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Try out PMC Labs and tell us what you think. Learn More. There has been little evaluation regarding whether men who have sex with men MSM recruited in one type of venue differ in behavioral and demographic characteristics from those recruited in others. Men in bathhouses reported the greatest average of partners and were less likely to disclose their HIV status.

Among men reporting anal sex; those on Craigslist reported the least condom use. Our findings demonstrate the need to tailor HIV prevention efforts to the location in which they are targeted, and for researchers to evaluate if participants differ by recruitment source. Venues where MSM gather continue to serve as key locations where health and community service providers conduct HIV testing, education, and prevention efforts [ 4 — 7 ].

Raymond et al.

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They found that public sex environments had the highest likelihood of having MSM with unrecognized HIV infection, highlighting the need for increased location-based HIV testing and education. One study [ 7 ] proposed that both patron and venue-specific characteristics may each influence the frequency of HIV risk behaviors in commercial sex venues such as bathhouses. Furthermore, Thiede et al. Using data from a random-digit-dial telephone survey, Binson et al. This study found that men who went to bathhouses and men who used multiple venues were more likely than those who cruised public spaces to be HIV positive, have had sexually transmitted infections, and to report using amyl nitrate i.

Notably, data for the Binson et al. With the growth of the Internet and MSM seeking sex online [ 10 ], research and prevention has expanded into this arena [ 11 — 13 ].

Researchers have noted how venue-specific characteristics e. As a result, venues where MSM meet sex partners have been of particular interest to researchers not only as a place to recruit MSM at risk for HIV transmission, but also as a point location for the development and delivery of HIV prevention and interventions [ 461318 ].

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Similarly, researchers have evaluated if different types of recruitment methods produce samples that are different from each other [ 19 — 21 ]. For example, Parsons et al. However, with few exceptions [ 2223 ], there has been little evaluation as to whether MSM recruited in one type of venue differ along relevant dimensions from those recruited in others.

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Knowledge of such differences can have a ificant impact on how providers develop the content of their prevention efforts, and how researchers monitor threats to external validity due to the contexts of recruitment source i. Such findings can inform HIV prevention providers seeking to tailor the content of their programs for venue-based delivery, as well as researchers seeking to evaluate their recruitment approaches. Our goal was to recruit MSM from each venue. To be eligible, participants had to be biologically male, at least 18 years of age, report having sex with at least one male partner in the last 3 months who was not their main partner, and identified via one of the three aforementioned types of venues.

Recruitment teams were sent to venues and approached random patrons for participation in the project. Participants received the survey on a clipboard so that they could step away from others to complete the questionnaire in private.

Participants deposited their own completed survey into a secure box held by recruitment staff. The research team adapted time—space sampling [ 202425 ] Arkansas craigslist gay sex recruit men off the no-strings-attached NYC men-seeking-men section of Craigslist. In so doing, we divided each day into 30 min increments 1,2, a. At that randomly-selected time, we posted an ad for the study on Craigslist. We opted to post on Craigslist, versus simply responding to already posted, in an effort to also reach those men who browse but may not have posted one themselves.

A set of varying headlines were used e. The text of the ad further described the study and instructed men to respond via. Those responding to our Craigslist posting via were provided a link to the survey which was hosted on a separate secure website.

Craigslist has automated filters preventing us from including the URL to the survey within our advertisement. During the recruitment period the research team posted to Craigslist 72 times.

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A total of responses were received. Of these, Arkansas craigslist gay sex to complete the survey. Twenty-seven of these men were not eligible they did not have at least one recent male sex partner in the last 3 months who was not a primary partner and thus skipped to the end. Of the remainingseven were excluded for having completed the survey more than once. Although, there are many websites MSM use to meet sex partners we chose Craigslist.

It is one of the largest M4M bulletin boards in the US. Craigslist might be an attractive option for MSM seeking immediate sexual encounters on a casual basis [ 27 ]. Participants answered a series of questions about their sexual behavior with male partners in the most recent 3 months. Men indicated if they had engaged in any anal sex with a male partner yes, noif they had engaged in group sex while sober yes, noand if they had engaged in group sex while drunk or high on drugs yes, no. Participants indicated their total of male partners, and how many of these partners were the same HIV status.

Further, for their non-main sex partners, men reported the of anal sex acts with and without a condom, and how many of their anal sex acts occurred while drunk or high on drugs. In order to capture behavior and attitude variables, participants were asked two questions about discussing HIV with sex partners. All drug use questions were dichotomized yes, no. In addition, men indicated their frequency of alcohol use in the last 3 months never, monthly or less, 2 to 4 times per month, 2 to 3 times per week, 4 or more times per week.

This scale was adapted from the multigroup ethnic identity measure [ 2930 ]. We used chi-square tests for nominal and ordinal variables. For continuous variables with approximately normal distributions i. For continuous variables with non-normal distributions e. We ran models one of three ways. For binomial dependent variables e.

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For variables with count responses e. For proportional outcomes e. All models adjusted for race White vs. All tests were ificantly different.

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Men recruited from bathhouses were the most ethnically and racially diverse Similarly, men on Craigslist were the most likely to report currently being a relationship with a female partner There were no ificant venue differences in the amount of men reporting recent group sex while sober overall Men from Craigslist We next report on venue differences in the average proportion of recent anal sex acts without a condom among male partners unprotected anal intercourse: UAI.

For each participant, the proportion of anal sex acts that were unprotected was calculated as a function of his total anal sex acts, and these proportions were averaged across participants. All values were nested among the men who reported recent anal sex. Compared to men from bathhouses, men from Craigslist averaged a higher proportion of anal sex acts without a condom 19 vs. Using a similar analytic procedure, we calculated the average proportion of anal sex acts that occurred under the influence of alcohol or drugs.

See Table 3 for all values.

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Table 4 reports on venue differences in drug and alcohol use. There were no ificant differences in having ever used methamphetamine overall We lacked sufficient statistical power to assess for recent use differences by venue among lifetime GHB users and lifetime ketamine users.

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Compared to men from Craigslist Notably, Variability across venues in sexual behavior and substance use lead us to conclude that the three samples differed in more ways than they were similar. Given the wide array of differences we found, the data suggest that the men we sampled from each of these venues may represent unique populations within broader MSM communities.

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These findings have implications both for researchers and providers. Instead, researchers have employed other approaches for sampling MSM, including time—space sampling and targeted sampling. Both approaches involve identifying the venues at which MSM congregate and then systematically recruiting individuals within these spaces, preferably casting a wide net as to capture as much diversity as possible.

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With few exceptions [c. Given the ificant cross-venue variation we identified, our data highlight the need for researchers working with MSM to continually evaluate their recruitment approaches, particularly when pooling participants from multiple venues. Specifically, the venue of recruitment may be related to key outcomes of interest such as drug use or other HIV-associated risks.

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Researchers who find differences by recruitment source might consider splitting analyses by venue of recruitment, or including recruitment source as an independent variable when conducting multivariate analyses. That being said, focusing on a single venue would be relevant if this approach was germane to a specific research question e. Instead, our highlight the importance for researchers to evaluate their recruitment methods and for any recruitment effects in their analyses. Consistent with research [ 4781535 ], these data highlight the need to tailor HIV prevention efforts based on the location in which they are delivered and the population for which they are intended.

It is understood that the approach providers undertake within various spaces should be tailored to match the environment, in the sense that strategies used in one venue may not work in another type of venue. This is particularly evident with the Internet, in which it is more difficult to provide face-to-face interactions or distribute tangible services e.

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Our highlight that in addition to the approach, the content of efforts need also be tailored within each space as the MSM within one type of venue may be inherently different, and thus have unique needs from the MSM in another type. Although there is much debate over the efficacy of serosorting to reduce HIV transmission [ 3637 ], a growing body of research has indicated that MSM increasingly engage in this behavior [ 38 — 40 ].

HIV status disclosure is a central component to initiating a serosorting process. Our data indicated that men in bathhouses reported the greatest of partners on average, but were less likely to disclose their HIV status. Similarly, men surveyed in bathhouses were the most likely to be HIV positive.

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Widespread HIV stigma and fear of rejection make it difficult for HIV positive MSM to discuss these topics with their sexual partners, especially during a casual encounter [ 42 ]. Men recruited from Craigslist appeared to engage in different sexual behaviors than the other two groups of MSM. Further, they endorsed the greatest portion of partners as being HIV seroconcordant. However, there is also evidence to suggest that some men are dishonest about their HIV status online [ 4445 ], thus our finding should be interpreted with caution.

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