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AIDS Behav. 2018 Feb;22(2):681-689. doi: 10.1007/s10461-017-1952-x.

Sexually Explicit Media and Condomless Anal Sex Among Gay and Bisexual Men.

Author information

1
Center for HIV/AIDS Educational Studies & Training, Hunter College of the City University of New York (CUNY), 695 Park Ave., New York, NY, 10065, USA.
2
Health Psychology and Clinical Science Doctoral Program, The Graduate Center CUNY, New York, NY, USA.
3
Department of Psychology, Hunter College of CUNY, New York, NY, USA.
4
CUNY Graduate School of Public Health and Health Policy, New York, NY, USA.
5
Center for HIV/AIDS Educational Studies & Training, Hunter College of the City University of New York (CUNY), 695 Park Ave., New York, NY, 10065, USA. Jeffrey.Parsons@hunter.cuny.edu.
6
Health Psychology and Clinical Science Doctoral Program, The Graduate Center CUNY, New York, NY, USA. Jeffrey.Parsons@hunter.cuny.edu.
7
Department of Psychology, Hunter College of CUNY, New York, NY, USA. Jeffrey.Parsons@hunter.cuny.edu.

Abstract

Gay and bisexual men (GBM) have reported viewing significantly more sexually explicit media (SEM) than heterosexual men. There is some evidence that SEM depicting bareback anal sex may be linked to engagement in condomless anal sex (CAS) and thus HIV/STI transmission among GBM. A nationwide sample of HIV-negative GBM in the U.S. completed an online survey that included measures on SEM consumption (both overall frequency and percentage viewed depicting bareback sex) and reported on CAS in the past 3 months. Data showed that there was no main effect for the frequency of SEM watched in association on either the number of CAS acts with casual partners or the probability of engaging in CAS during a casual sex event. However, there was an interaction between amount of SEM consumed and percentage of bareback SEM consumed on both outcomes, such that men who reported both a high frequency of SEM consumption and a high percentage of their SEM being bareback reported the highest levels of risk behavior. These findings highlight the role that barebacking depicted in SEM may play in the normalization of sexual risk behaviors for GBM. Interventions looking to target the role SEM may play in the lives of GBM should examine what variables may help to mediate associations between viewing SEM and engaging in risk behavior.

KEYWORDS:

Condomless anal sex; Gay and bisexual men; HIV; Pornography; Sexually explicit media

PMID:
29079951
PMCID:
PMC5820205
[Available on 2019-02-01]
DOI:
10.1007/s10461-017-1952-x

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