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Despite the potential benefits of increasing condom use within SEM for both performers and viewers by state or municipal governments, the potential efficacy of such regulations for reducing the availability of condomless anal sex in SEM are unclear.

Regulations may lead the SEM industry to relocate to places without such regulations including overseas locations. Such relocation may have undesirable consequences for extant industry practices such as frequent HIV testing although the limited effectiveness of frequent testing must be also acknowledged [ 27 ].

These findings also provide information for individual consumers of SEM especially those who are concerned about their own temptations to engage in condomless anal sex to make an informed decision about the types of SEM they choose to view. Future research on whether individuals in the SEM industry or consumers themselves would be willing to produce, show, or view more SEM containing condom use and reasons against doing so are needed to more fully inform the likelihood of such efforts being successful.

The study does have several limitations that require discussion. First, the study is based on a non-probability sample. Thus, self-selection and recruitment sources may limit the generalizability of these findings. However, the majority of adults use Facebook [ 28 ], and MSM are frequent users of websites like Craigslist for sexual partnering [ 13 , 14 ]. Other limitations include that the sample is predominantly White, urban, and gay-identified; as is often the case in Internet-based research with MSM [ 14 , 30 , 31 ].

The study is also limited in that we were unable to examine whether viewing SEM would have different associations with condomless anal sex with regular partners or casual partners, serodiscordant or seroconcordant partners, or with insertive or receptive partners.

Future research examining these more nuanced assessments of sexual behavior would be beneficial. Furthermore, the growing use of PrEP for HIV prevention that occurred since the data were collected may be a critical factor to account for in future research. Despite the relatively small sample, the use of a continuous outcome served to increase the statistical power and the significant findings make clear that the analyses were not underpowered.

Finally, despite the addition of questions to assess the perceived influence of SEM on sexual fantasies, desires, and behaviors, the study was cross-sectional and therefore cannot determine the causal directionality between SEM and condom use.

Future research using longitudinal methods to address causal order or qualitative methods to gain insight into the experiences of MSM and how SEM influences their behaviors would be greatly beneficial. Despite these limitations, the findings offer critical insights into the role of viewing SEM on condomless anal sex among MSM. The study extends this research by documenting that it is not only the viewing of condomless anal sex in SEM that is associated with more condomless anal sex encounters, but that viewing anal sex with condoms is associated with fewer condomless encounters, even after controlling for potential covariates.

Further, these findings offer insights into the causal direction and mechanisms by which SEM may contribute to sexual behaviors among MSM. As such, these findings offer multiple insights for the development of policy-level and behaviorally-based interventions to increase condom use among MSM. Data collection efforts for MJD were supported by a postdoctoral fellowship from the National Research and Development Institutes with funding from the U.

The funder provided support in the form of salary for MJD, but did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. The content of the article is that of the authors and does not necessarily represent the views of the funders - the National Institute of Drug Abuse or the National Institutes of Health.

National Center for Biotechnology Information , U. Published online Apr MJD do not provide any competing interests with the research presented. Received Oct 27; Accepted Apr This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

This article has been cited by other articles in PMC. Abstract The last decade has seen a dramatic increase in the availability of sexually explicit media SEM on the Internet. Procedure Participants were recruited via advertisements on Craigslist and Facebook between June and November Data Analysis Descriptive statistics were computed for all variables.

Results Characteristics of the sample are presented in Table 1. Open in a separate window. Table 2 Negative Binomial Regression: Perceived Influence of Viewing SEM To gain additional insights into the potential causal direction between viewing SEM and sexual behaviors, as well as to identify potential mechanisms by which viewing SEM may contribute to sexual behavior, men were asked to report on how much influence SEM had on their behavior and how often viewing SEM resulted in changes in behavior, fantasies, or desires Table 3.

Discussion This study provides insight into the understudied association between viewing condomless anal sex in SEM and engaging in more condomless anal sex encounters among MSM. SAV Click here for additional data file. Data Availability All relevant data are within the paper and its Supporting Information files. A synthesis and review of the gay male pornography literature.

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City of Los Angeles. Municipal code, Section The City of Los Angeles, California. Accessed on June 21, Accessed on February 22, Senate Concurrent Resolution S. Concurrent Resolution on the Public Health Crisis. Occupational HIV transmission among male adult film performers—Multiple states, Madden M, Zickuhr K. Published August 26, Accessed July 20, What we have learned, and ways forward.

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Please review our privacy policy. Relationship with a man. Relationship with a woman. How much has viewing SEM on Internet contributed to your engaging in riskier sex. In past 3 months, how often has watching SEM on Internet contributed to you engaging in risky sex. In the past 3 months, how often have you had anal sex without a condom within hours of viewing SEM on Internet.

How often watching SEM on Internet influenced the kind of sexual activity you desired. Threw on some clothes, called an uber, and after a VERY slow uber driver, I made it to their hotel within 20 minutes. Once I called them, it took John a few minutes to pick up the phone. He apologized and said they got started a few min early.

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The latter was getting blown by Candy. John talks with me for a minute, asks to see my test. He checks my ID to ensure that it matches my test. What sexual behaviors took place e. How did you feel during it?

How did they behave toward you? Were they a good lover? What did you talk about? How did it end? My clothes come off super quick. I quickly take muscle guys place as she puts my soft cock in her mouth. I was horny throughout the day and never actually washed my junk after jerking off a few times. My cock started to grow and grow until I had a semi.

While she was sucking me, John comes up behind her and puts his cock inside her pussy just for a few minutes. I realize at that point, there is no turning back. The grip is pretty tight but the feeling of her bare pussy is something which I miss. I grab her hips and start fucking deeper, and harder. Gangbangs are not really the place for the marathon man. Girls appreciate cum like voting in chicago style politics, early and often. Who am I not to oblige this gorgeous woman?

Right after I pull out, John goes back in, lasts another few minutes, and dumps his load inside. I take a quick shower and come back out. Perhaps he already finished by the time I got there. Eventually he comes up and John quizzes him on the STI paperwork that he brought. I start fucking Candy again from behind and spooning with a semi.

The indian guy gets in front of her and she starts sucking while I shift to a froggy position. Eventually I start going soft and pull out — neither of the other guys are up for it. Indian guy puts on a condom and candy jumps on. Now, at this point she beckons for me and doo-rag to stand up and have her alternate between sucking our cocks.

This is cool and I start to get really hard. I give it one final go, but then pull out and head to the shower. When I come back, doo-rag is fucking her while wearing a condom and eventually indian guys cums in her mouth. We all clean up, get dressed, say our goodbyes, and head out. I took an uber back home, grab a slice of cold pizza and immediately start typing this up.

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