The Effects of Gay Sexually Explicit Media on the HIV Risk Behavior of Men Who Have Sex with Men

• Published in: AIDS and behavior Vol. 17; no. 4; pp. 1488 - 1498
• Main Authors: Rosser, B. R. Simon, Smolenski, Derek J., Erickson, Darin, Iantaffi, Alex, Brady, Sonya S., Grey, Jeremy A., Hald, Gert Martin, Horvath, Keith J., Kilian, Gunna, Træen, Bente, Wilkerson, J. Michael
• Format: Journal Article
• Language: English
• Published: Boston Springer US 01-05-2013; Springer Nature B.V
• Subjects: Acquired Immune Deficiency Syndrome; Adolescent; Adult; Condoms; Condoms - statistics & numerical data; Consumption; Consumption patterns; Cross-Sectional Studies; Erotica; Gays & lesbians; Health Psychology; Health risks; HIV; HIV Infections - prevention & control; Homosexuality; Homosexuality, Male; Human immunodeficiency virus; Humans; Infectious Diseases; Internet; Logistic Models; Male; Mass Media; Mass Media Effects; Medicine; Medicine & Public Health; Men; Middle Aged; Original Paper; Pornography & obscenity; Prevention; Public Health; Risk; Risk factors; Risk taking; Sexual behavior; Sexual Partners; Sexually transmitted diseases; STD; United States of America; Unsafe Sex; Young Adult; Pornografía gay/homosexual; Cyberpornography; Unsafe sex; Pornography; Relaciones sexuales sin protección; HIV prevention; Internet; Prevención del VIH; Gay
• ISSN: 1090-7165; 1573-3254
• DOI: 10.1007/s10461-013-0454-8

This study sought to study consumption patterns of gay-oriented sexually explicit media (SEM) by men who have sex with men (MSM); and to investigate a hypothesized relationship between gay SEM consumption and HIV risk behavior. Participants were 1,391 MSM living in the US, recruited online to complete a SEM consumption and sexual risk survey. Almost all (98.5 %) reported some gay SEM exposure over the last 90 days. While 41 % reported a preference to watch actors perform anal sex without condoms (termed “bareback SEM”), 17 % preferred to 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 reported significantly greater odds of engaging in risk behavior. The results suggest that a preference for bareback SEM is associated with engaging in risk behavior. More research to understand how MSM develop and maintain preferences in viewing SEM, and to identify new ways to use SEM in HIV prevention, is recommended.