Media Influence on Risk Behavior in MSM

描述（由申请人提供）：性露骨的媒体是同性恋社区的一个突出部分，并已被假设直接影响男性了解性的方式。自互联网出现以来，与男性发生性关系的男性（MSM）从事在线寻求性行为，包括消费特定的MSM性露骨的在线媒体（SEOM）。在特定于MSM的SEOM行业中有显着的增长，并且在特定于MSM的SEOM中无保护性行为有所增加。这引起了人们对SEOM消费者中鼓励危险性行为的可能性的担忧。尽管存在这些问题，但据申请人所知，还没有研究检查MSM中的SEOM消费或MSM中的SEOM消费与HIV风险之间的关联。这一领域的研究具有巨大的潜力，可以利用特定于男男性行为者的SEOM作为一种手段，快速、廉价地向高危男男性行为者的广大受众传播艾滋病毒预防信息。由于这一领域的研究尚处于起步阶段，因此需要对SEOM和性行为之间的测量和关联进行形成性研究，以制定更大的研究计划。为了满足这些形成性需求，申请人提出了一项混合方法研究。具体而言，将通过对特定于MSM的SEOM网站进行广泛的在线研究和对在线寻求伴侣的MSM（N=15）进行深入的定性访谈，起草特定于MSM的SEOM措施，通过对同一组MSM（N=15）以及在线寻求伴侣的MSM（N =15）的额外样本进行认知访谈进行测试，并最终通过在线预测试与在线寻求合作伙伴的MSM（N=100）的样本。使用这个SEOM措施，在线寻求合作伙伴的MSM（N=1,100）的横断面在线调查将检查SEOM暴露和MSM的性行为之间的关联。申请人是美国第一计划的顶尖临床心理学学生，拥有流行病学硕士学位和在MSM特定艾滋病毒预防研究方面的丰富经验，已经组建了一个非常适合支持她实现奖学金目标的研究团队。这个博士前奖学金将是她在系统的研究计划的发展，最终导致一个创新的在线艾滋病毒预防干预的第一步，并将使她很好的博士后研究职位。 公共卫生相关性：由于男男性行为者在美国的IV感染率仍然最高，因此仍然迫切需要针对他们的创新艾滋病毒预防方法。一个大的色情网络媒体行业的目标男男性接触者，并可以提供一个快速，廉价的方式传播安全性行为的信息，以广大观众的风险男男性接触者。

DESCRIPTION (provided by applicant): Sexually explicit media is a prominent part of the gay community and has been hypothesized to directly impact the way men learn about sex. Since the advent of the Internet, men who have sex with men (MSM) have engaged in online sex-seeking behaviors, including consumption of MSM-specific sexually explicit online media (SEOM). There has been remarkable growth in the MSM-specific SEOM industry and a rise in unprotected sex in MSM-specific SEOM. This has raised concerns about the potential for encouragement of risky sex among SEOM consumers. Despite these concerns, to the applicant's knowledge there has been no research examining SEOM consumption in MSM or associations between SEOM consumption and HIV risk- taking in MSM. Research in this area has tremendous potential to harness MSM-specific SEOM as a means of quickly and inexpensively disseminating HIV prevention messages to a wide audience of at-risk MSM. As research in this area is in its infancy, formative research on measurement and associations between SEOM and sexual behaviors is needed in the development of a much larger program of research. To address these formative needs, the applicant proposes a mixed-methods study. Specifically, a MSM-specific SEOM measure will be drafted using extensive online research of MSM-specific SEOM websites and in- depth qualitative interviews with online partner-seeking MSM (N=15), tested via cognitive interviews with the same group of MSM (N=15) as well as an additional sample of online partner-seeking MSM (N=15), and finalized via online pre-testing with a sample of online partner-seeking MSM (N=100). Using this SEOM measure, a cross-sectional online survey of online partner-seeking MSM (N=1,100) will examine associations between SEOM exposure and sexual behaviors in MSM. The applicant, a top clinical psychology student at the #1 program in the US with an MPH in epidemiology and extensive experience in MSM-specific HIV prevention research, has assembled a research team that is well suited to support her in achieving her fellowship goals. This predoctoral fellowship will be her first step in the development of systematic program of research ultimately leading to an innovative online HIV prevention intervention and will situate her well for a postdoctoral research position. PUBLIC HEALTH RELEVANCE: As MSM continue to have the highest rates of IV infection in the US, there continues to be an urgent need for innovative HIV prevention methods directed toward them. A large industry of sexually explicit online media targets MSM and could provide a quick, inexpensive way to disseminate safer-sex messages to a wide audience of at-risk MSM.