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We examined socio-demographic and behavioral characteristics of men who have sex with men MSM residing in Asia and correlates of unprotected receptive intercourse with Internet ejaculation URAIE. Of participants who had receptive anal intercourse, The internet can be used as a platform for HIV surveillance and intervention. Stigma and discrimination against sexual minorities pose tremendous challenges in conducting behavioral surveillance as well as outreach to MSM in this region.
Many MSM are afraid to be identified for fear of cultural and legal consequences. The anonymous and easy-to-access nature of the Internet has made gay chat rooms and websites popular spaces for Asian MSM to seek romance, sexual opportunities, and to express their sexual identities [ 3 ]. A Chinese study found that the most popular three gay websites in China have attracted more than half million users across mainland China [ 4 ].
An Internet-based survey is a practical way to collect socio-behavioral data on large numbers of MSM because it protects the privacy of the respondents and being more cost-effective than conducting venue-based behavioral surveys. For such reasons, the Internet provides a unique and well-timed opportunity to assess risk-taking contexts among MSM [ 5 ]. While the surveillance surveys at the traditional gay venues have been useful in understanding HIV prevalence and basic behavioral risks in various countries, these assessments lack indepth questions related to HIV acquisition and transmission risks.
The usual variables are unprotected anal intercourse, having multiple sex partners, and the correlates of these. And so by assessing these activities and regularly monitoring them, we will know 1 the prevalence and frequencies of various high-risk and harm reduction strategies and 2 the correlates of these activities so that we may better inform and evaluate the effectiveness of current preventive interventions for MSM. Participants were recruited exclusively through online methods, primarily through animated web banners and direct electronic mailers sent through a network of gay community partners.
For a two-month period, this online survey was advertised in a series of pop-ups and banners in gay chat rooms and gay-related websites.