Consumption of Gay Sexually Explicit Media among Men who have Sex with Men in the U.S
Methods: Participants were 1391 MSM living in the US recruited online to complete a SEM consumption and sexual risk survey. We build linear, quadratic, quadratic term and nominal models to assess the relationship between gay SEM consumption and HIV risk behavior
Results: Almost all (98.5%) reported some gay SEM exposure over the last 90 days, with 97.8% reporting watching online. Median dosage was 24.9 minute per day or 2.9 hours per week. While 41% reported a preference to watch actors perform anal sex without condoms (termed “bareback SEM”), 17% preferred to watch 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 and/or who preferred bareback SEM reported significantly greater odds of engaging in risk behavior.
Conclusions: Gay SEM consumption appears normative and extremely common among MSM. While SEM consumption does not predict risk, a preference for bareback SEM and greater exposure to bareback SEM was associated with increased risk behavior. In advancing HIV prevention for MSM, research to investigate causality and to identify new ways to use SEM in HIV prevention, is recommended.
Discuss Sexual Explicit Media (SEM) consumption among men who have sex with men in the US. List participants preference in SEM (bareback, with condom, kinki, vanilla etc.). Identify the factors associated with SEM consumption and HIV risk behavior, and the relationship between them.
Qualified on the content I am responsible for because: I am the Principal Investigator of the SEM Study and I conceptualized this analysis.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.