Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL, USA.
AIDS Behav. 2021 Jul;25(7):2033-2045. doi: 10.1007/s10461-020-03133-4. Epub 2021 Jan 1.
Online partner-seeking among adolescent sexual minority males (ASMM) has been associated with condomless anal sex. Two hypotheses may explain this association: that online venues facilitate HIV transmission risk behavior more than offline venues (accentuation), or that individuals who tend to engage in these behaviors are more likely to seek partners online (self-selection). We examined these hypotheses in 700 13-18 year-old ASMM who completed the baseline survey of an effectiveness trial of an HIV prevention program in 2018-2020. The survey assessed demographic, sexual, and venue characteristics of male anal sex partnerships in the past 3 months. Many participants (83%) reported ≥ 1 online-met partner; most were met via sexual networking applications and were older than offline-met partners. Having met partners online, but not whether a particular partner was met online, was associated with greater odds of receptive condomless sex. Findings support the self-selection hypothesis, which has implications for HIV prevention in ASMM.
在线寻找性伴侣在青少年性少数群体男性（ASMM）中与无保护肛交有关。有两个假设可以解释这种关联：在线场所比离线场所更容易促进 HIV 传播风险行为（强调），或者倾向于从事这些行为的人更有可能在网上寻找伴侣（自我选择）。我们在 700 名 13-18 岁的 ASMM 中检验了这些假设，他们在 2018-2020 年完成了一项 HIV 预防计划有效性试验的基线调查。该调查评估了过去 3 个月中男性肛交伙伴的人口统计学、性和场所特征。许多参与者（83%）报告说有≥1 个在线认识的伴侣；大多数是通过性网络应用程序认识的，比线下认识的伴侣年龄大。在线认识伴侣，但不是特定的伴侣在线上认识，与接受无保护肛交的可能性更大相关。研究结果支持自我选择假说，这对 ASMM 的 HIV 预防具有重要意义。
