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The Internet and HIV study: design and methods.

Jonathan Elford1, Graham Bolding, Mark Davis

  • 1Institute of Health Sciences, St Bartholomew School of Nursing and Midwifery, City University London, 24 Chiswell Street, London EC1Y 4TY. j.elford@city.ac.uk.

BMC Public Health
|September 3, 2004
PubMed
Summary
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The Internet has become a new space for gay men to find sexual partners, but it may also increase risks for sexually transmissible infections (STIs). This study explored how gay men in London use the internet for sexual encounters and its impact on sexual health.

Area of Science:

  • Public Health
  • Sociology
  • Digital Health

Background:

  • The Internet offers new avenues for social interaction, particularly for gay men, a dynamic absent in the early 1990s.
  • Studies indicate a rise in high-risk sexual behaviors and sexually transmissible infections (STIs) among gay men seeking partners online, though underlying reasons require further investigation.
  • Research investigated if the Internet functions as a novel sexual risk environment for gay and bisexual men in London.

Purpose of the Study:

  • Quantify the extent of online sexual partner seeking among gay men in London.
  • Compare characteristics of gay men who use the Internet for sexual encounters versus those who do not.
  • Assess the safety of sex with Internet-sourced partners compared to other partners.
  • Evaluate the Internet's role in facilitating unprotected anal intercourse and its potential for HIV prevention strategies.

Related Experiment Videos

Main Methods:

  • Employed a mixed-methods approach combining quantitative and qualitative research.
  • Collected quantitative data via anonymous, self-administered online questionnaires from over 4000 participants.
  • Gathered qualitative data through 128 one-to-one interviews, conducted both online and face-to-face.

Main Results:

  • The study measured the prevalence of online sexual partner seeking among London's gay men.
  • It compared the demographics and behaviors of online versus offline sexual networking.
  • The research examined the association between Internet use and sexual risk behaviors, including unprotected anal intercourse.

Conclusions:

  • The study's strength lies in its diverse methodology, integrating online and offline data collection.
  • Findings enhance understanding of the Internet's influence on gay men's sexual practices.
  • The research provides insights into the evolving landscape of sexual networking and health risks in the digital age.