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Int. J. Environ. Res. Public Health 2009, 6(5), 1620-1632; doi:10.3390/ijerph6051620
Article

Sexual Orientation, Drug Use Preference during Sex, and HIV Risk Practices and Preferences among Men Who Specifically Seek Unprotected Sex Partners via the Internet

Received: 12 March 2009; Accepted: 6 May 2009 / Published: 11 May 2009
(This article belongs to the Special Issue Drug Abuse and Addiction)
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Abstract: The present study entailed conducting a content analysis of 1,434 ads/profiles posted on one of the most popular “Men who have Sex with Men” (MSM) websites that specifically fosters unprotected sex. Ads/profiles were selected randomly based on the American ZIP code of residence (n = 1,316), with a randomly-drawn oversampling of profiles of men who self-identified as heterosexual or “curious” rather than gay or bisexual (n = 118). Data were collected between September 2006 and September 2007. The purpose of the present paper is to examine the conjoint effects of self-identified sexual orientation and preference for having/not having sex while high, on men’s sought-after sexual risk. Analytical comparisons of the four groups showed that, on most measures, the combination of sexual orientation and drug use preference during sex differentiated the men. Generally speaking, gay/bisexual men who advertised online for partners with whom they could have sex while high expressed the greatest interest in risky sexual behaviors (e.g., felching, unprotected oral sex, unprotected anal sex) and various risk-related preferences (e.g., multiple partner sex, anonymous sex, eroticizing ejaculatory fluids). This is especially true when they are compared to their heterosexual/“curious” counterparts whose online profiles were not as likely to indicate a desire for having sex while high.
Keywords: Drug use; substance abuse; sexual orientation; HIV risk behaviors; sexual risk practices; internet; men who have sex with men (MSM); content analysis Drug use; substance abuse; sexual orientation; HIV risk behaviors; sexual risk practices; internet; men who have sex with men (MSM); content analysis
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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MDPI and ACS Style

Klein, H. Sexual Orientation, Drug Use Preference during Sex, and HIV Risk Practices and Preferences among Men Who Specifically Seek Unprotected Sex Partners via the Internet. Int. J. Environ. Res. Public Health 2009, 6, 1620-1632.

AMA Style

Klein H. Sexual Orientation, Drug Use Preference during Sex, and HIV Risk Practices and Preferences among Men Who Specifically Seek Unprotected Sex Partners via the Internet. International Journal of Environmental Research and Public Health. 2009; 6(5):1620-1632.

Chicago/Turabian Style

Klein, Hugh. 2009. "Sexual Orientation, Drug Use Preference during Sex, and HIV Risk Practices and Preferences among Men Who Specifically Seek Unprotected Sex Partners via the Internet." Int. J. Environ. Res. Public Health 6, no. 5: 1620-1632.


Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert