The relationship between pornography use and sexual behaviours among at-risk HIV-negative men who have sex with men

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doi:10.1071/SH10092

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The relationship between pornography use and sexual behaviours among at-risk HIV-negative men who have sex with men

Lisa A. Eaton ^A ^B, Demetria N. Cain ^A, Howard Pope ^A, Jonathan Garcia ^A and Chauncey Cherry ^A

^A University of Connecticut, Center for Health, Intervention, and Prevention, 2006 Hillside Road, Storrs, CT 06269-1248, USA.
^B Corresponding author. Email: lisaanne.eaton@gmail.com

Sexual Health 9(2) 166-170 http://dx.doi.org/10.1071/SH10092
Submitted: 1 August 2010 Accepted: 18 May 2010 Published: 3 October 2011





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Abstract

Objectives: Although pornography is widely available and frequently used among many adults in the USA, little is known about the relationship between pornography and risk factors for HIV transmission among men who have sex with men. Methods: Baseline assessments from a behavioural intervention trial for at-risk men who have sex with men were conducted in Atlanta, GA in 2009. Univariate and multivariate generalised linear models were used to assess the relationships between known risk factors for HIV infection, time spent viewing pornography, and sex behaviours. Results: One hundred forty-nine men reporting HIV-negative status and two or more unprotected anal sex partners in the past 6 months were enrolled in an intervention trial and completed survey assessments. Time spent viewing pornography was significantly associated with having more male sexual partners (B = 0.45, SE = 0.04, P < 0.001) and unprotected insertive anal sex acts (B = 0.28, SE = 0.04, P < 0.001). Moreover, increased substance use (drug use, B = 0.61, SE = 0.14, P < 0.001; alcohol use, B = 0.03, SE = 0.01, P < 0.01) and decreased perception of risk for HIV infection (B = –0.09, SE = 0.04, P < 0.05) were found to be significantly associated with greater time spent viewing pornography. Conclusions: This exploratory study is novel in that it sheds light on the associations between viewing pornography and sexual risk taking for HIV infection. Future studies in this area should focus on understanding how the content of pornography; in particular, the viewing of unprotected and protected sex acts, may affect sexual risk taking behaviour.

Additional keyword: sexual risk taking.

References

[1] Centers for Disease Control and Prevention. HIV/AIDS statistics and surveillance, 2007. Atlanta: CDC; 2007. Available online at: http://www.cdc.gov/hiv/topics/surveillance/basic.htm#hivaidsexposure [verified July 2011].

[2] Reisner SL, Mimiaga MJ, Skeer M, Bright D, Cranston K, Isenberg D, et al Clinically significant depressive symptoms as a risk factor for HIV infection among black MSM in Massachusetts. AIDS Behav 2009; 13: 798–810.
| CrossRef | PubMed |

[3] Reisner SL, Mimiaga MJ, Case P, Johnson CV, Safren SA, Mayer KH. Predictors of identifying as a barebacker among high-risk New England HIV seronegative men who have sex with men. J Urban Health 2009; 86: 250–62.
| CrossRef | PubMed |

[4] Jarama SL, Kennamer JD, Poppen PJ, Hendricks M, Bradford J. Psychosocial, behavioural, and cultural predictors of sexual risk for HIV infection among Latino men who have sex with men. AIDS Behav 2005; 9: 513–23.
| PubMed |

[5] Adam PC, Teva I, de Wit JB. Balancing risk and pleasure: sexual self-control as a moderator of the influence of sexual desires on sexual risk-taking in men who have sex with men. Sex Transm Infect 2008; 84: 463–7.
| CrossRef | CAS | PubMed |

[6] Silvera R, Stein DJ, Hagerty R, Marmor M. Condom use and male homosexual pornography. Am J Public Health 2009; 99: 1732–3.
| CrossRef | PubMed |

[7] Youn G. Subjective sexual arousal in response to erotica: effects of gender, guided fantasy, erotic stimulation, and duration of exposure. Arch Sex Behav 2006; 35: 87–97.
| CrossRef | PubMed |

[8] Kingston DA, Malamuth NM, Fedoroff P, Marshall WL. The importance of individual differences in pornography use: theoretical perspectives and implications for treating sexual offenders. J Sex Res 2009; 46: 216–32.
| PubMed |

[9] Diamond M. Pornography, public acceptance and sex related crime. A review. Int J Law Psychiatry 2009; 32: 304–14.
| CrossRef | PubMed |

[10] Eaton LA, Kalichman SC, Cain DN, Cherry C, Stearns HL, Amaral CM, et al Serosorting sexual partners and risk for HIV among men who have sex with men. Am J Prev Med 2007; 33: 479–85.
| CrossRef | PubMed |

[11] Harawa NT, Williams JK, Ramamurthi HC, Bingham TA. Perceptions towards condom use, sexual activity, and HIV disclosure among HIV-positive African American men who have sex with men: implications for heterosexual transmission. J Urban Health 2006; 83: 682–94.
| CrossRef | PubMed |

[12] Eaton LA, Cherry C, Cain D, Pope H. A novel approach to prevention for at- risk HIV negative men who have sex with men: Creating a teachable moment to promote informed sexual decision making. Am J Public Health 2011; 101: 539–45.
| PubMed |

[13] Forrest DW, Metsch LR, Lalota M, Cardenas G, Beck DW, Jeanty Y. Crystal methamphetamine use and sexual risk behaviors among HIV-positive and HIV-negative men who have sex with men in South Florida. J Urban Health 2010; 87: 480–5.
| CrossRef | PubMed |

[14] Saunders JB, Aasland OG, Babor TF, De La Fuente JR, Grant M. Development of the Alcohol Use Disorders Screening Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction 1993; 88: 791–804.
| CrossRef | CAS | PubMed |

[15] Bradford LJ, Beck KH. Development and validation of a condom self-efficacy scale for college students. J Am College Health 1991; 39: 219–25.

[16] Baggaley RF, White RG, Boily MC. HIV transmission risk through anal intercourse: systematic review, meta-analysis and implications for HIV prevention. Int J Epidemiol 2010; 39: 1048–63.
| CrossRef | PubMed |

[17] Snowden JM, Raymond HF, McFarland W. Prevalence of seroadaptive behaviours of men who have sex with men, San Francisco, 2004. Sex Transm Infect 2009; 85: 469–76.
| CrossRef | CAS | PubMed |

[18] Eaton LA, Kalichman SC, O’Connell DA, Karchner WD. A strategy for selecting sexual partners believed to pose little/no risks for HIV: serosorting and its implications for HIV transmission. AIDS Care 2009; 10: 1279–88.

[19] Catania JA, Osmond D, Neilands TB, Canchola J, Gregorich S, Shiboski S. Commentary on Schroder et al. (2003a, 2003b). Ann Behav Med 2005; 29: 86–95.
| CrossRef | PubMed |

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