Risk for a Price: Sexual Activity Solicitations in Online Male Sex Worker Profiles

ABSTRACT

The use of social- and sexual networking-based Web sites designed to provide easy and more anonymous access to sexual partners is rising. The popularity of the use of Web sites by male sex workers to promote their services and find clients is also rising. To date, very little inquiry has been devoted to studying the sexual behaviors solicited within online advertisement profiles of male sex workers and men who have sex with men. This study utilized a widely used popular Internet site designed to advertise to clients and gathered demographic, advertised sexual and nonsexual behaviors, pricing, and safety risk category data from profiles within the state of Florida (n = 163). Pearson chi-square analyses indicated that location and several sexual behaviors were significantly related to how often the men reported the degree to which they had safer sex with clients. These findings suggest some male sex workers do not consistently maintain safer-sex behaviors and that some of these men are engaging in sexual activity while under the influence of drugs. Future recommendations support the need for effective public health outreach that emphasizes the importance of safer sexual decision making.     

Sexual Behaviors and Perceptions of HIV Risk in a Multiethnic U.S. Sample of Women Who Have Sex with Women

Abstract

This study investigated the sexual practices and perceptions of HIV risk in a national sample women who have sex with women (WSW). A multiethnic sample of 239 WSW aged 18–68?years attending GLBTQ pride events in three U.S. cities (Chicago, Atlanta, and Fort Lauderdale) completed an anonymous survey regarding their sexual behaviors, thoughts and perceptions of HIV risk. In the past 6?months, 18% of participants reported one or more male partners. Perception of HIV risk was associated with having more male partners (r?=?.244, p?r?=?.185, p?r?=?.191, p?r?=?.169, p?r?=?.208, p?相似文献   

Sexual Communication and Seroadaptation Practices in HIV-Negative Midlife and Older Men Who Have Sex With Men

Advances in treatments have increased the longevity of people with HIV. The high prevalence of HIV among men who have sex with men (MSM) creates a greater risk for exposure that increases with age. Seroadaptation, which includes serosorting (sexual behavior and condom use based on knowing the serostatus of self and partners) and strategic sexual positioning (choosing receptive versus insertive anal sex), is sometimes used as an HIV risk-reduction strategy. This study examined seroadaptation, sexual communication, and HIV-risk behaviors in 420 sexually active HIV-negative MSM aged 40–81 years in South Florida via anonymous pen-and-paper questionnaire. Recreational drug use and serosorting (i.e., not using condoms if the partner said he was HIV-negative) were associated with higher risk for unprotected receptive anal intercourse. Younger age, greater number of partners, and serosorting were associated with higher risk for unprotected insertive anal intercourse. Understanding these behaviors in this group might help guide HIV-prevention efforts. Future research may examine the role of HIV-prevention medication (PrEP) in influencing sexual behavior in midlife and older MSM.     

Too old to test? Prevalence and correlates of HIV testing among sexually active older adults

ABSTRACT

Older adults account for 17% of new HIV diagnoses in the US and are more likely to be diagnosed with HIV later in the course of the disease compared to younger people. We calculated the prevalence and associated factors of having ever been tested for HIV among sexually active older adults. We analyzed data from the 2008–2016 General Social Survey Limited to respondents ≥65 years of age who reported more than one sex partner(s) in past 12 months (n = 757). HIV testing prevalence, prevalence ratios, and 95% confidence intervals were calculated by demographic variables and HIV-related risk behaviors. An estimated 16.3% of sexually active older adults have tested for HIV, and 15.9% were at increased risk for HIV infection (reported injection drug and/or crack–cocaine use, exchanging money for sex, more than three sex partners in the past year, or men who reported having sex with another man). In the adjusted model, adults aged 65–70, not married, self-identified as gay/bisexual, and at increased risk for HIV infection were more likely to have tested for HIV. An estimated 83.7% of sexually active older adults never tested for HIV. Strategies are needed to increase HIV awareness and testing among potentially high-risk older adults.     

Experiences of Stigma and Spirituality of Older Black Men Living with HIV

Abstract

Previous research on HIV stigma and the use of spirituality by people living with HIV/AIDS is scarce. Moreover, the research with older Black men who have sex with men is scant. This study aimed to investigate experiences of HIV stigma and the use of spirituality among older HIV positive Black men who sleep with men. In-depth interviews were conducted with a sample of ten men. Data were analyzed utilizing to the modified van Kaam data analysis method. Three major themes were identified that explores the participants lived experiences with HIV stigma and use of spirituality: experiences of stigma reinforcing the use of spirituality; defining spirituality as a functional concept; and self-empowerment through the use of spirituality. The findings could guide social workers and other helping professionals in developing informed assessments and interventions regarding HIV stigma and the use of spirituality. Future qualitative and quantitative research is needed to achieve generalizable knowledge about the relationship between stigma on the use of spirituality.     

Heterogeneous Perspectives in Coalitions and Community-Based Responses to Sex Trafficking and Commercial Sexual Exploitation: Implications for Practice

ABSTRACT

Despite increases in community-based coalitions to address sex trafficking and commercial sexual exploitation (CSE), and the coinciding ideological debates surrounding sexual commerce, few studies have examined the dynamics between and perspectives among coalition members. This paper aims to explore 1) coalition members' perspectives on religion, politics, feminism, sex trafficking/sex work, neoliberalism/neo-abolitionism and 2) the impacts of such perspectives on coalition members' anti-trafficking/CSE work. Drawing from a larger qualitative study, 24 in-depth semi-structured interviews were conducted with current and former coalition members in an urban Midwestern city. Findings suggest varied religious identities, which challenged some providers in coordinating services for the lesbian gay bisexual transgender queer/questioning (LGBTQ) community or women with a history of or considering abortions. Providers generally identified as democrat as well as feminist in some way, but had conflicting views of sexual commerce. These competing ideologies created challenges for cohesive coalition action. Consequently, it may be essential to facilitate intergroup dialogues addressing diverse perspectives, come to consensus on goals, or develop subgroup goals in order to create a functioning inter-agency response. Future studies should explore such dynamics across multiple coalitions nationwide and the impact such perspectives may have on survivors engaging in services.     

Discount rates and risky sexual behaviors among teenagers and young adults

This article examines the relationship between personal discount rates and sexual behaviors in a sample of teenagers and young adults. We find that higher discount rates (an indication of less willingness to forego current consumption for future consumption) are significantly associated with a range of sexual behaviors, including ever having sex, having sex before age 16 years, and past or current pregnancy. These associations are consistent with previous studies showing a link between discounting and other, non-sexual health behaviors. JEL Classification D80 · D90 · I10     

Gender and the Internet

Objective. This article examines whether there are differences in men's and women's use of the Internet and whether any such gender gaps have changed in recent years. Methods. We use data from several surveys during the period 1997–2001 to show trends in Internet usage and to estimate regression models of Internet usage that control for individuals' socioeconomic characteristics. Results. Women were significantly less likely than men to use the Internet at all in the mid–1990s, but this gender gap in being online disappeared by 2000. However, once online, women remain less frequent and less intense users of the Internet. Conclusions. There is little reason for concern about sex inequalities in Internet access and usage now, but gender differences in frequency and intensity of Internet usage remain.     

上海多性伴性行为现状及其影响因素研究

本文利用上海市的调查数据,首先考察了上海市多性伴性行为的性别差异,接着从阶层归属、家庭亲属生活、性爱生活和性别规范四个层面对多性伴性行为的影响因素进行理论建构。研究结果表明：在多性伴性行为中,“生理需要论”并不起作用;“资本运作”和“环境影响”取代“阶层归属”发挥显性作用;“婚内感情论”具有一定合理性但也存在时效性,“头两年之痒”和“七年之痒”并存;“越轨”性行为具有连贯性;性别规范通过中间变量（两性在社会、家庭和性领域的角色扮演）间接影响两性的性活动方式。因此,我们需要以社会性别视角鉴别女性“性革命”成功与否,思考女性在性地位上是真正解放还是重新被奴役。     

Youth Experiences Survey (YES): Exploring the Scope and Complexity of Sex Trafficking in a Sample of Youth Experiencing Homelessness

ABSTRACT

In the United States, sex trafficking victims have been identified at ages across the lifespan but young persons (under age 25) have been found to have unique vulnerabilities. At-risk youth, such as those who run away from home or those experiencing homelessness, are also at an increased risk of sexual exploitation. To better understand the scope and complexity of sex trafficking among these at-risk youth, a convenience sample of 131 homeless youth aged 12 to 25 years old experiencing homelessness recruited from Kentuckiana youth service providers completed an enhanced version of the Youth Experiences Survey (YES). Univariate and bivariate analyses were conducted. Results indicated that 41.2% of the homeless youth were victims of sex trafficking. The sex trafficked youth were more likely to report previous self-harm behaviors, suicide attempts, and substance use. This study not only provides support for improved service delivery, but also provides essential statistics that should inform internal policy and procedures for youth serving agencies in Kentucky and Indiana. Findings highlight a need for trauma-informed interventions designed to treat not only females but also males and LGBTQ youth. Additionally, service providers should consider partnering with victim providers and clinicians to offer therapeutic groups, individual therapy, and supportive services that increase prevention, education, and wraparound care for clients. In regards to future research, findings point towards a need to better understand the role that trauma and adverse childhood experiences may play in making young people vulnerable to sex trafficking, and encourage the need for testing prevention and early intervention practices among vulnerable youth.     

Adult Social Bonds and Use of Internet Pornography*

Objective. Sociological theories of deviant behavior have not been systematically applied to the problem of who uses and who does not use cyberpornography on the Internet. The present study contributes to the literature by providing the first systematic application of selected sociological theories of deviance to the problem of explaining use of cyberpornography. It tests a blended theoretical perspective, which includes measures from social control and opportunity theories of deviance, as well as measures of broader deviant lifestyles, as possible predictors of use of cyberporn. A key hypothesis is that persons with the strongest ties to conventional society will be less likely than others to use cyberporn. Methods. Complete data on 531 Internet users are taken from the General Social Surveys for 2000. Social bonds measures include religious, marital, and political ties. Measures of participation in sexual and drug‐related deviant lifestyles, and demographic controls are included. Results. The results of a logistic regression analysis found that among the strongest predictors of use of cyberporn were weak ties to religion and lack of a happy marriage. However, past sexual deviance (e.g., involvement in paid sex) was also a strong predictor of cyberporn use. Overall the model explained 40 percent of the variance in porn use on the Internet. Conclusion. Traditional theoretical perspectives on deviance are apparently applicable to this new form of deviant behavior.     

Physical and Sexual Abuse,Battering, and Substance Abuse

Abstract

Women born before 1945 are the older women of today. Many of these women were subjected to childhood physical and sexual abuse and spouse battering at a time where there were no laws to protect them and few people discussed such subjects. Some of these women became substance abusers or lived with substance abusers. While there are retrospective studies on the experiences of adult women who suffered abuse in the family, little is known about the experiences of women over the age of 60 years.

Similarly, there is information on substance abuse among young and middle-aged women, but very little information on or about older womens' experiences with substance abuse. In this study, we review the literature on abuse and substance abuse. We present three clinical cases of older women who have experienced various forms of abuse and who in turn abuse substances. The cases are analyzed. Assessment, treatment, and evaluation methods for social workers are discussed.     

Examining Parental Monitoring as a Pathway From Community Violence Exposure to Drug Use,Risky Sex,and Recidivism Among Detained Youth

ABSTRACT

This study examined whether parental monitoring mediated the relationship between community violence exposure and a spectrum of behaviors such as recidivism, risky sex, and drug use among youth with a history of being detained. It also explored whether risk pathways differed by gender. Adolescents (n = 550) who were detained or previously detained were recruited from eight regional detention facilities in Georgia. Audio computer-assisted self-interviewing technology was used to assess demographic factors (i.e., age, race, and socioeconomic status), risky sex, drug use, and recidivism prior to being detained. Major findings indicated direct relationships between community violence exposures and risky sex and drug use in the 2 months prior to being detained. Findings also indicated that parental monitoring mediated these relationships for both adolescent males and females. These findings document that parental monitoring is an important element even for troubled youth across a broad spectrum of risk factors. Consequently, it is recommended that intervention programs examine the differential effects of monitoring behaviors by a variety of groups such as parental figures, teachers, and peer mentors.     

‘You Get More Respect,’ Reasons for Sex Among African American High School Youth: A Qualitative Study

ABSTRACT

African American adolescents continue to be disproportionately impacted by HIV, sexually transmitted infections (STIs), and unanticipated pregnancies. In-depth, face-to-face interviews among a convenience sample of 32 African American adolescents (16 male and 16 female) were used to explore the reasons why some adolescents decided to engage in sex while others chose to delay sexual debut. Data were analyzed using a thematic analysis. Among the overall sample, psychological motivations, external pressure, physical pleasure seeking, and relationship-related motivations were the major themes cited for engaging in sex by participants and their friends. External support, motivation to avoid negative consequences, not feeling ready or lacking interest in sex, and having negative views about sex were among the major reasons for delaying sex. Several of the emergent themes showed gender differences. Suggestions for future research include the need for sexual education, and STI/HIV prevention programs that are gender sensitive and flexible enough to accommodate multiple factors related to sexual debut.     

Gender and the Internet: Causes of Variation in Access,Level, and Scope of Use*

Objective. The article examines differences in the use of the Internet by gender, with a consideration of access to the web, use of communication facilities related to email and chat rooms, frequency of use, and types of websites used. The study considers the impact of socioeconomic status and social, geographic, racial, and ethnic variables for explaining variations in the use of the web by men and women, and how these factors are mediated by knowledge of how to use the web. Methods. The study employs data collected by the General Social Survey (GSS) in 2000, and relates access, communication levels, frequency of use, and types of sites used to gender and other relevant variables. The relevant variables are analyzed by multivariate analysis. Results. Access to the web was independent of gender, but was related to education, race, income, age, and marital status. Women were less likely than men to chat on the web, but were slightly more likely to use email, and they utilized different types of sites than men. Conclusions. Women access the web as frequently as men, but they communicate on the Internet differently than men, are online less than men, and utilize different types of websites than men. Knowledge related to web use is an important independent variable that influences Internet use by men and women.     

Poverty,Partner Abuse,and Women's Mental Health: New Knowledge for Better Practice

ABSTRACT.

To better understand how poverty and poor mental health impact women who are abused by intimate partners, a convenience sample of 300 abused women using shelters or justice services for the 1st time were interviewed. The 300 women were categorized as having no income, being above poverty, and being below poverty according to U.S. Poverty Guidelines. Results indicated that no direct effect of income on poor mental health was noted; however, an interaction between type and severity of abuse and income level had an impact on poor mental health. Abused women who were above poverty with the highest incomes reported the highest levels of depression in the presence of high physical and sexual abuse. In contrast, women reporting no income reported no significant effect of severity or type of abuse on depression scores. Women just above the poverty level who experienced severe abuse were at highest risk for mental health problems. Poverty impacts the mental health of abused women according to the degree of poverty and type and severity of abuse. More research is needed to specify programs to maximize the mental health functioning and economic solvency of abused women.     

Paedophiles, Pornography and the Internet: Assessment Issues

Correspondence to Dr Ethel Quayle, COPINE Project, Department of Applied Psychology, University College Cork, Cork, Ireland. E-mail: e.quayle{at}ucc.ie Summary As yet, little is understood of the potential problems and benefitsassociated with Internet use, and the resulting social outcomesthat may arise. This article examines issues that emerged outof a subset of nine interviews with social workers and probationofficers, namely the feelings by such practitioners that theydid not understand the function of the Internet for adults witha sexual interest in children. The analysis of these data isnot examined in detail, rather an attempt is made to addressthe issues raised through a discussion of the role of childpornography, how it is accessed through the Internet and whatimplications this might have for assessment. The data are drawnfrom ongoing research by the COPINE (Combating Paedophile InformationNetworks in Europe) Project.     

Long-Term Planning and Decision-Making Among Midlife and Older Gay Men and Lesbians

Abstract

This article examines the issues of long-term planning and decision-making among midlife and older gay men and lesbian caregivers. Using a qualitative methodology, in-depth interviews were conducted with 19 gay men and lesbians over 50. Participants reported on their long-term planning and decision-making processes. All but four persons reported that their partners had advance directives, but the majority of caregivers did not have advance directives for themselves. Concerns about informal family dynamics and interactions with formal systems were expressed, along with financial and ownership issues. It is important for social workers to intervene across individual, organizational, and community levels in advocacy for the needs of older gay men and lesbian clients.     

Gay Men's Knowledge of HIV Transmission and ‘Safe’ Sex: A Question of Accuracy

The study described in this paper is part of a project assessing the impact of the HIV epidemic on 535 men who have sex with men. These men were surveyed about their knowledge of HIV, their sexual practices, other issues concerning the transmission of HIV, and AIDS. This paper focuses on these men's beliefs about HIV transmission, their perceptions of the safety of a number of sexual and social practices, and the factors influencing these perceptions. The findings indicate, in general, that the men surveyed were moderately well informed about HIV transmission. Some twenty percent of the men were well-informed about both ‘safe’ and ‘unsafe’ sexual practices, a small number were ill-informed and the remainder, the majority, were well-informed about some aspects and ill-informed about others. The data suggest that information from the mainstream and gay press is not only differentially available but that information is processed and interpreted by the men in different ways. Variables which influence the manner in which information is interpreted are place of residence (locale), awareness of gay community posters and pamphlets, and the men's sexual practice; these are associated with cautiousness or rashness in the men's judgments of safety and risk.     

Treating Men Who Batter

This article presents four years of evaluation data from a large treatment program for men who batter their female partners. Follow-up data on violence and threats of violence as reported by female partners is presented for 156 men who completed the treatment program and comparison groups totalling 67 men who received varying amounts of treatment but did not complete the program. Overall, approximately two-thirds of the men who completed treatment were found, at follow-up, to be not violent. Just over half of the men who received some treatment but did not complete treatment were also reported to be not violent at follow-up. As the client population changed, the results of intervention seemed to weaken. The practice implications of these studies and their results are discussed.