Does internet dating lead to raised risk behaviour that is sexual? A study that is cross-sectional MSM in Amsterdam, holland

Does internet dating lead to raised risk behaviour that is sexual? A study that is cross-sectional MSM in Amsterdam, holland

Does internet dating lead to raised risk behaviour that is sexual? A study that is cross-sectional MSM in Amsterdam, holland

Abstract

Background

Guys making love with males (MSM) usually utilze the internet to get intercourse lovers. We examined the relationship between unprotected rectal intercourse (UAI) with lovers dated on line and with lovers dated offline (came across somewhere else), and examined whether distinctions may be explained by self-perceived HIV status of this knowledge and index of partnership characteristics.

Techniques

MSM had been recruited in the Sexually sent Infections Clinic in Amsterdam, in 2008–2009. Individuals finished a questionnaire concerning intimate behavior. Just males reporting both on the internet and offline sex that is casual were included. We evaluated the relationship between online/offline partner dating and UAI, making use of random-effects regression analysis that is logistic.

Outcomes

Five hundred seventy-seven males (351 HIV-negative, 153 HIV-positive, and 73 HIV-unaware) reported UAI in 26 % of 878 online, and 23 per cent of 903 offline partnerships that are casual. The crude OR of on line dating for UAI ended up being 1.36 (95 per cent CI 1.03–1.81). HIV-positive males had been more prone to report UAI than HIV-negative guys (49 percent vs. 28 per cent of partnerships). Modified for demographic characteristics, online dating sites had no significant impact on UAI among HIV-negative and HIV status-unaware males, but HIV-positive guys had been almost certainly going to have UAI with online lovers (aOR = 1.65 95 percent CI 1.05–2.57). After modification for partner and partnership traits the consequence of online/offline dating on UAI among HIV-positive MSM was paid down with no longer significant.

Conclusions

Internet dating had not been somewhat connected with UAI among HIV-negative MSM. HIV-positive MSM had been very likely to practise UAI with lovers dated on the web; nevertheless, after modification for partner and partnership faculties, online partnership acquisition had not been related to a considerably increased chance of UAI.

Background

Guys that have intercourse with males (MSM) often utilze the internet to locate intercourse lovers. A few research indicates that MSM are more inclined to participate in unprotected intercourse that is anal sex lovers they meet through the net (online) than with lovers they meet at social venues (offline) 1–3. This means that males who get partners online may be at a greater danger for intimately sent infections (STI) and HIV 4–6. Although greater prices of UAI are reported with online lovers, the possibility of HIV transmission additionally varies according to accurate familiarity with one’s own while the intercourse lovers’ HIV status 7–10.

A meta-analysis in 2006 discovered restricted proof that acquiring an intercourse partner on the web boosts the danger of unprotected rectal intercourse (UAI) 3. Numerous past studies contrasted males with online partners to males with offline lovers. Nonetheless, males preferring online dating sites might differ in several unmeasured respects from males preferring offline dating, leading to incomparable behavioural profiles. An even more meta-analysis that is recent a few studies examining MSM with both online and offline acquired intercourse lovers and discovered proof for a connection between UAI and online partners, which may recommend a mediating effectation of additional information on lovers, (including recognized HIV status) on UAI 13.

The odds for UAI increase as well 14–16 with increased familiarity in sexual partnerships, for example by concordant ethnicity, age, lifestyle, HIV status, and increasing sex frequency. We compared the incident of UAI in online acquired casual partnerships compared to that in offline acquired casual partnerships among MSM whom reported both online and offline casual partners into the preceding half a year. We hypothesised that MSM who date intercourse lovers both online and offline, report more UAI because of the casual lovers they date online, and that this impact is partly explained through better understanding of partner traits, including HIV status.

Practices

Establishing and individuals

We utilized information from the study that is cross-sectional on spread of STI via sexual sites 15. The Netherlands between July 2008 and August 2009 MSM were recruited from the STI outpatient clinic of the Public Health Service of Amsterdam. Males were eligible for involvement they were at least 18 years old, and could understand written Dutch or English if they reported sexual contact with men during the six months preceding the STI consultation. People could take part more often than once, if subsequent visits into the center were linked to a potential STI that is new episode. Individuals had been regularly screened for STI/HIV in line with the standard procedures regarding the STI outpatient center 15, 17. The analysis had been authorized because of the medical ethics committee associated with the Academic infirmary of Amsterdam (MEC 07/181), and written consent that is informed acquired from each participant. Most notable analysis had been guys whom reported intimate connection with at minimum one casual partner dated on the web also one casual partner dated offline.

Questionnaire and factors

Individuals completed a standardised anonymous questionnaire in their trip to the STI outpatient center while looking forward to initial test results after a nurse to their consultation or doctor. The questionnaire elicited information about socio-demographics and HIV status regarding the participant, the 3 many current lovers in the preceding 6 months, and information about intimate behavior with those lovers. A detail by detail description regarding the research design as well as the questionnaire is provided somewhere else 15, 18. Our primary determinant of interest, dating location ( e.g., the title of the club, park, club, or the title of an internet site) ended up being acquired for virtually any partner, and categorised into on the web (internet sites), and offline (real web internet web sites) dating places. To simplify the terminology of identifying the partners per dating location, we reference them as online or offline lovers.