A network analysis of sexually transmitted diseases and online hookup sites among men who have sex with men.
Open accessAbstract
BACKGROUND: Sexually transmitted diseases (STDs) are increasing among gay, bisexual, and other men who have sex with men (MSM). Little is known about the use of websites and mobile phone applications to meet sexual partners ("hookup sites") and association with STD diagnoses. METHODS: We performed a demographic and behavioral assessment of 415 MSM presenting to the Rhode Island STD clinic. Bivariate and multivariable analyses assessed associations between using hookup sites and testing positive for syphilis, gonorrhea, or chlamydia. Venue-based affiliation networks were created to evaluate hookup sites and their association with STD diagnoses. RESULTS: Among 415 MSM, 78% reported meeting a partner online in the last 12 months, and 25% tested positive for at least one STD. Men who met partners online were more likely to be white (67% vs. 54%, P = 0.03) and have more than 10 lifetime partners (87% vs. 58%, P < 0.05). The most commonly used hookup sites included Grindr (78%), Scruff (35%), and Tinder (22%). In the multivariable analysis, only Scruff use was associated with testing positive for an STD (odds ratio, 2.28; 95% confidence interval, 1.09-4.94). However, among men who met partners online, 75% of men diagnosed as having an STD had met a sexual partner on Grindr, including 100% of those who were diagnosed as having gonorrhea. CONCLUSIONS: Use of hookup sites was nearly ubiquitous among MSM undergoing STD screening. Specific hookup sites were significantly associated with STD diagnoses among MSM. Greater efforts are needed to promote STD screening and prevention among MSM who meet partners online.
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Internet use might facilitate sexual encounters and STI transmission among MSM, and many men report using hookup sites to meet partners.
“Internet use might facilitate sexual encounters and STI transmission among MSM, and many men report using hookup sites to meet partners (242–245).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [244]
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Sexually Transmitted Infections Treatment Guidelines, 2021
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- Authors
- Chan, P. A., Crowley, C., Rose, J. S., Kershaw, T., Tributino, A., Montgomery, M. C., Almonte, A., Raifman, J., Patel, R., & Nunn, A.
- Affiliations
- Brown University (US)
- Wesleyan University (US)
- Yale University (US)
- Boston University (US)
- Washington University in St. Louis (US)
- Corresponding author
- Chan, Philip A.
- Crowley, Christina
- Tributino, Alec
- Montgomery, Madeline C.
- Almonte, Alexi
- Patel, Rupa
- ORCID
- Venue
- Sexually Transmitted Diseases
- Published
- 2018-07
- Volume
- 45
- Issue
- 7
- Pages
- 462-468
- ISSN
- 0148-5717 (ISSN-L)
- 1537-4521
- PMC
- PMC5995630
- OpenAlex
- W2782175593
- Cited by
- 30
- References
- 27
- Citations by year
- 2025: 6 · 2024: 4 · 2023: 3 · 2022: 4 · 2021: 7 · 2020: 4 · 2019: 2
- FWCI
- 2.54
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Sexually Transmitted Diseases (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH114657)
- National Institute of Allergy and Infectious Diseases (K23AI096923, P30AI042853)
- Topics
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Social Sciences › General Social Sciences › HIV, TB, and STIs Epidemiology
- Keywords
- men who have sex with men, dating apps, Grindr, Tinder, gonorrhea, chlamydia, syphilis, STI screening, mobile application
- MeSH terms
- Health Risk Behaviors, Adolescent, Adult, Chlamydia Infections, Humans, Male, Middle Aged, Rhode Island, Sexual Behavior, Sexual Partners, Sexually Transmitted Diseases, HIV Infections, Homosexuality, Male, Internet, Young Adult, Mobile Applications
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