Advertisement

AIDS and Behavior

, Volume 23, Issue 7, pp 1681–1688 | Cite as

Disclosure of HIV Serostatus and Pre-exposure Prophylaxis Use on Internet Hookup Sites Among Men Who have Sex with Men

  • Martha M. Medina
  • Christina Crowley
  • Madeline C. Montgomery
  • Alec Tributino
  • Alexi Almonte
  • Genoviva Sowemimo-Coker
  • Amy Nunn
  • Philip A. ChanEmail author
Original Paper

Abstract

Men who have sex with men (MSM) who use websites and smartphone applications to meet sexual partners (“hookup sites”) may be at increased HIV risk. Many sites provide profile options to disclose HIV status and pre-exposure prophylaxis (PrEP) use. Little is known about the acceptability of disclosure options which may guide sexual decision-making. We evaluated 104 MSM presenting to a publicly-funded STD clinic. Most (86%) had met a partner online in the last 12 months; 55 and 27% reported using the HIV and PrEP disclosure options, respectively. White MSM were less likely to disclose HIV status than MSM of color (46% vs 74%, p < 0.05). Fifty-three percent of men were more likely to contact a potential partner who disclosed being HIV-negative, and 48% were more likely to do so if the person disclosed being on PrEP. Future HIV prevention approaches should promote disclosure options among MSM meeting partners online.

Keywords

MSM HIV Online Disclosure PrEP 

Notes

Acknowledgements

This work was supported by a Rhode Island Foundation Grant. PAC is supported by NIH Grants R34DA042648, R34MH110369, R34MH109371, R21MH113431, and R21MH109360.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Research Involving Human Participants

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Centers for Disease Control and Prevention. Diagnoses of HIV infection in the United States and dependent areas; 2016. HIV Surveillance Report 2017.Google Scholar
  2. 2.
    Hess KL, Hu X, Lansky A, Mermin J, Hall HI. Lifetime risk of a diagnosis of HIV infection in the United States. Ann Epidemiol. 2017;27(4):238–43.CrossRefGoogle Scholar
  3. 3.
    Chan PA, Glynn TR, Oldenburg CE, et al. Implementation of preexposure prophylaxis for human immunodeficiency virus prevention among men who have sex with men at a New England sexually transmitted diseases clinic. Sex Transm Dis. 2016;43(11):717–23.CrossRefGoogle Scholar
  4. 4.
    Smit PJ, Brady M, Carter M, et al. HIV-related stigma within communities of gay men: a literature review. AIDS Care. 2012;24(4):405–12.CrossRefGoogle Scholar
  5. 5.
    Mera Giler R, Magnuson D, Trevor H, Bush S, Rawlings K, McCallister S. Changes in truvada (TVD) for HIV pre-exposure prophylaxis (PrEP) utilization in the United States: (2012–2016). Paris: 19th IAS Conference on HIV Science; 2017.Google Scholar
  6. 6.
    Chan PA, Mena L, Patel R, et al. Retention in care outcomes for HIV pre-exposure prophylaxis implementation programmes among men who have sex with men in three US cities. J Int AIDS Soc. 2016;19(1):20903.CrossRefGoogle Scholar
  7. 7.
    Pingel ES, Rolle C-P, Kelley C, et al. O02.4 It’s just not for me: exploring low PrEP uptake among young Black men who have sex with men in the Southern United States. In: Sexually transmitted infections. London: BMJ Publishing Group Ltd; 2017, p. A4.Google Scholar
  8. 8.
    Grov C, Whitfield THF, Rendina HJ, Ventuneac A, Parsons JT. Willingness to take PrEP and potential for risk compensation among highly sexually active gay and bisexual men. AIDS Behav. 2015;19(12):2234–44.CrossRefGoogle Scholar
  9. 9.
    Fallon SA, Park JN, Ogbue CP, Flynn C, German D. Awareness and acceptability of pre-exposure HIV prophylaxis among men who have sex with men in Baltimore. AIDS Behav. 2017;21(5):1268–77.CrossRefGoogle Scholar
  10. 10.
    Hojilla JC, Vlahov D, Crouch P-C, Dawson-Rose C, Freeborn K, Carrico A. HIV pre-exposure prophylaxis (PrEP) uptake and retention among men who have sex with men in a community-based sexual health clinic. AIDS Behav. 2017.  https://doi.org/10.1007/s10461-017-2009-x.Google Scholar
  11. 11.
    Beymer MR, Weiss RE, Bolan RK, et al. Sex on demand: geosocial networking phone apps and risk of sexually transmitted infections among a cross-sectional sample of men who have sex with men in Los Angeles county. Sex Transm Infect. 2014;90:567–72.CrossRefGoogle Scholar
  12. 12.
    Chan PA, Towey C, Poceta J, et al. Online hookup sites for meeting sexual partners among men who have sex with men in Rhode Island, 2013: a call for public health action. Public Health Rep. 2016;131(2):264–71.CrossRefGoogle Scholar
  13. 13.
    Badal HJ, Stryker JE, DeLuca N, Purcell DW. Swipe right: dating website and app use among men who have sex with men. AIDS Behav. 2018;22(4):1265–72.CrossRefGoogle Scholar
  14. 14.
    Grov C, Breslow AS, Newcomb ME, Rosenberger JG, Bauermeister JA. Gay and bisexual men’s use of the Internet: research from the 1990s through 2013. J Sex Res. 2014;51(4):390–409.CrossRefGoogle Scholar
  15. 15.
    Bolding G, Davis M, Hart G, Sherr L, Elford J. Where young MSM meet their first sexual partner: the role of the Internet. AIDS Behav. 2007;11(4):522–6.CrossRefGoogle Scholar
  16. 16.
    Landovitz RJ, Tseng C-H, Weissman M, et al. Epidemiology, sexual risk behavior, and HIV prevention practices of men who have sex with men using Grindr in Los Angeles, California. J Urban Health. 2012;90(4):729–39.CrossRefGoogle Scholar
  17. 17.
    SCRUFF Team. The official SCRUFF guide. SCRUFF support. 2018. https://support.scruff.com/hc/en-us/articles/202623934-The-Official-SCRUFF-Guide. Accessed 9 May 2018.
  18. 18.
    Bauermeister JA, Carballo-Diéguez A, Ventuneac A, Dolezal C. Assessing motivations to engage in intentional condomless anal intercourse in HIV risk contexts (“Bareback Sex”) among men who have sex with men. AIDS Educ Prev. 2009;21(2):156–68.CrossRefGoogle Scholar
  19. 19.
    Grov C, Agyemang L, Ventuneac A, Breslow AS. Navigating condom use and HIV status disclosure with partners met online: a qualitative pilot study with gay and bisexual men from Craigslist.org. AIDS Educ Prev. 2013;25(1):72–85.CrossRefGoogle Scholar
  20. 20.
    Newcomb ME, Mongrella MC, Weis B, McMillen SJ, Mustanski B. Partner disclosure of PrEP use and undetectable viral load on geosocial networking apps: frequency of disclosure and decisions about condomless sex. J Acquir Immune Defic Syndr. 2016;71(2):200–6.CrossRefGoogle Scholar
  21. 21.
    Khosropour CM, Dombrowski JC, Swanson F, et al. Trends in serosorting and the association with HIV/STI risk over time among men who have sex with men. J Acquir Immune Defic Syndr. 2016;72(2):189–97.CrossRefGoogle Scholar
  22. 22.
    Purcell DW, Higa D, Mizuno Y, Lyles C. Quantifying the harms and benefits from serosorting among HIV-negative gay and bisexual men: a systematic review and meta-analysis. AIDS Behav. 2017;21(10):2835–43.CrossRefGoogle Scholar
  23. 23.
    White Hughto JM, Pachankis JE, Eldahan AI, Keene DE. “You can’t just walk down the street and meet someone”: the intersection of social–sexual networking technology, stigma, and health among gay and bisexual men in the small city. Am J Mens Health. 2017;11(3):726–36.CrossRefGoogle Scholar
  24. 24.
    Young SD, Rice E. Online social networking technologies, HIV knowledge, and sexual risk and testing behaviors among homeless youth. AIDS Behav. 2011;15(2):253–60.CrossRefGoogle Scholar
  25. 25.
    Overstreet NM, Earnshaw VA, Kalichman SC, Quinn DM. Internalized stigma and HIV status disclosure among HIV-positive black men who have sex with men. AIDS Care. 2013;25(4):466–71.CrossRefGoogle Scholar
  26. 26.
    R Development Core Team. R: a language and environment for statistical computing. Vienna: R Foundation for Statistical Computing; 2017. http://www.R-project.org/. Accessed 9 May 2018.
  27. 27.
    Bird JDP, Voisin DR. A conceptual model of HIV disclosure in casual sexual encounters among men who have sex with men. J Health Psychol. 2011;16(2):365–73.CrossRefGoogle Scholar
  28. 28.
    Yang Z, Zhang S, Dong Z, Jin M, Han J. Prevalence of unprotected anal intercourse in men who have sex with men recruited online versus offline: a meta-analysis. BMC Public Health. 2014;14(1):508.CrossRefGoogle Scholar
  29. 29.
    Raymond HF, McFarland W. Racial mixing and HIV risk among men who have sex with men. AIDS Behav. 2009;13(4):630–7.CrossRefGoogle Scholar
  30. 30.
    Goedel WC, Halkitis PN, Duncan DT. Behavior- and partner-based HIV risk perception and sexual risk behaviors in men who have sex with men (MSM) who use geosocial-networking smartphone applications in New York City. J Urban Health. 2016;93(2):400–6.CrossRefGoogle Scholar
  31. 31.
    Perry Street Software, Inc. Free advertising for nonprofits. SCRUFF Benevolads; 2018. https://ads.scruff.com/. Accessed 9 May 2018.

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of MedicineBrown UniversityProvidenceUSA
  2. 2.Department of Behavioral and Social SciencesBrown University School of Public HealthProvidenceUSA
  3. 3.ProvidenceUSA

Personalised recommendations