Does internet dating lead to raised intimate risk behavior? A study that is cross-sectional MSM in Amsterdam, holland

Does internet dating lead to raised intimate risk behavior? A study that is cross-sectional MSM in Amsterdam, holland

Abstract

Background

Guys https://hookupwebsites.org/senior-friend-finder-review/ sex that is having males (MSM) usually utilze the internet to get sex lovers. We examined the relationship between unprotected rectal intercourse (UAI) with lovers dated on the internet and with lovers dated offline (met somewhere else), and examined whether distinctions could be explained by self-perceived HIV status regarding the index and knowledge of partnership traits.

Techniques

MSM had been recruited during the Sexually sent Infections Clinic in Amsterdam, in 2008–2009. Individuals finished a questionnaire concerning intimate behavior. Just males reporting both on line and offline sex that is casual had been included. We evaluated the relationship between online/offline partner dating and UAI, making use of random-effects logistic regression analysis.

Outcomes

Five hundred seventy-seven males (351 HIV-negative, 153 HIV-positive, and 73 HIV-unaware) reported UAI in 26 percent of 878 online, and 23 per cent of 903 offline partnerships that are casual. The OR that is crude of dating for UAI ended up being 1.36 (95 percent CI 1.03–1.81). HIV-positive males were almost certainly going to report UAI than HIV-negative guys (49 per cent vs. 28 % of partnerships). Modified for demographic characteristics, online dating sites had no significant influence on UAI among HIV-negative and HIV status-unaware males, but HIV-positive males were very likely to have UAI with online lovers (aOR = 1.65 95 per cent CI 1.05–2.57). The effect of online/offline dating on UAI among HIV-positive MSM was reduced and no longer significant after correction for partner and partnership characteristics.

Conclusions

Internet dating had not been somewhat related to UAI among HIV-negative MSM. HIV-positive MSM had been very likely to practise UAI with partners dated on line; nonetheless, after correction for partner and partnership traits, online partnership acquisition had not been connected with a dramatically increased threat of UAI.

Background

Guys that have intercourse with males (MSM) usually utilze the internet to locate intercourse lovers. A few research indicates that MSM are more inclined to participate in unprotected anal sex with intercourse lovers they meet through online (online) than with lovers they meet at social venues (offline) 1–3. This means that males who get partners online may be at a greater danger for intimately sent infections (STI) and HIV 4–6. The risk of HIV transmission also depends on accurate knowledge of one’s own and the sex partners’ HIV status 7–10 although higher rates of UAI are reported with online partners.

A meta-analysis in 2006 found evidence that is limited acquiring a intercourse partner on line increases the danger of unprotected rectal intercourse (UAI) 3. Numerous previous studies contrasted males with online lovers to guys with offline lovers. Nevertheless, males preferring dating that is online differ in a variety of unmeasured respects from guys preferring offline dating, leading to incomparable behavioural profiles. A far more meta-analysis that is recent a few studies examining MSM with both online and offline acquired sex lovers and discovered proof for a link between UAI and online partners, which will recommend a mediating effectation of additional information on lovers, (including sensed HIV status) on UAI 13.

The odds for UAI increase as well 14–16 with increased familiarity in sexual partnerships, for example by concordant ethnicity, age, lifestyle, HIV status, and increasing sex frequency. We compared the event of UAI in on the web acquired casual partnerships to that in offline acquired casual partnerships among MSM whom reported both online and offline casual lovers into the preceding 6 months. We hypothesised that MSM who date intercourse lovers both online and offline, report more UAI aided by the casual lovers they date online, and therefore this impact is partly explained through better familiarity with partner traits, including HIV status.

Techniques

Establishing and individuals

We utilized information from a study that is cross-sectional on spread of STI via sexual sites 15. The Netherlands between July 2008 and August 2009 MSM were recruited from the STI outpatient clinic of the Public Health Service of Amsterdam. Males were eligible for involvement should they reported intimate connection with males through the 6 months preceding the STI assessment, these people were at the very least 18 yrs. Old, and may comprehend written Dutch or English. People could participate over and over again, if subsequent visits towards the center had been linked to a feasible brand new STI episode. Individuals had been regularly screened for STI/HIV in accordance with the standard procedures associated with the STI outpatient center 15, 17. The analysis had been authorized because of the medical ethics committee for the Academic clinic of Amsterdam (MEC 07/181), and written informed permission ended up being acquired from each participant. Most notable analysis had been males whom reported contact that is sexual at minimum one casual partner dated online too one casual partner dated offline.

Questionnaire and factors

Individuals finished a standardised anonymous questionnaire in their stop by at the STI outpatient center while looking forward to preliminary test results after a nurse to their consultation or doctor. The questionnaire elicited information on socio-demographics and HIV status of this participant, the 3 many present lovers in the preceding half a year, and information about intimate behavior with those lovers. A description that is detailed of research design as well as the questionnaire is supplied elsewhere 15, 18. Our primary determinant of great interest, dating location ( ag e.g., the name of a club, park, club, or even the title of a site) had been acquired for each partner, and categorised into on the web (internet sites), and offline (real web web sites) dating places. To simplify the terminology of identifying the lovers per dating location, we relate to them as online or partners that are offline.

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