Finding Sexual Partners Online: Prevalence and Associations with Sexual Behaviour, STI Diagnoses and Other Sexual Health Outcomes in the British Population

Overview

Journal Sex Transm Infect

Specialty Infectious Diseases

Date 2017 Apr 12

PMID 28396557

Citations 17

Authors

Melissa Cabecinha

Catherine H Mercer

Kirsten Gravningen

Catherine Aicken

Kyle G Jones

Clare Tanton

Kaye Wellings

Pam Sonnenberg

Nigel Field

Affiliations

Soon will be listed here.

Abstract

Objectives: Online venues might facilitate sexual encounters, but the extent to which finding partners online is associated with sexual risk behaviour and sexual health outcomes is unclear. We describe use of the internet to find sexual partners in a representative sample in Britain.

Methods: The third National Survey of Sexual Attitudes and Lifestyles (Natsal-3) was a cross-sectional probability survey of 15 162 adults (aged 16-74 years) undertaken 2010-2012. We estimated prevalence of, and identified factors associated with, finding sexual partners online among those reporting ≥1 new sexual partners in the past year.

Results: Finding sexual partners online in the past year was reported by 17.6% (95% CI 15.6 to 19.9) of men and 10.1% (8.5-11.9) of women, and most common among those aged 35-44 years. After age-adjustment, those reporting a non-heterosexual identity were more likely to report this. Finding partners online was also associated with reporting sexual risk behaviours: condomless sex with ≥2 partners (adjusted OR (aOR) men: 1.52 (1.03 to 2.23); women: 1.62 (1.06 to 2.49)), concurrent partnerships (aOR men: 2.33 (1.62 to 3.35); women: 2.41 (1.49 to 3.87)) and higher partner numbers (reporting ≥5 partners aOR men: 5.95 (3.78 to 9.36); women: 7.00 (3.77 to 13.00)) (all past year). STI diagnoses and HIV testing were more common among men reporting finding partners online (adjusted for age, partner numbers, same-sex partnerships), but not women.

Conclusions: Finding partners online was associated with markers of sexual risk, which might be important for clinical risk assessment, but this was not matched by uptake of sexual health services. Online opportunities to find partners have increased, so these data might underestimate the importance of this social phenomenon for public health and STI control.

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References

Bolding G, Davis M, Hart G, Sherr L, Elford J . Heterosexual men and women who seek sex through the Internet. Int J STD AIDS. 2006; 17(8):530-4. DOI: 10.1258/095646206778145695. View

Melendez-Torres G, Nye E, Bonell C . Internet sex-seeking is inconsistently linked with sexual risk in men who have sex with men: systematic review of within-subjects comparisons. Sex Health. 2015; 12(3):183-7. DOI: 10.1071/SH14183. View

Hightow-Weidman L, Muessig K, Bauermeister J, Zhang C, LeGrand S . Youth, Technology, and HIV: Recent Advances and Future Directions. Curr HIV/AIDS Rep. 2015; 12(4):500-15. PMC: 4643403. DOI: 10.1007/s11904-015-0280-x. View

Hughes G, Field N . The epidemiology of sexually transmitted infections in the UK: impact of behavior, services and interventions. Future Microbiol. 2015; 10(1):35-51. DOI: 10.2217/fmb.14.110. View

Elford J, Bolding G, Sherr L . Seeking sex on the Internet and sexual risk behaviour among gay men using London gyms. AIDS. 2001; 15(11):1409-15. DOI: 10.1097/00002030-200107270-00010. View

Klausner J, Wolf W, Zolt I, Katz M . Tracing a syphilis outbreak through cyberspace. JAMA. 2000; 284(4):447-9. DOI: 10.1001/jama.284.4.447. View

Aral S, Manhart L . "Someone naughty for tonight": sex partner recruitment venues and associated STI risk. Sex Transm Infect. 2009; 85(4):239-40. DOI: 10.1136/sti.2008.035378. View

McFarlane M, Bull S, Rietmeijer C . The Internet as a newly emerging risk environment for sexually transmitted diseases. JAMA. 2000; 284(4):443-6. DOI: 10.1001/jama.284.4.443. View

Pennise M, Inscho R, Herpin K, Owens Jr J, Bedard B, Weimer A . Using smartphone apps in STD interviews to find sexual partners. Public Health Rep. 2015; 130(3):245-52. PMC: 4388222. DOI: 10.1177/003335491513000311. View

10.

Richters J, de Visser R, Badcock P, Smith A, Rissel C, Simpson J . Masturbation, paying for sex, and other sexual activities: the Second Australian Study of Health and Relationships. Sex Health. 2014; 11(5):461-71. DOI: 10.1071/SH14116. View

11.

Al-Tayyib A, McFarlane M, Kachur R, Rietmeijer C . Finding sex partners on the internet: what is the risk for sexually transmitted infections?. Sex Transm Infect. 2008; 85(3):216-20. DOI: 10.1136/sti.2008.032631. View

12.

Mercer C, Tanton C, Prah P, Erens B, Sonnenberg P, Clifton S . Changes in sexual attitudes and lifestyles in Britain through the life course and over time: findings from the National Surveys of Sexual Attitudes and Lifestyles (Natsal). Lancet. 2013; 382(9907):1781-94. PMC: 3899021. DOI: 10.1016/S0140-6736(13)62035-8. View

13.

Winetrobe H, Rice E, Bauermeister J, Petering R, Holloway I . Associations of unprotected anal intercourse with Grindr-met partners among Grindr-using young men who have sex with men in Los Angeles. AIDS Care. 2014; 26(10):1303-8. DOI: 10.1080/09540121.2014.911811. View

14.

Erens B, Phelps A, Clifton S, Mercer C, Tanton C, Hussey D . Methodology of the third British National Survey of Sexual Attitudes and Lifestyles (Natsal-3). Sex Transm Infect. 2013; 90(2):84-9. PMC: 3933071. DOI: 10.1136/sextrans-2013-051359. View

15.

Garnett G, Hughes J, Anderson R, Stoner B, Aral S, Whittington W . Sexual mixing patterns of patients attending sexually transmitted diseases clinics. Sex Transm Dis. 1996; 23(3):248-57. DOI: 10.1097/00007435-199605000-00015. View

16.

Jenness S, Neaigus A, Hagan H, Wendel T, Gelpi-Acosta C, Murrill C . Reconsidering the internet as an HIV/STD risk for men who have sex with men. AIDS Behav. 2010; 14(6):1353-61. DOI: 10.1007/s10461-010-9769-x. View

17.

Daneback K, Mansson S, Ross M . Using the Internet to find offline sex partners. Cyberpsychol Behav. 2007; 10(1):100-7. DOI: 10.1089/cpb.2006.9986. View

18.

Liau A, Millett G, Marks G . Meta-analytic examination of online sex-seeking and sexual risk behavior among men who have sex with men. Sex Transm Dis. 2006; 33(9):576-84. DOI: 10.1097/01.olq.0000204710.35332.c5. View

19.

Bailey J, Mann S, Wayal S, Abraham C, Murray E . Digital media interventions for sexual health promotion-opportunities and challenges: a great way to reach people, particularly those at increased risk of sexual ill health. BMJ. 2015; 350:h1099. DOI: 10.1136/bmj.h1099. View

20.

Anderson R, Gupta S, Ng W . The significance of sexual partner contact networks for the transmission dynamics of HIV. J Acquir Immune Defic Syndr (1988). 1990; 3(4):417-29. View