It was also paradoxical that while most participants said it was easier to negotiate condom use online, few engaged in this behavior. Rather, condom use and other safer sex practices were typically negotiated in face-to-face contexts and driven by perceived partner risks well-described in previous literature There were differences in the proportion of participants who mentioned particular themes across the three study groups.
A greater proportion of heterosexual women, compared to the two men s groups, stated they used the Internet to find romance or conversation with potential partners. These differences across groups may reflect differences in the social context for gay and bisexual men versus heterosexual men and women.
For example, participants are likely aware of the higher HIV prevalence in gay and bisexual men relative to the other two groups which may have engendered the delay strategies reported by this group. Perhaps a more revealing comparison would be among those who regularly seek sexual partners online versus those who regularly seek partners in real-life sexual environments Limitations of our study included assessment of a convenience sample comprised of people who were willing to do an online interview about sexual behavior.
Our sample also lacked racial and ethnic diversity. Further, we did not recruit women who identified as lesbian or bisexual given the broader project goals of developing and piloting an on-line HIV risk reduction intervention for gay and bisexually-identified men, as well as heterosexual men and women. Similarly, our small sample size did not permit examination of age trends within subgroups nor interactions between age and the subgroups.
Other limitations included the extent to which participants fully disclosed their attitudes and behaviors with regard to the study content. Nonetheless, our data suggested that the fundamental processes of meeting potential partners, developing a relationship with them, meeting them in person, and having sex with them do not differ much across online versus traditional face-to-face modalities What have changed are the breadth and quickness of access to potential partners, as well as the ability to rapidly and anonymously terminate contact with partners deemed unsuitable or undesirable.
Men who have sex with men account for non-use of condoms. Qualitative Health Research.
Sex in America Online: An exploration of sex, marital status, and sexual identity in Internet sex seeking and its impacts. Journal of Sex Research.
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Sexual mixing, drug exchanges, and infection risk among long-haul truck drivers. Journal of Community Health. Evaluating Internet interviews with gay men. Men who have met sex partners via the Internet: Prevalence, predictors, and implications for HIV prevention. Archives of Sexual Behavior. Internet use, recreational travel, and HIV risk behaviors in men who have sex with men.
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