Barebacking among MSM Internet Users

Berg, Rigmor C.

doi:10.1007/s10461-007-9281-0

Cited by 82 publications

(116 citation statements)

References 61 publications

(94 reference statements)

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“…The most common factor associated with drug use, however, is low self-esteem (e.g., Davis et al 2006;Green and Halkitis 2006;Grov 2010;Kelly et al 2009)-often shown to be associated with higher-than-normal levels of drug usage for gay men. Many studies also report that gay men who use crystal methamphetamine or other drugs are more likely to engage in risky sexual practices (i.e., bareback sex), which, in turn, could amplify the spread of HIV (Berg 2008;Davis et al 2006;Grov 2010Grov , 2012.…”

Section: Gay Men Drug Use and The Internetmentioning

confidence: 99%

“…Gay drug usage also seems to be higher among those men who seek drugs and sex partners on the Internet compared with those who do not (e.g., McKirnan et al 2007); in fact, the virtual space of gay on-line "communities" is an important source for gay men seeking illicit drugs (e.g., Berg 2008;Carpiano et al 2011;Golub et al 2005;Green and Halkitis 2006;Grov 2010Grov , 2012. For example, one study of men at a gay pride festival in Atlanta, GA found that those men who met a sexual partner on the Internet reported higher levels of crystal usage (Benotsch et al 2002).…”

Section: Gay Men Drug Use and The Internetmentioning

confidence: 99%

“…For an ad to be included for analysis, it had to first contain at least one of three PnP-specific drug argots: "party" (e.g., "party and play," "party 'n' play," "partying"), "PnP," or "Tina." These were determined to be the most widely used argots among PnPersgleaned from the literature (e.g., Berg 2008;Cabangum 2006;Cimino 2005;Green and Halkitis 2006;Grov 2010). Secondly, these argots could not have been used within a "No PnP" context, meaning, upon analysis of each ad, if the poster specified, "No PnP," or "No partying," the ad was not included.…”

Section: Samplingmentioning

confidence: 99%

See 2 more Smart Citations

“Party N Play” on the Internet: Subcultural Formation, Craigslist, and Escaping from Stigma

Frederick

Perrone

2014

Deviant Behavior

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Section: Gay Men Drug Use and The Internetmentioning

confidence: 99%

Section: Gay Men Drug Use and The Internetmentioning

confidence: 99%

Section: Samplingmentioning

confidence: 99%

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“Party N Play” on the Internet: Subcultural Formation, Craigslist, and Escaping from Stigma

Frederick

Perrone

2014

Deviant Behavior

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“…Studies with samples of mixed HIV-infected and uninfected MSM have found high rates of intentional unprotected anal intercourse, ranging from 14% to 46%. [2][3][4][5][6] Previous research has also shown HIVinfected MSM to be significantly more likely than HIV-uninfected MSM to report barebacking behavior. 5,6 In studies exclusively of HIV-infected MSM, the frequency of barebacking has been shown to be as high as 84%.…”

Section: Introductionmentioning

confidence: 99%

“…7,8 Among mixed serostatus samples, barebackers have been found to be more likely to use the Internet to meet sexual partners 2 and spent significantly more time on the Internet looking for sexual partners 3,4 ; reported significantly higher peer norms accepting unprotected sex 2 ; were more likely to use alcohol in sexual contexts 2 ; and were more likely to have reported engaging in both unprotected insertive and receptive anal sex. 2 Studies have also found evidence of strategic positioning (i.e., engaging in insertive rather than receptive sex) and serosorting (i.e., engaging in sex with individuals of the same known HIV serostatus) among MSM who report barebacking behavior. [3][4][5][6] Some researchers point to these findings as evidence of complex, harm-reduction decision-making informed by scientific evidence about the dynamics of HIV transmission and sexual risk among MSM.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Identifying as a Barebacker among High-Risk New England HIV Seronegative Men Who Have Sex with Men

et al. 2008

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Studies have found that between 14% and 46% of US men who have sex with men (MSM) consistently report "barebacking" behavior (i.e., intentional unprotected anal intercourse) with other men. This is of public health significance because MSM continue to constitute more than 50% of new HIV infections in the USA. Men who self-identify as barebackers may represent a different and unique subset of MSM with distinct HIV prevention needs. In 2007, 227 HIV seronegative MSM recruited through modified respondent-driven sampling completed an intervieweradministered survey which assessed barebacker identity (i.e., personally identifying with the barebacker scene), demographics, sexual risk behaviors, psychosocial variables, and drug/alcohol use. Bivariate and multivariable logistic regression procedures were used to examine predictors of barebacker identity in relation to HIV risk behavior. Overall, 31% of participants identified as a barebacker. In bivariate analyses, lower education (OR=1.76; 95% CI=0.99-3.13; pG0.05), a current drinking problem (OR=2.34, 95% CI=1.29-4.23; pG0.01), higher levels of HIV treatment optimism (OR=1.06; 95% CI= 1.01-1.12; pG0.05), meeting sexual partners at private sex parties (OR=2.47; 95% CI=1.28-4.74; pG0.01) or at bars/cubs (OR=1.97; 95% CI=1.10-3.52; pG0.05), and engaging in serodiscordant unprotected insertive anal sex (OR=3.42; 95% CI=1.27-9.21; pG0.01) significantly predicted barebacker identification compared to those with no barebacker identification. In a multivariable model, barebackers were more likely to screen in for alcohol abuse (adjusted OR=2.16; 95% CI=1.09-4.27; pG0.05) and engage in serodiscordant unprotected insertive anal sex (adjusted OR=3.17; 95% CI=1.09-9.20; pG0.05) compared to their non-barebacker counterparts. No significant differences were found in serodiscordant unprotected receptive anal sex between barebackers and nonbarebackers. These findings suggest that barebacker identity is related to intentional HIV sexual risk taking and alcohol abuse. Furthermore, strategic positioning (i.e., engaging in insertive rather than receptive sex) might be associated with barebacker identification and may indicate a harm-reduction strategy being used among some HIV-uninfected MSM to reduce their risk of becoming infected. Additional research is warranted to understand the social identity of barebacking among MSM in order to develop more nuanced prevention strategies.

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Prevention challenges with current perceptions of HIV burden among HIV‐negative and never‐tested men who have sex with men in the Netherlands: a mixed‐methods study

et al. 2021

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Introduction: As biomedical advances improved HIV treatment, the perceptions of severity and anticipated consequences of HIV could have changed accordingly. This study investigates the current perceptions of severity and anticipated consequences of HIV infection and its association with sexual risk behaviour among HIV-negative and never-tested men who have sex with men (MSM) living in the Netherlands. Methods: In-depth interviews with recently diagnosed HIV-positive MSM were used to develop a questionnaire measuring the perceived severity and anticipated consequences of HIV infection. The questionnaire was distributed online between April and July 2019. A structural equation model was constructed to explore the anticipated consequences contributing to the perceived HIV severity and to assess the association between the perceived severity and sexual risk behaviour. Results: In total, 1,072 HIV-negative and never-tested MSM completed the questionnaire, of whom 28% reported recent sexual risk behaviour. Almost one-quarter of participants (23%) had a low perceived HIV severity, which was associated with more prevalent sexual risk taking (b = À0.07, 95% CI = À0.12/À0.01). In this model, the perceived severity of HIV was more strongly associated with anticipated psychological consequences of HIV (b = 0.34, 95% CI = 0.24 to 0.44) and to a lesser extent with anticipated negative consequences of HIV on sex/relationships (b = 0.28, 95% CI = 0.19 to 0.38) and disclosurerelated consequences (b = 0.16, 95% CI = 0.07 to 0.26). Health-related consequences of HIV were not significantly associated with the severity perceptions (b = 0.06, 95% CI = À0.03 to 0.14). Conclusions: Anticipated negative social and psychological consequences of HIV mostly contribute to high HIV-severity perceptions in MSM. A smaller subgroup of MSM does not perceive HIV as a serious disease, which is associated with increased sexual risk taking. Efforts to normalize living with HIV are essential but might present a challenge for HIV prevention as it could, for a minority of MSM, decrease the motivation to prevent HIV infection.

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Barebacking among MSM Internet Users

Cited by 82 publications

References 61 publications

“Party N Play” on the Internet: Subcultural Formation, Craigslist, and Escaping from Stigma

“Party N Play” on the Internet: Subcultural Formation, Craigslist, and Escaping from Stigma

Predictors of Identifying as a Barebacker among High-Risk New England HIV Seronegative Men Who Have Sex with Men

Prevention challenges with current perceptions of HIV burden among HIV‐negative and never‐tested men who have sex with men in the Netherlands: a mixed‐methods study

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