The 131st Annual Meeting (November 15-19, 2003) of APHA

The 131st Annual Meeting (November 15-19, 2003) of APHA

3283.0: Monday, November 17, 2003 - Table 9

Abstract #56633

Unprotected sex among young gay/bisexual men (YGM) is related to their level of Internet use and patterns of online HIV-status disclosure and online safer sex communication

Gregory M. Rebchook, PhD1, Susan M. Kegeles, PhD2, and Lance M. Pollack, PhD1. (1) Center for AIDS Prevention Studies, University of California San Francisco, 74 New Montgomery, Suite 600, San Francisco, CA 94105, (415) 597-4951, grebchook@psg.ucsf.edu, (2) Center for AIDS Prevention Studies, University of California, San Francisco, 74 New Montgomery St Suite 646, San Francisco, CA 94105

Methods.  From 11/00 – 5/01, we surveyed 585 YGM in 3 Southwestern communities about their Internet use and sexual activity.  

Results.  Demographics:  Mean age = 27.  Racial/ethnic breakdown: 67% white, 24% Latino, 4% Asian/Pacific Islander, 3% Black, and 2% Native American. Eighty percent reported being HIV-negative, and 7% HIV-positive. Among men with non-primary partners in the previous 2 months, 33% reported unprotected anal intercourse (UAI).  Internet Use:  91% reported Internet use in the previous 2 months. Thirty-one percent had in-person sex with a partner met online*, and 38% of them reported UAI with these partners.  Associations:  YGM who spent the most time online reported the most sexual partners and a greater likelihood of UAI (Table 1). Men with inconsistent online communication about safer-sex issues were more likely to report UAI than men who always or never communicated about them (Table 2).

Table 1.  Sexual behavior by time spent online*

 

Hours online/week

 

 

0-3

4-8

9-15

16+

p

# sex partners (mean)

3.1

3.5

4.1

5.5

.006

UAI w/non-primary partners

26.7%

27.0%

32.2%

46.7%

.011

n

105

102

92

93

 

Table 2.  Percentage of YGM reporting UAI w/Internet partners by communication frequency*

 

Online communication frequency

 

 

Never

Sometimes

Always

p

Disclosed HIV status

33%

76%

26%

<.001

Learned partners’ HIV status

35%

76%

24%

<.001

Discussed safer sex issues

36%

69%

32%

.024

*Excluding YGM in monogamous relationships.

Conclusions.  The relationship between YGM’s Internet use and sexual activity warrants further research to develop and test online HIV prevention interventions, especially for frequent Internet users.

Learning Objectives:

Keywords: Gay Men, Internet

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

HIV Prevention Roundtable

The 131st Annual Meeting (November 15-19, 2003) of APHA