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Erschienen in: AIDS and Behavior 1/2007

01.01.2007 | Original Paper

Is the Web the culprit? Cognitive escape and Internet sexual risk among gay and bisexual men

verfasst von: David McKirnan, Eric Houston, Marina Tolou-Shams

Erschienen in: AIDS and Behavior | Ausgabe 1/2007

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Abstract

Men who have Sex with Men (MSM) who find partners on the Internet tend to be sexually risky. A “cognitive escape” perspective maintains that feeling overwhelmed by rigorous sexual norms may lead one to cognitively disengage from these demands as a coping strategy. We thus proposed that the Internet might facilitate less restrained behavior among men whose psychological characteristics make them vulnerable to “escape”-based risk. We tested this in a socio-economically and ethnically diverse cross sectional survey sample of MSM, n=817. Men who sought sex on-line reported more unprotected sex and sexually transmitted infections, controlling for demographics and overall number of sex partners. Consistent with an escape perspective, partner choice and sexual context, alcohol and drug use, and “burnout” or fatigue over sexual safety mediated the relationship between Internet use and sexual risk. The Internet is not an isolated source of risk; interventions must address the psychosocial aspects of this venue.
Literatur
Zurück zum Zitat Albarracin, D., Johnson, B. T., Fishbein, M., & Muellerleile, P. A. (2001). Theories of reasoned action and planned behavior as models of condom use: A meta-analysis. Psychological Bulletin, 127(1), 142–161.PubMedCrossRef Albarracin, D., Johnson, B. T., Fishbein, M., & Muellerleile, P. A. (2001). Theories of reasoned action and planned behavior as models of condom use: A meta-analysis. Psychological Bulletin, 127(1), 142–161.PubMedCrossRef
Zurück zum Zitat Bargh, J. A., McKenna, K. Y. A., & Fitzsimons, G. M. (2002). Can you see the real me? Activation and expression of the “true self” on the Internet. Journal of Social Issues, 58(1), 33–48.CrossRef Bargh, J. A., McKenna, K. Y. A., & Fitzsimons, G. M. (2002). Can you see the real me? Activation and expression of the “true self” on the Internet. Journal of Social Issues, 58(1), 33–48.CrossRef
Zurück zum Zitat Benotsch, E. G., Kalichman, S., & Cage, M. (2002). Men who have met sex partners via the Internet: Prevalence, predictors, and implications for HIV prevention. Archives of Sexual Behavior, 31(2), 177–183.PubMedCrossRef Benotsch, E. G., Kalichman, S., & Cage, M. (2002). Men who have met sex partners via the Internet: Prevalence, predictors, and implications for HIV prevention. Archives of Sexual Behavior, 31(2), 177–183.PubMedCrossRef
Zurück zum Zitat Binson, D., Woods, W. J., Pollack, L., Paul, J., Stall, R., & Catania, J. A. (2001). Differential HIV risk in bathhouses and public cruising areas. American Journal of Public Health, 91(9), 1482–1486.PubMedCrossRef Binson, D., Woods, W. J., Pollack, L., Paul, J., Stall, R., & Catania, J. A. (2001). Differential HIV risk in bathhouses and public cruising areas. American Journal of Public Health, 91(9), 1482–1486.PubMedCrossRef
Zurück zum Zitat Blechner, M. J. (2002). Intimacy, pleasure, risk and safety: Discussion of Cheuvront's “High-risk sexual behavior in the treatment of HIV-negative patients”. Journal of Gay and Lesbian Psychotherapy, 6(3), 27–33.CrossRef Blechner, M. J. (2002). Intimacy, pleasure, risk and safety: Discussion of Cheuvront's “High-risk sexual behavior in the treatment of HIV-negative patients”. Journal of Gay and Lesbian Psychotherapy, 6(3), 27–33.CrossRef
Zurück zum Zitat Bolding, G., Davis, M., Sherr, L., Hart, G., & Elford, J. (2004). Sex with casual partners among London MSM: is the Internet more risky? Paper presented at the The XV International AIDS Conference, Bangkok, Thailand. Bolding, G., Davis, M., Sherr, L., Hart, G., & Elford, J. (2004). Sex with casual partners among London MSM: is the Internet more risky? Paper presented at the The XV International AIDS Conference, Bangkok, Thailand.
Zurück zum Zitat Brewer, N. T. (2003). The relation of Internet searching to club drug knowledge and attitudes. Psychology and Health, 18(3), 387–401.CrossRef Brewer, N. T. (2003). The relation of Internet searching to club drug knowledge and attitudes. Psychology and Health, 18(3), 387–401.CrossRef
Zurück zum Zitat Bull, S. S., & McFarlane, M. (2000). Soliciting sex on the Internet: what are the risks for sexually transmitted diseases and HIV? Sexually Transmitted Diseases, 27(9), 545–550.PubMedCrossRef Bull, S. S., & McFarlane, M. (2000). Soliciting sex on the Internet: what are the risks for sexually transmitted diseases and HIV? Sexually Transmitted Diseases, 27(9), 545–550.PubMedCrossRef
Zurück zum Zitat Chesney, M. A., Barrett, D. C., & Stall, R. (1998). Histories of substance use and risk behavior: Precursors to HIV seroconversion in homosexual men. American Journal of Public Health, 88(1), 113–116.PubMedCrossRef Chesney, M. A., Barrett, D. C., & Stall, R. (1998). Histories of substance use and risk behavior: Precursors to HIV seroconversion in homosexual men. American Journal of Public Health, 88(1), 113–116.PubMedCrossRef
Zurück zum Zitat Cochran, S. D., & Mays, V. M. (2000). Relation between psychiatric syndromes and behaviorally defined sexual orientation in a sample of the US population. American Journal of Epidemiology., 151(5), 516–523.PubMed Cochran, S. D., & Mays, V. M. (2000). Relation between psychiatric syndromes and behaviorally defined sexual orientation in a sample of the US population. American Journal of Epidemiology., 151(5), 516–523.PubMed
Zurück zum Zitat Cooper, A., Morahan-Martin, J., Mathy, R. M., & Maheu, M. (2002). Toward an increased understanding of user demographics in online sexual activities. Journal of Sex and Marital Therapy, 28(2), 105–129.PubMedCrossRef Cooper, A., Morahan-Martin, J., Mathy, R. M., & Maheu, M. (2002). Toward an increased understanding of user demographics in online sexual activities. Journal of Sex and Marital Therapy, 28(2), 105–129.PubMedCrossRef
Zurück zum Zitat Cooper, A., Scherer, C. R., Boies, S. C., & Gordon, B. L. (1999). Sexuality on the Internet: From sexual exploration to pathological expression. Professional Psychology: Research and Practice, 30(2), 154–164.CrossRef Cooper, A., Scherer, C. R., Boies, S. C., & Gordon, B. L. (1999). Sexuality on the Internet: From sexual exploration to pathological expression. Professional Psychology: Research and Practice, 30(2), 154–164.CrossRef
Zurück zum Zitat Cooper, K. B., & Victory, N. J. (2002). A Nation Online: How Americans Are Expanding Their Use of Internet: US Department Of Commerce, Economics and Statistics Administration. the National Telecommunications and Information Administration. Cooper, K. B., & Victory, N. J. (2002). A Nation Online: How Americans Are Expanding Their Use of Internet: US Department Of Commerce, Economics and Statistics Administration. the National Telecommunications and Information Administration.
Zurück zum Zitat Derogatis, L. R. (1982). BSI: Administration, scoring, and procedures manual for the Brief Symptom Inventory-First edition. Minneapolis, MN: National Computer Systems. Derogatis, L. R. (1982). BSI: Administration, scoring, and procedures manual for the Brief Symptom Inventory-First edition. Minneapolis, MN: National Computer Systems.
Zurück zum Zitat Dunkel-Schetter, C., Feinstein, L. G., Taylor, S. E., & Falke, R. L. (1992). Patterns of coping with cancer. Health Psychology, 11(2), 79–87.PubMedCrossRef Dunkel-Schetter, C., Feinstein, L. G., Taylor, S. E., & Falke, R. L. (1992). Patterns of coping with cancer. Health Psychology, 11(2), 79–87.PubMedCrossRef
Zurück zum Zitat Flowers, P., Hart, G., & Marriott, C. (1999). Constructing sexual health: Gay men and “risk” in the context of a public sex environment. Journal of Health Psychology, 4(4), 483–495.CrossRef Flowers, P., Hart, G., & Marriott, C. (1999). Constructing sexual health: Gay men and “risk” in the context of a public sex environment. Journal of Health Psychology, 4(4), 483–495.CrossRef
Zurück zum Zitat Folkman, S., Chesney, M. A., Cooke, M., Boccellari, A., et al. (1994). Caregiver burden in HIV-positive and HIV-negative partners of men with AIDS. Journal of Consulting and Clinical Psychology, 62(4), 746–756.PubMedCrossRef Folkman, S., Chesney, M. A., Cooke, M., Boccellari, A., et al. (1994). Caregiver burden in HIV-positive and HIV-negative partners of men with AIDS. Journal of Consulting and Clinical Psychology, 62(4), 746–756.PubMedCrossRef
Zurück zum Zitat Kalichman, S. C., Benotsch, E. G., Weinhardt, L., Austin, J., Luke, W., & Cherry, C. (2003). Health-related Internet use, coping, social support, and health indicators in people living with HIV/AIDS: Preliminary results from a community survey. Health Psychology, 22(1), 111–116.PubMedCrossRef Kalichman, S. C., Benotsch, E. G., Weinhardt, L., Austin, J., Luke, W., & Cherry, C. (2003). Health-related Internet use, coping, social support, and health indicators in people living with HIV/AIDS: Preliminary results from a community survey. Health Psychology, 22(1), 111–116.PubMedCrossRef
Zurück zum Zitat King, S. A. (1999). Internet gambling and pornography: Illustrative examples of the psychological consequences of communication anarchy. CyberPsychology and Behavior, 2(3), 175–193.CrossRefPubMed King, S. A. (1999). Internet gambling and pornography: Illustrative examples of the psychological consequences of communication anarchy. CyberPsychology and Behavior, 2(3), 175–193.CrossRefPubMed
Zurück zum Zitat Klausner, J. D., Wolf, W., Fischer-Ponce, L., Zolt, I., & Katz, M. H. (2000). Tracing a syphilis outbreak through cyberspace.[see comment]. Jama, 284(4), 447–449.PubMedCrossRef Klausner, J. D., Wolf, W., Fischer-Ponce, L., Zolt, I., & Katz, M. H. (2000). Tracing a syphilis outbreak through cyberspace.[see comment]. Jama, 284(4), 447–449.PubMedCrossRef
Zurück zum Zitat Kraut, R., Kiesler, S., Boneva, B., Cummings, J. N., Helgeson, V., & Crawford, A. M. (2002). Internet paradox revisited. Journal of Social Issues, 58(1), 49–74.CrossRef Kraut, R., Kiesler, S., Boneva, B., Cummings, J. N., Helgeson, V., & Crawford, A. M. (2002). Internet paradox revisited. Journal of Social Issues, 58(1), 49–74.CrossRef
Zurück zum Zitat Kraut, R., Patterson, M., Lundmark, V., Kiesler, S., Mukopadhyay, T., & Scherlis, W. (1998). Internet paradox. A social technology that reduces social involvement and psychological well-being? American Psychologist, 53(9), 1017–1031.PubMedCrossRef Kraut, R., Patterson, M., Lundmark, V., Kiesler, S., Mukopadhyay, T., & Scherlis, W. (1998). Internet paradox. A social technology that reduces social involvement and psychological well-being? American Psychologist, 53(9), 1017–1031.PubMedCrossRef
Zurück zum Zitat Krueger, J., & Clement, R. W. (1994). The truly false consensus effect: An ineradicable and egocentric bias in social perception. Journal of Personality and Social Psychology, 67(4), 596–610.PubMedCrossRef Krueger, J., & Clement, R. W. (1994). The truly false consensus effect: An ineradicable and egocentric bias in social perception. Journal of Personality and Social Psychology, 67(4), 596–610.PubMedCrossRef
Zurück zum Zitat Levant, R. F., & Seligman, M. E. P. (2002). Trial by Internet: Cybercascades and the Lilienfeld case. American Psychologist, 57(3), 222–225.PubMedCrossRef Levant, R. F., & Seligman, M. E. P. (2002). Trial by Internet: Cybercascades and the Lilienfeld case. American Psychologist, 57(3), 222–225.PubMedCrossRef
Zurück zum Zitat Mansergh, G., Marks, G., Colfax, G. N., Guzman, R., Rader, M., & Buchbinder, S. (2002). “Barebacking” in a diverse sample of men who have sex with men. Aids, 16(4), 653–659.PubMedCrossRef Mansergh, G., Marks, G., Colfax, G. N., Guzman, R., Rader, M., & Buchbinder, S. (2002). “Barebacking” in a diverse sample of men who have sex with men. Aids, 16(4), 653–659.PubMedCrossRef
Zurück zum Zitat McFarlane, M., Bull, S. S., & Reitmeijer, C. A. (2000). The Internet as a newly emerging risk environment for sexually transmitted diseases. JAMA: Journal of the American Medical Association, 284(4), 443–446.PubMedCrossRef McFarlane, M., Bull, S. S., & Reitmeijer, C. A. (2000). The Internet as a newly emerging risk environment for sexually transmitted diseases. JAMA: Journal of the American Medical Association, 284(4), 443–446.PubMedCrossRef
Zurück zum Zitat McFarlane, M., Ross, M. W., & Elford, J. (2004). The Internet and HIV/STD prevention. AIDS Care, 16(8), 929–930.CrossRef McFarlane, M., Ross, M. W., & Elford, J. (2004). The Internet and HIV/STD prevention. AIDS Care, 16(8), 929–930.CrossRef
Zurück zum Zitat McKenna, K. Y. A., Green, A. S., & Gleason, M. E. J. (2002). Relationship formation on the Internet: What's the big attraction? Journal of Social Issues, 58(1), 9–31.CrossRef McKenna, K. Y. A., Green, A. S., & Gleason, M. E. J. (2002). Relationship formation on the Internet: What's the big attraction? Journal of Social Issues, 58(1), 9–31.CrossRef
Zurück zum Zitat McKirnan, D. J., Ostrow, D. G., & Hope, B. (1996). Sex, drugs and escape: a psychological model of HIV-risk sexual behaviours. AIDS Care, 8(6), 655–669.PubMedCrossRef McKirnan, D. J., Ostrow, D. G., & Hope, B. (1996). Sex, drugs and escape: a psychological model of HIV-risk sexual behaviours. AIDS Care, 8(6), 655–669.PubMedCrossRef
Zurück zum Zitat McKirnan, D. J., Vanable, P. A., Ostrow, D. G., & Hope, B. (2001). Expectancies of sexual “escape” and sexual risk among drug and alcohol-involved gay and bisexual men. Journal of Substance Abuse, 13(1–2), 137–154.PubMedCrossRef McKirnan, D. J., Vanable, P. A., Ostrow, D. G., & Hope, B. (2001). Expectancies of sexual “escape” and sexual risk among drug and alcohol-involved gay and bisexual men. Journal of Substance Abuse, 13(1–2), 137–154.PubMedCrossRef
Zurück zum Zitat Mills, T. C., Paul, J., Stall, R., Pollack, L., Canchola, J., Chang, Y., et al. (2004). Distress and Depression in Men Who Have Sex With Men: The Urban Men's Health Study. American Journal of Psychiatry, 161(2), 278–285.PubMedCrossRef Mills, T. C., Paul, J., Stall, R., Pollack, L., Canchola, J., Chang, Y., et al. (2004). Distress and Depression in Men Who Have Sex With Men: The Urban Men's Health Study. American Journal of Psychiatry, 161(2), 278–285.PubMedCrossRef
Zurück zum Zitat Parsons, J. T., & Halkitis, P. N. (2002). Sexual and drug-using practices of HIV-positive men who frequent public and commercial sex environments. AIDS Care, 14(6), 815–826.PubMedCrossRef Parsons, J. T., & Halkitis, P. N. (2002). Sexual and drug-using practices of HIV-positive men who frequent public and commercial sex environments. AIDS Care, 14(6), 815–826.PubMedCrossRef
Zurück zum Zitat Sanders, C. E., Field, T. M., Diego, M., & Kaplan, M. (2000). The relationship of Internet use to depression and social isolation among adolescents. Adolescence, 35(138), 237–242.PubMed Sanders, C. E., Field, T. M., Diego, M., & Kaplan, M. (2000). The relationship of Internet use to depression and social isolation among adolescents. Adolescence, 35(138), 237–242.PubMed
Zurück zum Zitat Santor, D. A., & Coyne, J. C. (1997). Shortening the CES-D to improve its ability to detect cases of depression. Psychological Assessment, 9(3), 233–243.CrossRef Santor, D. A., & Coyne, J. C. (1997). Shortening the CES-D to improve its ability to detect cases of depression. Psychological Assessment, 9(3), 233–243.CrossRef
Zurück zum Zitat Stall, R., Paul, J. P., Greenwood, G., Pollack, L. M., Bein, E., Crosby, G., et al. (2001). Alcohol use, drug use and alcohol-related problems among men who have sex with men: The Urban Men's Health Study. Addiction, 96(11), 1589–1601.PubMedCrossRef Stall, R., Paul, J. P., Greenwood, G., Pollack, L. M., Bein, E., Crosby, G., et al. (2001). Alcohol use, drug use and alcohol-related problems among men who have sex with men: The Urban Men's Health Study. Addiction, 96(11), 1589–1601.PubMedCrossRef
Zurück zum Zitat Sunstein, C. (2001). Republic.com. Princeton, NJ: Princeton University Press. Sunstein, C. (2001). Republic.com. Princeton, NJ: Princeton University Press.
Zurück zum Zitat Tikkanen, R., & Ross, M. W. (2000). Looking for sexual compatibility: Experiences among Swedish men in visiting Internet gay chat rooms. CyberPsychology and Behavior, 3(4), 605–616.CrossRef Tikkanen, R., & Ross, M. W. (2000). Looking for sexual compatibility: Experiences among Swedish men in visiting Internet gay chat rooms. CyberPsychology and Behavior, 3(4), 605–616.CrossRef
Zurück zum Zitat Tikkanen, R., & Ross, M. W. (2003). Technological tearoom trade: Characteristics of Swedish men visiting gay Internet chat rooms. AIDS Education and Prevention, 15(2), 122–132.PubMedCrossRef Tikkanen, R., & Ross, M. W. (2003). Technological tearoom trade: Characteristics of Swedish men visiting gay Internet chat rooms. AIDS Education and Prevention, 15(2), 122–132.PubMedCrossRef
Zurück zum Zitat Williams, M. L., Elwood, W. N., & Bowen, A. M. (2000). Escape from risk: A qualitative exploration of relapse to unprotected anal sex among men who have sex with men. Journal of Psychology and Human Sexuality, 11(4), 25–49.CrossRef Williams, M. L., Elwood, W. N., & Bowen, A. M. (2000). Escape from risk: A qualitative exploration of relapse to unprotected anal sex among men who have sex with men. Journal of Psychology and Human Sexuality, 11(4), 25–49.CrossRef
Zurück zum Zitat Woody, G. E., VanEtten, M. L., McKirnan, D. J., Donnell, D., Metzger, D., Seage, G. I., et al. (2001). Substance use among men who have sex with men: Comparison with the national household survey. JAIDS: Journal of Acquired Immune Deficiency Syndromes, 27(1), 86–90.PubMed Woody, G. E., VanEtten, M. L., McKirnan, D. J., Donnell, D., Metzger, D., Seage, G. I., et al. (2001). Substance use among men who have sex with men: Comparison with the national household survey. JAIDS: Journal of Acquired Immune Deficiency Syndromes, 27(1), 86–90.PubMed
Metadaten
Titel
Is the Web the culprit? Cognitive escape and Internet sexual risk among gay and bisexual men
verfasst von
David McKirnan
Eric Houston
Marina Tolou-Shams
Publikationsdatum
01.01.2007
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 1/2007
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-006-9084-8

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