Demographics, Behaviors, and Sexual Health Characteristics of High Risk Men Who Have Sex With Men and Transgender Women Who Use Social Media to Meet Sex Partners in Lima, Peru.
Men who have sex with men (MSM) and transgender women (TW) in Peru bear a disproportionate burden of human immunodeficiency virus (HIV) and sexually transmitted infections (STIs). In a context of quickly expanding communication technology, increasing numbers of MSM and TW are using social media applications to seek sex partners. Understanding social media users and their sex partnering practices is needed to update HIV and STI prevention programming.



In Lima, Peru, 312 MSM and 89 TW from 2 STI clinics underwent HIV and STI testing and participated in a survey of demographics, behaviors, sexual health, and social media practices. χ, t tests, and Wilcoxon Mann-Whitney tests were used to compare those with and without recent social media sex partners.



Men who have sex with men with social media sex partners were younger, more educated, and more likely to identify as gay. They were significantly more likely to report greater numbers of sex partners, including anonymous sex partners; sex in higher-risk venues, orgies, and have rectal Neisseria gonorrhoeae or Chlamydia trachomatis infection. Transgender women with social media sex partners were also younger, more likely to participate in sex work, and have a lower rate of rapid plasma reagin positivity or history of syphilis. Participants reported using several social media sites including sexual hook-up applications, websites for gay men, pornographic websites, and chat sites, but the most common was Facebook.



Prevention strategies targeting Peruvian MSM and TW who use social media are needed to address higher-risk sexual behavior and the high burden of STIs.
From the *Division of Infectious Diseases, University of Texas Southwestern Medical Center, Dallas, TX; †Center for Interdisciplinary Studies in Sexuality, AIDS and Society, and Laboratory of Sexual Health, Universidad Peruana Cayetano Heredia, Lima, Peru; and ‡Division of Infectious Diseases, University of California, Los Angeles, CA.
Jeremy Y
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Chow
Kelika A
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Konda
Gino M
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Calvo
Jeffrey D
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Klausner
Carlos F
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D000328:Adult; D003710:Demography; D005260:Female; D006801:Humans; D008297:Male; D010568:Peru / Q000453:epidemiology; D012307:Risk Factors; D012725:Sexual Behavior / Q000523:psychology*; D000074384:Sexual Health; D012747:Sexual Partners / Q000523:psychology*; D000072339:Sexual and Gender Minorities / Q000523:psychology*; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000523:psychology; D061108:Social Media / Q000706:statistics & numerical data*; D063106:Transgender Persons / Q000523:psychology*; D055815:Young Adult