The effects of gay sexually explicit media on the HIV risk behavior of men who have sex with men

B. R Simon Rosser, Derek J. Smolenski, Darin Erickson, Alex Iantaffi, Sonya S. Brady, Jeremy A. Grey, Gert Martin Hald, Keith J. Horvath, Gunna Kilian, Bente Træen, J. Michael Wilkerson

Research output: Contribution to journalArticlepeer-review

46 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)1488-1498
Number of pages11
JournalAIDS and Behavior
Volume17
Issue number4
DOIs
StatePublished - May 2013

Bibliographical note

Funding Information:
Acknowledgments Understanding Effects of Web-based Media on Virtual Populations was funded by the National Institutes of Mental Health Center for Medical Health Research on AIDS, Grant number 5R01MH087231. All research was carried out with the approval of the University of Minnesota Institutional Review Board, study number 0906S68801.

Keywords

  • Cyberpornography
  • Gay
  • HIV prevention
  • Internet
  • Pornography
  • Unsafe sex

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