterosexual college student sample. Journal of Personality Assessment, 81(2), 157–167.
Hagman, B. T., Clifford, P. R., & Noel, N. E. (2007). Social norms theory-based interventions: testing the feasibility of a purported mechanism of action. Journal of American College Health, 56(3), 293–298.
Heath, J., Lanoye, A., & Maisto, S. A. (2012). The role of alcohol and substance use in risky sexual behavior among older men who have sex with men: a review and critique of the current literature. AIDS and Behavior, 16(3), 578–589.
Heidinger, B., Gorgens, K., & Morgenstern, J. (2015). The effects of sexual sensation seeking and alcohol use on risky sexual behavior among men who have sex with men. AIDS and Behavior, 19(3), 431–439.
Hingson, R. W., Strunin, L., Berlin, B. M., & Heeren, T. (1990). Beliefs about AIDS, use of alcohol and drugs, and unprotected sex among Massachusetts adolescents. American Journal of Public Health, 80(3), 295–299.
Halloway, I. W., Rice, E., Gibbs, J., Winetrobe, H., Dunlap, S., & Rhoades, H. (2014). Acceptability of smartphone application-based HIV prevention among young men who have Sex with men. AIDS and Behavior, 18(2), 285-296.
Holloway, I. W., Pulsipher, C. A., Gibbs, J., Barman-Adhikari, A., & Rice, E. (2015). Network influences on the sexual risk behaviors of gay, bisexual and other men who have sex with men using geosocial networking applications. AIDS and Behavior, 19(2), 112–122.
Irwin, T. W., Morgenstern, J., Parsons, J. T., Wainberg, M., & Labouvie, E. (2006). Alcohol and sexual HIV risk behavior among problem drinking men who have sex with men: an event level analysis of timeline followback data. AIDS and Behavior, 10(3), 299–307.
Kalichman, S. C. (2010). Sexual sensation seeking scale. In T. D. Fisher, C. M. Davis, W. L. Yarber, & S. L. Davis (Eds.), Handbook of sexuality-related measures (pp. 564–565). New York: Routledge.
Kalichman, S. C., Johnson, J. R., Adair, V., Rompa, D., Multhauf, K., & Kelly, J. A. (1994). Sexual sensation seeking: scale development and predicting AIDS-risk behavior among homosexually active men. Journal of Personality Assessment, 62, 385–397.
Kalichman, S. C., & Rompa, D. (1995). Sexual sensation seeking and sexual compulsivity scales: validity, and predicting HIV risk behavior. Journal of Personality Assessment, 65(3), 586–601.
Kivlahan, D. R., Marlatt, G. A., Fromme, K., Coppel, D. B., & Williams, E. (1990). Secondary prevention with college drinkers: evaluation of an alcohol skills training program. Journal of Consulting and Clinical Psychology, 58(6), 805–810.
Koblin, B. A., Chesney, M. A., Husnik, M. J., Bozeman, S., Celum, C. L., Buchbinder, S., Mayer, K., McKirnan, D., Judson, F. N., Huang, Y., & Coates, T. J. (2003). High-risk behaviors among men who have sex with men in 6 US cities: baseline data from the EXPLORE Study. American Journal of Public Health, 93(6), 926–932.
Koblin, B. A., Husnik, M. J., Colfax, G., Huang, Y., Madison, M., Mayer, K., Barresi, P. J., Coates, T. J., Chesney, M. A., & Buchbinder, S. (2006). Risk factors for HIV infection among men who have sex with men. Aids, 20(5), 731–739.
Landovitz, R. J., Tseng, C. H., Weissman, M., Haymer, M., Mendenhall, B., Rogers, K., Veniegas, R., Gorbach, P. M., Reback, C. J., & Shoptaw, S. (2013). Epidemiology, sexual risk behavior, and HIV prevention practices of men who have sex with men using GRINDR in Los Angeles, California. Journal of Urban Health, 90(4), 729–739.
Lehmiller, J. J., & Ioerger, M. (2014). Social networking smartphone applications and sexual health outcomes among men who have sex with men. PLoS One, 9(1), 1–6.
Lewis, M. A., & Neighbors, C. (2004). Gender-specific misperceptions of college student drinking norms. Psychology of Addictive Behaviors, 18(4), 334–339.
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(7), 1285–1297.
Muessig, K. E., Pike, E. C., LeGrand, S., & Hightow-Weidman, L. B. (2013). Mobile phone applications for the care and prevention of HIV and other sexually transmitted diseases: a review. Journal of Medical Internet Research, 15(1), e1.
Murphy, J. G., McDevitt-Murphy, M. E., & Barnett, N. P. (2005). Drink and be merry? Gender, life satisfaction, and alcohol consumption among college students. Psychology of Addictive Behaviors, 19(2), 184–191.
Mustanski, B. (2008). Moderating effects of age on the alcohol and sexual risk taking association: an online daily diary study of men who have sex with men. AIDS and Behavior, 12(1), 118–126.
Norris, J., Nurius, P. S., & Dimeff, L. A. (1996). Through her eyes factors affecting women’s perception of and resistance to acquaintance sexual aggression threat. Psychology of Women Quarterly, 20(1), 123–145.
Phillips G., Magnus, M., Kuo, I., Rawls, A., Peterson, J., Jia, Y., Opoku, J., & Greenberg, A. E. (2014). Use of geosocial networking (GSN) mobile phone applications to find men for sex by men who have sex with men (MSM) in Washington, DC. AIDS and Behavior, 18(9), 1630–1637.
Phillips, G., Grov, C., & Mustanski, B. (2015). Engagement in group sex among geosocial networking mobile application-using men who have sex with men. Sexual Health, 12(6), 495–500.
Purcell, D. W., Parsons, J. T., Halkitis, P. N., Mizuno, Y., & Woods, W. J. (2001). Substance use and sexual transmission risk behavior of HIV-positive men who have sex with men. Journal of Substance Abuse, 13(1), 185–200.
Rice, E., Holloway, I., Winetrobe, H., Rhoades, H., Barman-Adhikari, A., Gibbs, J., Carranza, A., Dent, D., & Dunlap, S. (2012). Sex risk among young men who have sex with men who use Grindr, a smartphone geosocial networking application. Journal of AIDS & Clinical Research, S4, 005.
Spitalnick, J. S., DiClemente, R. J., Wingood, G. M., Crosby, R. A., Milhausen, R. R., Sales, J. M., McCarty, F., Rose, E., & Younge, S. N. (2007). Brief report: Sexual sensation seeking and its relationship to risky sexual behaviour among African-American adolescent females. Journal of Adolescence, 30(1), 165–173.
Sun, C. J., Stowers, J., Miller, C., Bachmann, L. H., & Rhodes, S. D. (2015). Acceptability and feasibility of using established geosocial and sexual networking mobile applications to promote HIV and STD testing among men who have sex with men. AIDS and Behavior, 19(3), 543–552.
Tang, W., Tang, S., Qin, Y., Zhang, Y., Zhang, W., Liu, C., Tso, L. S., Wei, C., Yang, L., Huang, S., Yang, B., & Tucker, J. (2016). Will gay sex–seeking mobile phone applications facilitate group sex? A cross-sectional online survey among men who have sex with men in China. PLoS One, 11(11), e0167238.
Vanable, P. A., McKirnan, D. J., Buchbinder, S. P., Bartholow, B. N., Douglas Jr., J. M., Judson, F. N., & MacQueen, K. M. (2004). Alcohol use and high-risk sexual behavior among men who have sex with men: the effects of consumption level and partner type. Health Psychology, 23(5), 525–532.
Viosin, D. R., Tan, K., & DiClemente, R. J. (2013). A longitudinal examination of the relationship between sexual sensation seeking and STI-related risk factors among African American females. AIDS Education and Prevention, 25(2), 124–134.
Voisin, D. R., King, K., Schneider, J., DiClemente, R. J., & Tan, K. (2012). Sexual sensation seeking, drug use and risky sex among detained youth. Journal of AIDS & Clinical Research.
Weiss, R., & Samenow, C. P. (2010). Smartphones, social networking, sexting and problematic sexual behaviors—a call for research. Sexual Addiction & Compulsivity, 17, 241–246.
Winetrobe, H., Rice, E., Bauermeister, J., Petering, R., & Holloway, I. W. (2014). Associations of unprotected anal intercourse with Grindr-met partners among Grindr-using young men who have sex with men in Los Angeles. AIDS Care, 26(10), 1303–1308.
Woody, G. E., Donnell, D., Seage, G. R., Metzger, D., Marmor, M., Koblin, B. A., Buchbinder, S., Gross, M., Stone, B., & Judson, F. N. (1999). Non-injection substance use correlates with risky sex among men having sex with men: data from HIVNET. Drug and Alcohol Dependence, 53(3), 197–205.
Yang, Z., Zhang, S., Dong, Z., Jin, M., & Han, J. (2014). Prevalence of unprotected anal intercourse in men who have sex with men recruited online versus offline: a meta-analysis. BMC Public Health, 14(1), 508.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
The study was approved by the University of Mississippi Institutional Review Board (IRB).
Additional information
This manuscript is based on the first author’s Masters thesis conducted under the supervision of the second and third authors.
Rights and permissions
About this article
Cite this article
Hooks, C.N., Lair, E.C. & Gross, A.M. Examining the Impact of Geosocial Networking on the Sex Behaviors of Men Who Have Sex with Men. J. technol. behav. sci. 4, 178–185 (2019). https://doi.org/10.1007/s41347-018-0065-3
Published:
Issue Date:
DOI: https://doi.org/10.1007/s41347-018-0065-3