title: Sexual risk taking among young internet-using men who have sex with men.
abstract: OBJECTIVE
  We examined the characteristics of young Internet-using men who have sex with men (MSM) and risks associated with seeking sex online, offline, or through both strategies.
  
  
  METHODS
  Data were obtained from MSM aged 18 to 24 years who completed a 45-minute online survey regarding sex and Internet use in the preceding 3 months.
  
  
  RESULTS
  Significantly more Internet-using MSM who had met sexual partners both online and offline (43%) reported unprotected anal intercourse than did those who had met sexual partners exclusively online (29%) or offline (34%). MSM who met sexual partners exclusively offline reported the fewest partners but the greatest proportion of partnerships involving unprotected anal intercourse (49%). Meeting sexual partners both online and offline (odds ratio [OR]=3.38-58.42) and being drunk (OR=1.57) or high (OR=2.24) increased the odds of having more sexual partners. The same factors increased the odds of having unprotected anal intercourse (online and offline sexual partners, OR=1.60; being drunk, OR=1.43; being high, OR=1.61).
  
  
  CONCLUSIONS
  Risky sexual behavior was prevalent among all of the study subgroups. Our findings suggest that online sex seeking is associated with greater numbers of sexual partners but neither promotes nor discourages unprotected anal intercourse. Regardless of where sexual partners met, being drunk and high were significant risks for unprotected anal intercourse.
authors.affiliation: Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN 55454, USA. horva018@umn.edu
authors.forename: Keith J
authors.initials: KJ
authors.lastname: Horvath
authors.forename: B R Simon
authors.initials: BR
authors.lastname: Rosser
authors.forename: Gary
authors.initials: G
authors.lastname: Remafedi
mesh_terms: D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D001727:Bisexuality; D016009:Chi-Square Distribution; D018451:Homosexuality, Male; D006801:Humans; D020407:Internet; D008297:Male; D012044:Regression Analysis; D012309:Risk-Taking; D012725:Sexual Behavior; D012747:Sexual Partners; D011795:Surveys and Questionnaires; D014481:United States