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In this large study among MSM attending the STI clinic in Amsterdam, we found no evidence that online dating was independently associated with a higher risk of UAI than offline dating. Free sex dating nearest Kelvin Grove Queensland. Kelvin Grove QLD, Australia free sex dating. For HIV negative guys this lack of assocation was clear (aOR = 0.94 95 % CI 0.59-1.48); among HIV-positive men there was a non significant association between online dating and UAI (aOR = 1.62 95 % CI 0.96-2.72). Only among men who suggested they weren't informed of their HIV status (a little group in this study), UAI was more common with on-line than offline partners.

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The number of sex partners in the preceding 6months of the index was also associated with UAI (OR = 6.79 95 % CI 2.86-16.13 for those with 50 or more recent sex partners compared to those with fewer than 5 recent sex partners). UAI was significantly more likely if more sex acts had occurred in the venture (OR = 16.29 95 % CI 7.07-37.52 for >10 sex acts within the partnership compared to only one sex act). Other factors significantly associated with UAI were group sex within the venture, and sex-connected multiple drug use within venture.

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In multivariate model 3 (Tables 4 and 5 ), also including variables concerning sexual behavior in the venture (sex-associated multiple drug use, sex frequency and partner kind), the independent effect of online dating place on UAI became somewhat more powerful (though not significant) for the HIV positive men (aOR = 1.62 95 % CI; 0.96-2.72), but remained similar for HIV negative men (aOR = 0.94 95 % CI 0.59-1.48). Free sex dating nearest Kelvin Grove. The result of online dating on UAI became stronger (and important) for HIV-oblivious men (aOR = 2.55 95 % CI 1.11-5.86) (Table 5 ).

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In univariate analysis, UAI was significantly more prone to happen in on-line than in offline partnerships (OR = 1.36 95 % CI 1.03-1.81) (Table 4 ). The self-perceived HIV status of the participant was strongly associated with UAI (OR = 11.70 95 % CI 7.40-18.45). Free sex dating nearest Kelvin Grove Queensland. The effect of dating location on UAI differed by HIV status, as can be seen best in Table 5 Table 5 shows the organization of online dating using three distinct reference classes, one for each HIV status. Among HIV positive men, UAI was more common in online when compared with offline partnerships (OR = 1.61 95 % CI 1.03-2.50). Among HIV negative men no association was apparent between UAI and internet partnerships (OR = 1.07 95 % CI 0.71-1.62). Among HIV-oblivious men, UAI was more common in online in comparison to offline ventures, though not statistically significant (OR = 1.65 95 % CI 0.79-3.44).

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Features of on-line and offline partners and ventures are shown in Table 2 The median age of the partners was 34years (IQR 28-40). Compared to offline partners, more on-line partners were Dutch (61.3% vs. 54.0%; P 0.001) and were defined as a known partner (77.7% vs. 54.4%; P 0.001). The HIV status of online partners was more often reported as understood (61.4% vs. 49.4%; P 0.001), and in online partnerships, perceived HIV concordance was higher (49.0% vs. 39.8%; P 0.001). Participants reported that their online partners more frequently understood the HIV status of the participant than offline partners (38.8% vs. Free Sex Dating near me Kelvin Grove. 27.2%; P 0.001). Participants more frequently reported multiple sexual contacts with internet partners (50.9% vs. 41.3%; P 0.001). Sex-related material use, alcohol use, and group sex were less often reported with online partners. Kelvin Grove, QLD Free Sex Dating.

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In order to analyze the potential mediating effect of more info on partners (including perceived HIV status) on UAI, we developed three multivariable models. In version 1, we adjusted the organization between online/offline dating location and UAI for characteristics of the participant: age, ethnicity, number of sex partners in the preceding 6months, and self-perceived HIV status. In model 2 we added the venture features (age difference, ethnic concordance, lifestyle concordance, and HIV concordance). In version 3, we adapted also for venture sexual risk behavior (i.e., sex-associated drug use and sex frequency) and partnership kind (i.e., casual or anonymous). As we assumed a differential effect of dating place for HIV-positive, HIV-negative and HIV status unknown MSM, an interaction between HIV status of the participant and dating location was included in all three models by making a brand new six-class variable. For clarity, the effects of online/offline dating on UAI are also presented separately for HIV negative, HIV-positive, and HIV-oblivious guys. We performed a sensitivity analysis restricted to partnerships in which just one sexual contact occurred. Free sex dating near me Kelvin Grove. Statistical significance was defined as P 0.05. No adjustments for multiple comparisons were made, in order not to miss potentially important organizations. As a fairly large number of statistical evaluations were done and reported, this approach does lead to a heightened risk of one or more false-positive associations. Analyses were done utilizing the statistical programme STATA, version 13 (STATA Intercooled, College Station, TX, USA).

Before the analyses we developed a directed acyclic graph (DAG) representing a causal model of UAI. In this model some variables were putative causes (self-reported HIV status; online partner acquisition), others were considered as confounders (participants' age, participants' ethnicity, and no. of male sex partners in preceding 6months), and some were presumed to be on the causal pathway between the primary exposure of interest and results (age difference between participant and partner; ethnic concordance; concordance in life styles; HIV concordance; venture kind; sex frequency within venture; group sex with partner; sex-related material use in partnership).

We compared characteristics of participants by self-reported HIV status (using 2-tests for dichotomous and categorical variables and using rank sum test for continuous variables). We compared characteristics of participants, partners, and venture sexual behaviour by on-line or offline venture, and calculated P values based on logistic regression with robust standard errors, accounting for related data. Continuous variables (i.e., age, amount of sex partners) are reported as medians with an interquartile range (IQR), and were categorised for inclusion in multivariate models. Random effects logistic regression models were used to analyze the association between dating location (online versus offline) and UAI. Odds ratio tests were used to assess the importance of a variable in a model.

In order to investigate potential disclosure of HIV status we also asked the participant whether the casual sex partner understood the HIV status of the participant, with the reply alternatives: (1) no, (2) maybe, (3) yes. Sexual behavior with each partner was dichotomised as: (1) no anal intercourse or only protected anal intercourse, and (2) unprotected anal intercourse. To discover the subculture, we asked whether the participant characterised himself or his partners as belonging to at least one of the following subcultures/lifestyles: casual, formal, alternative, drag, leather, military, sports, fashionable, punk/skinhead, rubber/lycra, gothic, bear, jeans, skater, or, if none of these characteristics were applicable, other. Free sex dating near me Kelvin Grove, Queensland. Concordant lifestyle was categorised as: (1) concordant; (2) discordant. Chance partner sort was categorised by the participants into (1) known traceable and (2) anonymous partners.

HIV status of the participant was obtained by asking the question 'Do you understand whether you are HIV infected?', with five response options: (1) I 'm definitely not HIV-infected; (2) I think that I am not HIV-contaminated; (3) I do not know; (4) I believe I may be HIV-contaminated; (5) I know for sure that I am HIV-contaminated. We categorised this into HIV-negative (1,2), unknown (3), and HIV-positive (4,5) status. The survey enquired about the HIV status of every sex partner together with the question: 'Do you understand whether this partner is HIV-infected?' with similar answer choices as above. Perceived concordance in HIV status within partnerships was categorised as; (1) concordant; (2) discordant; (3) unknown. The final category represents all partnerships where the participant did not know his own status, or the status of his partner, or both. In this study the HIV status of the participant is self-reported and self-perceived. The HIV status of the sexual partner is as perceived by the participant.

Participants completed a standardised anonymous survey during their visit to the STI outpatient clinic while waiting for preliminary test results after their consultation using a nurse or physician. The questionnaire elicited information on socio-demographics and HIV status of the participant, the three most recent partners in the preceding six months, and data on sexual behavior with those partners. A thorough description of the study design and also the survey is supplied elsewhere 15 , 18 Our primary determinant of interest, dating place (e.g., the name of a bar, park, club, or the name of a website) was obtained for every partner, and categorised into on-line (websites), and offline (physical sites) dating locations. Free Sex Dating nearest Kelvin Grove QLD Australia. To simplify the terminology of differentiating the partners per dating place, we refer to them as on-line or offline partners.

We used data from a cross sectional study focusing on spread of STI via sexual networks 15 Between July 2008 and August 2009 MSM were recruited from the STI outpatient clinic of the Public Health Service of Amsterdam, the Netherlands. Men were eligible for participation if they reported sexual contact with men during the six months preceding the STI consultation, they were at least 18years old, and could understand written Dutch or English. Individuals could participate more than once, if subsequent visits to the practice were related to a possible new STI episode. Participants were routinely screened for STI/HIV according to the standard procedures of the STI outpatient clinic 15 , 17 The study was approved by the medical ethics committee of the Academic Medical Center of Amsterdam (MEC 07/181), and written informed consent was obtained from each participant. Free Sex Dating in Kelvin Grove, Queensland. Included in this investigation were guys who reported sexual contact with at least one casual partner dated online as well one casual partner dated offline.

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