School of Medicine, University Centre for Rural Health, Western Sydney University, 61 Uralba Street, PO Box 3074, Lismore, NSW, 2480, Australia.
Harm Reduction and Health Promotion Programs, HIV and Related Programs (HARP), North Coast Public Health, Mid-North Coast Local Health District, Lismore, Australia.
Harm Reduct J. 2021 May 4;18(1):49. doi: 10.1186/s12954-021-00493-5.
Despite the popularity of dating apps, there remain scarce data on the motivations, consequences and their influence on sexual behaviour change in the Australian population.
To explore motivations, dating app relationships, unintended consequences and change in sexual behaviour in dating app users at an Australian music festival.
A cross-sectional study design was used. Festival patrons aged 18-30 at a major Australian music festival completed a paper-based survey. Logistic regression was used to identify which factors were associated with an increase in sexual partners since using dating apps.
The primary reasons for dating app use (N = 437) were boredom (59.7%), casual sex (45.1%) and casual dating (42.8%). A third of users used them at music festivals (33.8%, n = 432). A third of participants had used dating apps for more than 2 years (33.3%) and a third (33.0%) of users claimed to have changed their sexual behaviour after app use, including increased frequency of sexual activity (70.0%), number of sexual partners (57.1%) and sexual experimentation (42.1%). Dating app users tended not to discuss sexually transmitted infections (STI) status with a sexual partner regardless of whether they had met them on an app or not: 38.5% would 'never' and 36.9% would 'sometimes' have safe sex discussions with partners met via apps. Condoms were 'always' used for 36.9% of dating app users when meeting partners via dating apps, compared to 29.9% met by other means. 8.6% of dating app users reported having contracted STIs, and 2.8% had unwanted pregnancies with those met on dating apps. After adjusting for socio-demographics, those who had an STI after engaging in sexual activity with a person met via a dating app had 2.4 times the odds of reporting an increase in sexual partners, and those who had used a dating app for over 2 years had twice the odds of reporting an increase in sexual partners. When condom use was entered into the model, those that 'often' or 'sometimes' used a condom with a new dating app partner were twice as likely to report an increase in sexual partners since using dating apps, compared to those who 'always' used a condom with a new dating app partner. Sexual orientation and STI discussions with a new sexual dating app partner were not associated with an increase in dating app partners.
Dating app usage is common and users report increased sexual activity, sexual partners and experimentation. STI discussions with potential partners and condom use remained low regardless of how partners were met and despite an increase in sexual partners since using dating apps. Given the high-risk nature of individuals that utilise dating apps, safe sex discussion, including STIs, pregnancies and condom use should be promoted to improve sexual health outcomes.
尽管约会应用程序广受欢迎,但在澳大利亚人群中,关于其动机、后果及其对性行为变化的影响的相关数据仍然很少。
在澳大利亚一个音乐节上,探索约会应用程序用户的动机、约会应用程序关系、意外后果和性行为变化。
采用横断面研究设计。在澳大利亚一个主要音乐节上,年龄在 18-30 岁的与会者完成了一份纸质调查问卷。使用逻辑回归来确定哪些因素与使用约会应用程序后性伴侣数量的增加有关。
(N=437)使用约会应用程序的主要原因是:无聊(59.7%)、随意性行为(45.1%)和随意约会(42.8%)。三分之一的用户(33.8%,n=432)在音乐节上使用它们。三分之一的参与者(33.3%)使用约会应用程序超过 2 年,三分之一(33.0%)的用户声称在使用应用程序后改变了性行为,包括增加性行为频率(70.0%)、性伴侣数量(57.1%)和性实验(42.1%)。约会应用程序用户往往不会与性伴侣讨论性传播感染(STI)状况,无论他们是否在应用程序上认识他们:38.5%的人“从不”,36.9%的人“有时”与通过应用程序认识的伴侣进行安全性行为讨论。当通过约会应用程序与伴侣见面时,36.9%的约会应用程序用户“总是”使用安全套,而通过其他方式见面的用户为 29.9%。8.6%的约会应用程序用户报告感染了性传播感染,2.8%的用户在与通过约会应用程序认识的伴侣发生意外怀孕。调整社会人口统计学因素后,与通过约会应用程序进行性活动后感染性传播感染的人相比,报告性伴侣增加的可能性是前者的 2.4 倍,使用约会应用程序超过 2 年的人报告性伴侣增加的可能性是前者的 2 倍。当将避孕套使用情况纳入模型时,与新约会应用程序伴侣“经常”或“有时”使用避孕套的人报告自使用约会应用程序以来性伴侣增加的可能性是与新约会应用程序伴侣“总是”使用避孕套的人的两倍。性取向和与新的性约会应用程序伴侣的性传播感染讨论与约会应用程序伴侣的增加无关。
约会应用程序的使用很普遍,用户报告增加了性行为、性伴侣和性实验。无论如何遇到伴侣,与潜在伴侣进行性传播感染讨论和使用避孕套的情况仍然很低,尽管使用约会应用程序后性伴侣数量有所增加。鉴于使用约会应用程序的个人风险较高,应促进安全性行为讨论,包括性传播感染、怀孕和避孕套使用,以改善性健康结果。