Men Who Have Sex With Men and Recruit Bareback Sex Partners on the Internet: Implications for STI and HIV Prevention and Client Education

Am J Mens Health. 2008 Dec;2(4):306-13. doi: 10.1177/1557988307306045. Epub 2007 Sep 14.


Men who have sex with men (MSM) frequently use Internet-based Web sites to recruit sex partners. Although many MSM users of such sites advocate for safe sex practices in their personal profiles, some users actively recruit sexual partners who wish to participate in anal sexual intercourse without the use of condoms, also known as "bareback" sex. Participating in this sexual practice places both sexual partners at higher risk of HIV transmission. In addition, data indicate this behavior is associated with other high-risk activities such as drug use and communication of other sexually transmitted infections. This article summarizes the literature assessing this phenomenon on the Internet. Specific recommendations are provided for clinicians, health educators, and researchers.

Publication types

  • Review

MeSH terms

  • HIV Infections / epidemiology
  • HIV Infections / etiology*
  • HIV Infections / prevention & control
  • Health Education / organization & administration*
  • Homosexuality, Male / statistics & numerical data*
  • Humans
  • Internet*
  • Male
  • Risk-Taking
  • Safe Sex
  • Sensitivity and Specificity
  • Sexual Behavior
  • Sexual Partners*
  • Sexually Transmitted Diseases / epidemiology
  • Sexually Transmitted Diseases / etiology*
  • Sexually Transmitted Diseases / prevention & control
  • United States