title: The effects of gay sexually explicit media on the HIV risk behavior of men who have sex with men.
abstract: This study sought to study consumption patterns of gay-oriented sexually explicit media (SEM) by men who have sex with men (MSM); and to investigate a hypothesized relationship between gay SEM consumption and HIV risk behavior. Participants were 1,391 MSM living in the US, recruited online to complete a SEM consumption and sexual risk survey. Almost all (98.5 %) reported some gay SEM exposure over the last 90 days. While 41 % reported a preference to watch actors perform anal sex without condoms (termed "bareback SEM"), 17 % preferred to actors perform anal sex with condoms (termed "safer sex SEM") and 42 % reported no preference. Overall SEM consumption was not associated with HIV risk; however participants who watched more bareback SEM reported significantly greater odds of engaging in risk behavior. The results suggest that a preference for bareback SEM is associated with engaging in risk behavior. More research to understand how MSM develop and maintain preferences in viewing SEM, and to identify new ways to use SEM in HIV prevention, is recommended.
authors.affiliation: HIV/STI Intervention & Prevention Studies (HIPS) Program, Division of Epidemiology & Community Health, Department of Epidemiology and Community Health, University of Minnesota School of Public Health, 1300 South Second Street, #300, Minneapolis, MN 55454, USA. rosser@umn.edu
authors.forename: B R Simon
authors.initials: BR
authors.lastname: Rosser
authors.forename: Derek J
authors.initials: DJ
authors.lastname: Smolenski
authors.forename: Darin
authors.initials: D
authors.lastname: Erickson
authors.forename: Alex
authors.initials: A
authors.lastname: Iantaffi
authors.forename: Sonya S
authors.initials: SS
authors.lastname: Brady
authors.forename: Jeremy A
authors.initials: JA
authors.lastname: Grey
authors.forename: Gert Martin
authors.initials: GM
authors.lastname: Hald
authors.forename: Keith J
authors.initials: KJ
authors.lastname: Horvath
authors.forename: Gunna
authors.initials: G
authors.lastname: Kilian
authors.forename: Bente
authors.initials: B
authors.lastname: Træen
authors.forename: J Michael
authors.initials: JM
authors.lastname: Wilkerson
mesh_terms: D000293:Adolescent; D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D004882:Erotica; D015658:HIV Infections / Q000517:prevention & control*; D018451:Homosexuality, Male; D006801:Humans; D020407:Internet; D016015:Logistic Models; D008297:Male; D008402:Mass Media; D008875:Middle Aged; D012309:Risk-Taking; D012747:Sexual Partners; D047568:Unsafe Sex; D055815:Young Adult
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