Post-hoc analysis using Tukey's test showed a significant difference between married and single men, and a significant difference between partnered and single men. Married men were on average 6. Married and partnered men did not differ significantly in age. In regard to the type of relationship that was being sought, married men Interestingly, a number of the married men were looking for a long-term relationship We examined the percentage of the total sample that reported being primarily versatile both insertive and receptive in anal intercourse in their sexual practices.
Considering men who reported being primarily receptive or versatile in sexual practice, Men aged 18 to 39 years were more likely to be seeking sex with older men Men aged 50 years or older were more likely to be looking for older or younger men.
Men younger than age 50 were more likely Our findings are consistent with previous studies that found the Internet provides a means for reaching large numbers of potential sex partners while maintaining a level of anonymity and secrecy concerning same-sex sexual behavior.
In a number of the profiles examined, the men expressed a willingness to travel to have sex. The website even offered a travelers' section where men who were planning to visit a specific town or country could alert men in that area of their interest and dates of availability. The actual number of married men may have been higher. These figures indicate that a large number of the married men were engaging in high-risk behavior even if they potentially use a condom.
None of these men indicated that their wives were aware of their MSM activities or supported this behavior, suggesting that their MSM activities were being kept secret. Of the men identifying as bisexual, only five men identified as Latino, three identified as African American, and two identified as Asian.
Likewise, of the men identifying as married, four reported being Latino and one reported being African American. This finding suggests that the number of Caucasian men secretly engaging in MSM behavior has not been fully recognized, leading to an underestimation of their numbers and potential role in heterosexual HIV transmission.
While the authors acknowledge the large number of websites that target MSM connections, many of which have a focus on a specific subgroup of MSM or on particular types of encounters, a unique aspect of this study is that the website examined catered specifically to a cohort of international men who were seeking intergenerational sexual encounters.
The website's focus on a wide range of men and behaviors made it particularly useful for a pilot study. Almost two-thirds of the younger men represented in our sample profiles were specifically looking for older men. Such sexual encounters across generations may provide a mechanism for HIV infection transmission from younger men to less sexually active older men. Traditional cohort-focused prevention programs are likely to fully reach all the men represented in our study.
Limitations The examination of one website and the extraction of information from posted profiles rather than personal interaction with men using the website represent limitations in generalizing the findings of this pilot study. Because we examined posted profiles on a website rather than obtaining information from individuals, we were unable to determine the actual sexual behaviors in which men engaged during specific encounters.
However, the large number of profiles examined from an intergenerational website that has almost , participants worldwide does provide useful information that can inform further studies of the use of technology in seeking sexual encounters. The fact that so few of the profiles examined in this study expressed a desire for safe sex It may also be the result of older men not believing they are at high risk for HIV infection.
The growth in the number of HIV cases being diagnosed in older men in recent years would seem to support a high level of risk-taking among this group. Further, it demonstrates the need to continue investigating intergenerational sexual connections and the public health implications of such connections. Additionally, further research on the MSM behaviors of married or publicly identified heterosexual men that focuses on the prevalence of such behaviors and their consequences among all men including Caucasian men is needed.
HIV diagnoses climbing among gay and bisexual men [press release] Jul Kippax S, Race K. Relationship between safe sex and acculturation into the gay subculture. Sexual identity formation and AIDS prevention: Carballo-Dieguez A, Dolezal C. J Acquir Immune Defic Syndr. The New York Times Magazine.
Double lives on the down low; pp. Meta-analytic examination of online sex-seeking and sexual risk behavior among men who have sex with men. Where young MSM meet their first sexual partner: Seeking sex on the Internet and sexual risk behaviour among gay men using London gyms. The Internet and HIV study: Men who have met sex partners via the Internet: Seeking sexual partners on the Internet: Can J Public Health. The Internet as a newly emerging risk environment for sexually transmitted diseases.
Correlates of Internet use to meet sex partners among men who have sex with men diagnosed with early syphilis in Los Angeles County. Cruising on the Internet highway. Sexual risk taking among young Internet-using men who have sex with men. Am J Public Health. Men who have sex with men and recruit bareback sex partners on the Internet: Am J Mens Health.
HIV sexual risk behavior by men who use the Internet to seek sex with men: Grov C, Parsons JT. Bug chasing and gift giving: HIV, sexual risk, and ethnicity among men in England who have sex with men.
Substance use and sexual behaviours of Japanese men who have sex with men: J Natl Med Assoc. Greater risk for HIV infection of black men who have sex with men: Beyond the down low: Mansergh G, Marks G. Age and risk of HIV infection in men who have sex with men.
Service S, Blower SM. HIV transmission in sexual networks: Bareback sex and gay men: Intentional unsafe sex barebacking among HIV-positive gay men who seek sexual partners on the Internet. Intentional unprotected anal intercourse among men who have sex with men: Barebacking, the Internet, and harm reduction: Barebacking among MSM Internet users.