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Erschienen in: Journal of Urban Health 5/2008

01.09.2008

Sexual Negotiation and HIV Serodisclosure among Men who Have Sex with Men with Their Online and Offline Partners

verfasst von: Keith J. Horvath, J. Michael Oakes, B. R. Simon Rosser

Erschienen in: Journal of Urban Health | Ausgabe 5/2008

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Abstract

The aim of this study was to examine online profile and in-person communication patterns and their associations with unprotected anal intercourse (UAI) in online and offline partnerships between men who have sex with men (MSM) who have never tested for HIV (“Never Tested”), had been tested at least once for HIV (“Tested”), and had tested positive for HIV. Between September and November 2005, 2,716 MSM participated in a one-time online survey. Although 75% and 72% of the Tested and Never Tested groups disclosed a HIV-negative status in all of their online profiles, 17% of HIV-positive participants did so. Exchanging HIV status information was highest among the Tested group, while HIV-positive men were most likely to negotiate UAI. Serodisclosure was not an independent predictor of UAI, although making an explicit agreement to engage in UAI was. Sexual communication and risk-taking patterns differed by testing status. Explicit agreements to avoid UAI were associated with reduced sexual risk-taking. Misrepresentation of HIV status is an identified challenge for HIV prevention.
Literatur
1.
Zurück zum Zitat Jaffe HW, Valdisserri RO, DeCock KM. The reemerging HIV/AIDS epidemic in men who have sex with men. J Am Med Assoc. 2007;298(20):2412–2414.CrossRef Jaffe HW, Valdisserri RO, DeCock KM. The reemerging HIV/AIDS epidemic in men who have sex with men. J Am Med Assoc. 2007;298(20):2412–2414.CrossRef
2.
Zurück zum Zitat Wolitski RJ, Valdiserri RO, Denning PH, Levine WC. Are we headed for a resurgence of the HIV epidemic among men who have sex with men? Am J Public Health. 2001;91(6):883–888.PubMedCrossRef Wolitski RJ, Valdiserri RO, Denning PH, Levine WC. Are we headed for a resurgence of the HIV epidemic among men who have sex with men? Am J Public Health. 2001;91(6):883–888.PubMedCrossRef
3.
Zurück zum Zitat Halkitis P, Parsons J, Wilton L. Barebacking among gay and bisexual men in New York City: explanations for the emergence of intentional unsafe behavior. Arch Sex Behav. 2003;32(4):351–357.PubMedCrossRef Halkitis P, Parsons J, Wilton L. Barebacking among gay and bisexual men in New York City: explanations for the emergence of intentional unsafe behavior. Arch Sex Behav. 2003;32(4):351–357.PubMedCrossRef
4.
Zurück zum Zitat Bull SSPDMPH, McFarlane MPD. Soliciting sex on the internet: what are the risks for sexually transmitted diseases and HIV? Sex Transm Dis. 2000;27(9):545–550.PubMedCrossRef Bull SSPDMPH, McFarlane MPD. Soliciting sex on the internet: what are the risks for sexually transmitted diseases and HIV? Sex Transm Dis. 2000;27(9):545–550.PubMedCrossRef
5.
Zurück zum Zitat McFarlane MPD, Bull SSPDMPH, Reitmeijer CAMDMPH. The internet as a newly emerging risk environment for sexually transmitted diseases. J Am Med Assoc. 2000;284(4):443–446.CrossRef McFarlane MPD, Bull SSPDMPH, Reitmeijer CAMDMPH. The internet as a newly emerging risk environment for sexually transmitted diseases. J Am Med Assoc. 2000;284(4):443–446.CrossRef
6.
Zurück zum Zitat Ross MW. Typing, doing, and being: sexuality and the internet. J Sex Res. 2005;42(4):342–352.PubMedCrossRef Ross MW. Typing, doing, and being: sexuality and the internet. J Sex Res. 2005;42(4):342–352.PubMedCrossRef
7.
Zurück zum Zitat Davis M, Hart G, Bolding G, Sherr L, Elford J. E-dating, identity and HIV prevention: theorising sexualities, risk and network society. Sociol Health Illn. 2006;28(4):457–478.PubMedCrossRef Davis M, Hart G, Bolding G, Sherr L, Elford J. E-dating, identity and HIV prevention: theorising sexualities, risk and network society. Sociol Health Illn. 2006;28(4):457–478.PubMedCrossRef
8.
Zurück zum Zitat Liau A, Millett G, Marks G. Meta-analytic examination of online sex-seeking and sexual risk behavior among men who have sex with men. Sex Transm Dis. 2006;33(9):576–584.PubMedCrossRef Liau A, Millett G, Marks G. Meta-analytic examination of online sex-seeking and sexual risk behavior among men who have sex with men. Sex Transm Dis. 2006;33(9):576–584.PubMedCrossRef
9.
Zurück zum Zitat Benotsch EG, Kalichman S, Cage M. Men who have met sex partners via the Internet: prevalence, predictors, and implications for HIV prevention. Arch Sex Behav. 2002;31(2):177–183.PubMedCrossRef Benotsch EG, Kalichman S, Cage M. Men who have met sex partners via the Internet: prevalence, predictors, and implications for HIV prevention. Arch Sex Behav. 2002;31(2):177–183.PubMedCrossRef
11.
Zurück zum Zitat Cooper A. Sexuality and the internet: surfing into the new millenium. Cyberpsychol Behav. 1998;1:187–193. Cooper A. Sexuality and the internet: surfing into the new millenium. Cyberpsychol Behav. 1998;1:187–193.
12.
Zurück zum Zitat King SA. Internet gambling and pornography: illustrative examples of the psychological consequences of communication anarchy. Cyberpsychol Behav. 1999;2:175–193.CrossRefPubMed King SA. Internet gambling and pornography: illustrative examples of the psychological consequences of communication anarchy. Cyberpsychol Behav. 1999;2:175–193.CrossRefPubMed
13.
Zurück zum Zitat Tikkanen R, Ross MW. Looking for sexual compatibility: experiences among Swedish men in visiting internet gay chat rooms. Cyberpsychol Behav. 2000;3(4):605–616.CrossRef Tikkanen R, Ross MW. Looking for sexual compatibility: experiences among Swedish men in visiting internet gay chat rooms. Cyberpsychol Behav. 2000;3(4):605–616.CrossRef
14.
Zurück zum Zitat Rosser BRS, Miner MH, Bockting WO, et al. HIV risk and the Internet: results of the Men’s INTernet Study (MINTS). AIDS & Behavior. In Press. Rosser BRS, Miner MH, Bockting WO, et al. HIV risk and the Internet: results of the Men’s INTernet Study (MINTS). AIDS & Behavior. In Press.
15.
Zurück zum Zitat Wolitski R, Rietmeijer C, Goldbaum G, Wilson R. HIV serostatus disclosure among gay and bisexual men in four American cities: general patterns and relation to sexual practices. AIDS Care. 1998;10(5):599–610.PubMedCrossRef Wolitski R, Rietmeijer C, Goldbaum G, Wilson R. HIV serostatus disclosure among gay and bisexual men in four American cities: general patterns and relation to sexual practices. AIDS Care. 1998;10(5):599–610.PubMedCrossRef
16.
Zurück zum Zitat Crepaz N, Marks G. Serostatus disclosure, sexual communication and safer sex in HIV-positive men. AIDS Care. 2003;15(3):379–387.PubMedCrossRef Crepaz N, Marks G. Serostatus disclosure, sexual communication and safer sex in HIV-positive men. AIDS Care. 2003;15(3):379–387.PubMedCrossRef
17.
Zurück zum Zitat Marks G, Crepaz N. HIV-positive men’s sexual practices in the context of self-disclosure of HIV status. J Acquir Immune Defic Syndr: JAIDS. 2001;27(1):79–85.PubMed Marks G, Crepaz N. HIV-positive men’s sexual practices in the context of self-disclosure of HIV status. J Acquir Immune Defic Syndr: JAIDS. 2001;27(1):79–85.PubMed
18.
Zurück zum Zitat Kalichman SC, Nachimson D. Self-efficacy and disclosure of HIV-positive serostatus to sex partners. Health Psychol. 1999;18(3):281–287.PubMedCrossRef Kalichman SC, Nachimson D. Self-efficacy and disclosure of HIV-positive serostatus to sex partners. Health Psychol. 1999;18(3):281–287.PubMedCrossRef
19.
Zurück zum Zitat Duru OK, Collins RL, Ciccarone DH, et al. Correlates of sex without serostatus disclosure among a national probability sample of HIV patients. AIDS Behav. 2006;10(5):495–507.PubMedCrossRef Duru OK, Collins RL, Ciccarone DH, et al. Correlates of sex without serostatus disclosure among a national probability sample of HIV patients. AIDS Behav. 2006;10(5):495–507.PubMedCrossRef
20.
Zurück zum Zitat Hart TA, Wolitski RJ, Purcell DW, Parsons JT, Gomez CA. Partner awareness of the serostatus of HIV-seropositive men who have sex with men: impact on unprotected sexual behavior. AIDS Behav. 2005;9(2):155–166.PubMedCrossRef Hart TA, Wolitski RJ, Purcell DW, Parsons JT, Gomez CA. Partner awareness of the serostatus of HIV-seropositive men who have sex with men: impact on unprotected sexual behavior. AIDS Behav. 2005;9(2):155–166.PubMedCrossRef
21.
Zurück zum Zitat Kalichman SC, Nachimson D. Self-efficacy and disclosure of HIV-positive serostatus to sex partners. Health Psychol. 1999;18(3):281–287.PubMedCrossRef Kalichman SC, Nachimson D. Self-efficacy and disclosure of HIV-positive serostatus to sex partners. Health Psychol. 1999;18(3):281–287.PubMedCrossRef
22.
Zurück zum Zitat Simoni JM, Pantalone DW. Secrets and safety in the age of AIDS: does HIV disclosure lead to safer sex? Top HIV Med. 2004;12(4):109–118.PubMed Simoni JM, Pantalone DW. Secrets and safety in the age of AIDS: does HIV disclosure lead to safer sex? Top HIV Med. 2004;12(4):109–118.PubMed
23.
Zurück zum Zitat Parsons J, Schrimshaw E, Bimbi D, Wolitski R, Gomez C, Halkitis P. Consistent, inconsistent, and non-disclosure to casual sexual partners among HIV-seropositive gay and bisexual men. AIDS. 2005;19(Suppl 1):S87–S97.PubMed Parsons J, Schrimshaw E, Bimbi D, Wolitski R, Gomez C, Halkitis P. Consistent, inconsistent, and non-disclosure to casual sexual partners among HIV-seropositive gay and bisexual men. AIDS. 2005;19(Suppl 1):S87–S97.PubMed
24.
Zurück zum Zitat Rosser SBR, Horvath KJ, Hatfield LA, et al. Predictors of HIV disclosure to secondary partners and sexual risk behavior among a high-risk sample of HIV positive MSM: results from six epicenters in the US. AIDS Care. In Press. Rosser SBR, Horvath KJ, Hatfield LA, et al. Predictors of HIV disclosure to secondary partners and sexual risk behavior among a high-risk sample of HIV positive MSM: results from six epicenters in the US. AIDS Care. In Press.
25.
Zurück zum Zitat Carballo-Dieguez A, Miner M, Dolezal C, Rosser BR, Jacoby S. Sexual negotiation, HIV-status disclosure, and sexual risk behavior among Latino men who use the internet to seek sex with other men. Arch Sex Behav. 2006;35(4):473–481.PubMedCrossRef Carballo-Dieguez A, Miner M, Dolezal C, Rosser BR, Jacoby S. Sexual negotiation, HIV-status disclosure, and sexual risk behavior among Latino men who use the internet to seek sex with other men. Arch Sex Behav. 2006;35(4):473–481.PubMedCrossRef
26.
Zurück zum Zitat Ross MW, Rosser BR, Stanton J, Konstan J. Characteristics of latino men who have sex with men on the internet who complete and drop out of an internet-based sexual behavior survey. AIDS Educ Prev. 2004;16(6):526–537.PubMedCrossRef Ross MW, Rosser BR, Stanton J, Konstan J. Characteristics of latino men who have sex with men on the internet who complete and drop out of an internet-based sexual behavior survey. AIDS Educ Prev. 2004;16(6):526–537.PubMedCrossRef
27.
Zurück zum Zitat Greene WH. Econometric Analysis. Upper Saddle River, NJ: Prentice Hall; 1997. Greene WH. Econometric Analysis. Upper Saddle River, NJ: Prentice Hall; 1997.
28.
Zurück zum Zitat Marks G, Crepaz N, Janssen R. Estimating sexual transmission of HIV from persons aware and unaware that they are infected with the virus in the USA. AIDS. 2006;20(10):1447–1450.PubMedCrossRef Marks G, Crepaz N, Janssen R. Estimating sexual transmission of HIV from persons aware and unaware that they are infected with the virus in the USA. AIDS. 2006;20(10):1447–1450.PubMedCrossRef
29.
Zurück zum Zitat Albarracin D, Gillette J, Earl A, Glasman L, Durantini M, Ho M. A test of major assumptions about behavior change: a comprehensive look at the effects of passive and active HIV-prevention interventions since the beginning of the epidemic. Psychol Bull. 2005;131(6):856–897.PubMedCrossRef Albarracin D, Gillette J, Earl A, Glasman L, Durantini M, Ho M. A test of major assumptions about behavior change: a comprehensive look at the effects of passive and active HIV-prevention interventions since the beginning of the epidemic. Psychol Bull. 2005;131(6):856–897.PubMedCrossRef
30.
Zurück zum Zitat Parsons J, Schrimshaw E, Wolitski R, et al. Sexual harm reduction practices of HIV-seropositive gay and bisexual men: serosorting, strategic positioning, and withdrawal before ejaculation. AIDS. 2005;19(Suppl 1):S13–S25.PubMed Parsons J, Schrimshaw E, Wolitski R, et al. Sexual harm reduction practices of HIV-seropositive gay and bisexual men: serosorting, strategic positioning, and withdrawal before ejaculation. AIDS. 2005;19(Suppl 1):S13–S25.PubMed
31.
Zurück zum Zitat Konstan JA, Rosser BRS, Ross MW, Stanton J, Edwards WM. The Story of Subject Naught: A Cautionary but Optimistic Tale of Internet Survey Research. J Comput-Mediat Commun 2005;10(2) Accessed on December 5, 2007. http://www.ascusc.org/jcmc/; 2005. Konstan JA, Rosser BRS, Ross MW, Stanton J, Edwards WM. The Story of Subject Naught: A Cautionary but Optimistic Tale of Internet Survey Research. J Comput-Mediat Commun 2005;10(2) Accessed on December 5, 2007. http://​www.​ascusc.​org/​jcmc/​; 2005.
32.
Zurück zum Zitat Knapp Whittier D, Seeley S, St Lawrence JS. A comparison of Web- with paper-based surveys of gay and bisexual men who vacationed in a gay resort community. AIDS Educ Prev. 2004;16(5):476–485.PubMedCrossRef Knapp Whittier D, Seeley S, St Lawrence JS. A comparison of Web- with paper-based surveys of gay and bisexual men who vacationed in a gay resort community. AIDS Educ Prev. 2004;16(5):476–485.PubMedCrossRef
33.
Zurück zum Zitat Ellen JM, Gurvey JE, Patsch L, Tschann J, Nanda JP, Catania J. A randomized comparison of A-CASI and phone interviews to assess STD/HUV-related risk behaviors in teens. J Adolesc Health. 2002;31:26–30.PubMedCrossRef Ellen JM, Gurvey JE, Patsch L, Tschann J, Nanda JP, Catania J. A randomized comparison of A-CASI and phone interviews to assess STD/HUV-related risk behaviors in teens. J Adolesc Health. 2002;31:26–30.PubMedCrossRef
34.
Zurück zum Zitat Ghanem K, Hutton H, Zenilman J, Zimba R, Erbelding E. Audio computer assisted self interview and face to face interview modes in assessing response bias among STD clinic patients. Sex Transm Infect. 2005;81(5):421–425.PubMedCrossRef Ghanem K, Hutton H, Zenilman J, Zimba R, Erbelding E. Audio computer assisted self interview and face to face interview modes in assessing response bias among STD clinic patients. Sex Transm Infect. 2005;81(5):421–425.PubMedCrossRef
35.
Zurück zum Zitat Gilbert GH, Rose JS, Shelton BJ. A prospective study of the validity of data on self-reported dental visits. Community Dent Oral Epidemiol. 2002;30:352–362.PubMedCrossRef Gilbert GH, Rose JS, Shelton BJ. A prospective study of the validity of data on self-reported dental visits. Community Dent Oral Epidemiol. 2002;30:352–362.PubMedCrossRef
36.
Zurück zum Zitat Ajzen I. From intentions to actions: a theory of planned behavior. In: Kuhl J, Beckmann J, eds. Action Control: From Cognition to Behavior. Berlin: Springer-Verlag; 1985:11–39. Ajzen I. From intentions to actions: a theory of planned behavior. In: Kuhl J, Beckmann J, eds. Action Control: From Cognition to Behavior. Berlin: Springer-Verlag; 1985:11–39.
37.
Zurück zum Zitat De Wit J, Stroebe W, De Vroome E, Sandfort T, Van Griensven J. Understanding AIDS preventive behavior with casual and primary partners in homosexual men: the theory of planned behavior and the information-motivation-behavioral-skills model. Psychol Health. 2000;15:325–340.CrossRef De Wit J, Stroebe W, De Vroome E, Sandfort T, Van Griensven J. Understanding AIDS preventive behavior with casual and primary partners in homosexual men: the theory of planned behavior and the information-motivation-behavioral-skills model. Psychol Health. 2000;15:325–340.CrossRef
Metadaten
Titel
Sexual Negotiation and HIV Serodisclosure among Men who Have Sex with Men with Their Online and Offline Partners
verfasst von
Keith J. Horvath
J. Michael Oakes
B. R. Simon Rosser
Publikationsdatum
01.09.2008
Verlag
Springer US
Erschienen in
Journal of Urban Health / Ausgabe 5/2008
Print ISSN: 1099-3460
Elektronische ISSN: 1468-2869
DOI
https://doi.org/10.1007/s11524-008-9299-2

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