This study is among the first
to examine the sexual risk behaviors and attendant factors of young men who
have sex with men (YMSM) in Hong Kong using location-aware gay social
networking mobile applications ("gay apps").
Among the 213 YMSM (Mage = 21.52, SD = 2.29 years, range 17-25) who
reported their recent (past six months) sexual history with male partners and
gay apps use, inconsistent condom use (ICU) during anal sex was fairly common
(60.2% regular partners, 45.8% non-regular partners). One-fifth of the sample
reported condomless internal ejaculation (CIE) during anal sex (19.3%
insertive, 19.8% receptive).
Frequent "Grindr" and "Jack'd"
users were less likely to report anal sex, and hence ICU, with regular and non-regular partners,
respectively. Sexual partnering via apps doubled the odds of ICU with both
regular (AOR = 1.99) and non-regular (AOR = 2.17) partners. The odds of ICU
with regular partners also increased with relationship status (AOR = 2.86
exclusive, AOR = 3.23 non-exclusive) but reduced for those who never had
STI/HIV testing (AOR = 0.27). With non-regular partners, YMSM's likelihood of
ICU increased with more recent partners (AOR = 3.25) and drug use (AOR = 3.79),
but reduced with group sex (AOR = 0.15).
The odds of receptive CIE increased
with alcohol consumption (AOR = 4.04), non-exclusive relationship (AOR = 4.10),
and more recent partners (AOR = 2.47), but reduced with group sex (AOR = 0.15)
and older age (AOR = 0.84). For insertive CIE, the odds increased with bisexual
YMSM (AOR = 2.89), exclusive relationship (AOR = 3.97), and longtime apps-use
(AOR = 1.81).
The findings identify meaningful differences among YMSM app-users
that inform sexual health intervention and suggest attention on alcohol or drug
use during sex and condomless sex with non-exclusive regular partners.
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at:
- 1a Department of Communication Studies , Hong Kong Baptist University , Kowloon Tong , Hong Kong.
- 2b School of Communication, Hong Kong Baptist University , Kowloon Tong , Hong Kong.
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