Abstract
Background: The Internet is revolutionizing how people access and use information; for some people, the Internet is also redefining interpersonal relationships, including sexual relationships.Purpose: The objective of this study was to extend the understanding of HIV-positive men who use the Internet to meet sex partners.Methods: This study examined the use of the Internet for meeting sex partners among 141 sexually active HIV-positive men who completed anonymous surveys.Results: Results showed that 37% of sexually active HIV-positive men who were using the Internet had gone online to seek potential sex partners in the previous 3 months. Seeking sex partners online was associated with greater likelihood of having HIV-negative sex partners and engaging in unprotected intercourse with HIV-negative or unknown HIV status partners. Multivariate analyses showed that seeking sex partners online was associated with greater education, higher CD4 cell counts, using the Internet for sexual entertainment, and higher Sexual Compulsivity scale scores over and above demographic, health, Internet use, sexual behavior, and other psychosocial characteristics including optimism and depression.Conclusions: Results suggest a continued need for interventions targeting HIV transmission risk reduction among HIV-positive men who use the Internet to meet potential sex partners.
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References
Brody J: Cybersex gives birth to a psychologic disorder.New York Times. 2000, May 16. Available from http://www. nytimes.com
Cooper A: Sexuality and the Internet: Surfing into the new millennium.CyberPsychology & Behavior. 1998,1:81–87.
Toomey K, Rothenberg R: Sex and cyberspace-Virtual networks leading to high-risk sex.Journal of the American Medical Association. 2000,284:485–487.
Elford J, Bolding G, Davis M, Sherr L, Hart G: Web-based behavioral surveillance among men who have sex with men: A comparison of online and offline samples in London, UK.Journal of Acquired Immune Deficiency Syndromes. 2004,35:421–426.
Kim A, Kent C, McFarland W, Klausner J: Cruising on the Internet highway.Journal of Acquired Immune Deficiency Syndromes. 2001,28:89–93.
Bull S, McFarlane M, Rietmeijer C: HIV/STD risk behavior among men seeking sex with men online.American Journal of Public Health. 2001,91:988–989.
McFarlane M, Bull S, Rietmeijer C: The Internet as a newly emerging risk environment for sexually transmitted diseases.Journal of the American Medical Association. 2000,284:443–446.
Klausner J, Wolf W, Fischer-Ponce L: Tracing a syphilis outbreak through cyberspace.Journal of the American Medical Association. 2000,284:447–449.
Mettey A, Crosby R, DiClemente R, Holtgrave D: Associations between Internet sex seeking and STI associated risk behaviors among men who have sex with men.Sexually Transmitted Infections. 2003,79:466–468.
Kalichman SC, Benotsch E, Weinhardt L, Austin J, Luke W: Internet use among people living with HIV-AIDS: Association of health information, health behaviors, and health status.AIDS Education and Prevention. 2002,14:51–61.
Halkitis P, Parsons J: Intentional unsafe sex (barebacking) among HIV positive gay men who seek sex partners on the Internet.AIDS Care. 2003,15:367–378.
Elford J, Bolding G, Sherr L: Seeking sex on the Internet and sexual behaviour among gay men using London gyms.AIDS. 2001,15:1409–1415.
Rhodes S, DiClemente R, Cecil H, Hergenrather K, Yee, L: Risk among men who have sex with men in the United States: A comparison of an Internet sample and a conventional outreach sample.AIDS Education and Prevention. 2004,14:41–50.
Benotsch E, Kalichman S, Cage M: Men who have met sex partners via the Internet: Prevalence, predictors, and implications for HIV prevention.Archives of Sexual Behavior. 2002,31:177–183.
Cooper A, Scherer C, Boies S, Gordon B: Sexuality on the Internet from sexual exploration to pathological expression.Professional Psychology: Research and Practice. 1999,30:154–164
Hays RB, McKusick L, Pollack L, Hilliard R: Disclosing HIV seropositivity to significant others.AIDS. 1993,7:425–431.
Kalichman SC, Rompa D: Sexual Sensation Seeking and Sexual Compulsivity scales: Reliability, validity, and predicting HIV risk behavior.Journal of Personality Assessment. 1995,65:586–601.
International Collaboration on HIV Optimism: HIV treatment optimism among gay men: An international perspective.Journal of Acquired Immune Deficiency Syndromes. 2003,32:545–550.
Schroder K, Carey M, Vanable, P: Methodological challenges in research on sexual risk behavior: Accuracy of self-reports.Annals of Behavioral Medicine. 2003,26:104–123.
Radloff LS, Locke BZ: The community mental health assessment survey and CES-D scale. In Weissman MM, Meyers JK, Ross CE (eds),Community Surveys of Psychiatric Disorders. New Brunswick, NJ: Rutgers University Press, 1986, 177–187.
Radloff LS: The CES-D scale: A self-report depression scale for research in the general population.Applied Psychological Measurement. 1977,1:385–401.
Cochran SD, Mays VM: Depressive distress among homosexually active African American men and women.American Journal of Psychiatry. 1994,151:524–529.
Kalichman SC, Rompa D, Cage M: Distinguishing between overlapping somatic symptoms of depression and HIV disease in people living with HIV-AIDS.Journal Nervous and Mental Diseases. 2000,188:662–670.
Brock D, Sarason I, Sarason B, Pierce G: Simultaneous assessment of perceived global and relationship-specific support.Journal of Social and Personal Relationships. 1996,13:143–152.
Beck AT, Kovacs M, Weissman A: Hopelessness and suicidal behavior: An overview.Journal of the American Medical Association. 1975,234:146–1149.
Heimber LK: The measurement of future time perspective. Unpublished Doctoral Dissertation, Vanderbuilt University: 1963.
Zuckerman M:Biological Expression and Biological Bases of Sensation Seeking. New York: Cambridge University Press, 1994.
Kalichman SC, Johnson JR, Adair V, et al.: Sexual sensation seeking: Scale development and predicting AIDS-risk behavior among homosexually active men.Journal of Personality Assessment. 1994,62:385–397.
Bolt D, Crawford R:Digital Divide: Computers and Our Children’s Future. New York: TV Books, 2000.
Rhodes S: Hookups or health promotion? An exploratory study of a chat room-based HIV prevention intervention for men who have sex with men.AIDS Education and Prevention. 2004,16: 315–327.
Crepaz N, Hart T, Marks G: Highly active antiretroviral therapy and sexual risk behavior: A meta-analytic review.Journal of the American Medical Association. 2004,292:224–236.
Elford J, Bolding G, Maguire M, Sherr L: Combination therapies for HIV and sexual risk behavior among gay men.Journal of Acquired Immune Deficiency Syndromes. 2000,23:266–271.
Kalichman SC, Greenberg J, Abel GG: Sexual compulsivity among HIV positive men who engage in high-risk sexual behavior with multiple partners: An exploratory study.AIDS Care. 1997,9:441–450.
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We thank the AIDS Survival Project of Atlanta for their assistance with data collection. National Institute of Mental Health (NIMH) Grant
We thank the AIDS Survival Project of Atlanta for their assistance with data collection. National Institute of Mental Health (NIMH) Grant
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Kalichman, S.C., Cherry, C., Cain, D. et al. Psychosocial and behavioral correlates of seeking sex partners on the internet among hiv-positive men. ann. behav. med. 30, 243–250 (2005). https://doi.org/10.1207/s15324796abm3003_8
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DOI: https://doi.org/10.1207/s15324796abm3003_8