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The use of social- and sexual networking-based Web sites designed to provide easy and more anonymous access to sexual partners is rising. The popularity of the use of Web sites by male sex workers to promote their services and find clients is also rising. To date, very little inquiry has been devoted to studying the sexual behaviors solicited within online advertisement profiles of male sex workers and men who have sex with men. This study utilized a widely used popular Internet site designed to advertise to clients and gathered demographic, advertised sexual and nonsexual behaviors, pricing, and safety risk category data from profiles within the state of Florida (n = 163). Pearson chi-square analyses indicated that location and several sexual behaviors were significantly related to how often the men reported the degree to which they had safer sex with clients. These findings suggest some male sex workers do not consistently maintain safer-sex behaviors and that some of these men are engaging in sexual activity while under the influence of drugs. Future recommendations support the need for effective public health outreach that emphasizes the importance of safer sexual decision making. [ABSTRACT FROM AUTHOR]

Recent research studies suggest increasingly widespread use of Internet sexual networking sites to initiate sexual relationships among men who have sex with men. Concerns are growing in regard to use of such sites in promoting participation in higher-risk sexual activities by providing easier access to partners who are willing to participate. One such activity surrounds substance abuse including using crystal methamphetamine and is commonly termed “party and play” (PNP) during sexual encounters, particularly unprotected anal sex. Current studies indicate conflicting results on PNP and the meeting of sexual partners from the Internet. A critical examination of these studies is presented along with recommendations designed to support future scholarly inquiry. [ABSTRACT FROM PUBLISHER]

Gay men entering the health care system present with unique needs essential for health care providers to comprehend and address. While data indicate mental health and substance abuse disorders are more prevalent among gay men compared with their heterosexual counterparts, the literature assessing abuse of alcohol by gay men is conflicting. This article explores the conflicting research examining the use and abuse of alcohol by gay men, common findings and themes among studies addressing the issue, the theoretical concepts of internalized homophobia and heterosexism as they relate to alcohol abuse, and clinical strategies providers can implement when encountering this issue among their gay male patients. This comprehensive assessment of the literature will also provide direction for future critical inquiries and outline ways to improve the current methods of inquiry. [ABSTRACT FROM AUTHOR]

Recent research has indicated the use of the Internet to meet sexual partners among men who have sex with men (MSM) is increasing. This medium also serves as a major source for social and sexual networking among MSM who live in more rural areas. In addition, data suggest the use of the Internet to initiate sexual relationships among this population may increase the risk of transmission of sexually transmitted infections, including HIV. The purpose of this study was to examine differences between self-reported HIV serostatus and requests for condomless bareback (BB) sex among a sample of Florida MSM (n = 483) using a popular Internet sexual networking site to meet sexual partners. Specifically, these variables were assessed in relation to population size among the site's seven geographic regions within the state. Findings indicated an overall statistically significant relationship among requests for BB sex and self-reported HIV serostatus. However, there was not a significant relationship among these variables and geographic region. Thus, although previous data have emphasized the importance of different HIV prevention strategies among rural versus urban MSM, there may not be major differences in HIV serostatus and requests for unsafe sexual practices among these men who use the Internet to meet sexual partners in comparison to MSM in more populated areas. [ABSTRACT FROM AUTHOR]