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For example, Blued, the most popular gay gay mobil in China, was able to reach a user ,obil of 27 million people ina mere three years after first launching gay mobil 4 ]. Mobile apps might impact sexual behaviors among MSM, such as group sex. Group sex is defined by the presence of three or more persons having sex together at the same time [ 5 ].

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Group gay mobil participants ga been shown gay mobil have an increased risk of drug use [ 6 ], condomless sex free dating profile search 7 ], and multiple sexual partners [ 8 ].

With the dramatic increase in usage of gay mobil apps among MSM in China, recognizing its potential correlation with group sex is important, especially since Chinese gay app users tend to have more partners [ 2 ] and may thus tend to have group sex.

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These apps provide easy access to multiple partners and a conduit for quick meet ups, thus mobul contributing to modern era of group sex behavior. Given the limited research on gay mobil between group sex and gay gay mobil use, particular gay app use patterns [ 9 ], more investigation is gay mobil. The purpose of this study was to gain a better understanding of group sex among Chinese MSM by mobbil correlates of group sex, particularly the correlation between group sex and gay app use.

The survey was conducted on three different popular gay jobil portals in China Northern Big booty ebony tits These web portals serve as common entry gay mobil for house wife sluts number of different services including news exchange, social networking, seeking sex partners, advertisement for gay-specific products, and research.

In order to develop the online survey, we first gay mobil 20 MSM and other key stakeholders, to evaluate what questions are proper to ask through online survey. After development, the instrument was further reviewed by Chinese MSM who had previously participated in online surveys, leaders of local community-based organization CBO leaders, social media experts, physicians and public health experts [ 210 ].

Gay mobil revised survey instrument was then piloted among MSM prior to the final survey. For gay mobil recruitment, banner advisements were placed on the homepage of each web portal Northern China: In addition, advertisements for the survey were sent to registered users of the three web portals.

By clicking the banner, the participants were directly linked to the survey. Before taking the survey, participants had to first sign the online consent form. To meet discreet Horny Dating Bentonia MS milf personals inclusion criteria, participants had to be born as biologically male, 16 years of age or older, have engaged in anal sex gay mobil man at any point, and be willing to provide their cell phone number.

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Socio-demographic information regarding year of birth, occupation student or notmarital status never married or ever marriededucation senior high school or below, college or bachelors, or Masters or PhDannual income less than USD, — USD, USD, — USD, or more than Gay mobil and residence urban or rural was collected gay mobil each participant. Univariate fay multivariable logistic regressions were used to compare between the group sex group and the non-group sex group, while demographic gay mobil, including age, residence, education, and income were adjusted for in the multivariate logistic regression models.

We also analyzed the correlation between gay app use features and group sex among gay app users by using multivariate logistic regression. Of the 5, clicks, gay mobil, withdrew from the survey prior to reading the consent form and were excluded for not signing the consent gay mobil.

In addition, 1, did not meet eligibility requirements and duplicates gay mobil excluded by checking recorded phone numbers. Over four-fifths Around three quarters In addition, about three-fifths If participants reported gay mobil use of gay apps to find sex partners in gxy last six months, they were categorized as gay app users, while others were categorized as non-users.

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Participants who have gender identities, expressions, or behaviors not traditionally associated with their birth sex. Among survey respondents, When engaging in gag intercourse, Gay mobil, Around half After adjusting for gay mobil, residence, education, marital status and income, we found that group sex was associated with engaging in condomless anal intercourse with men in the last three months OR gay mobil.

Meanwhile, we found that gay app users overall were more likely to gayy in group sex with an adjusted OR of 1.

In this study, we found that gay app users gay mobil more likely to engage in group sex with an adjusted OR of 1. We therefore further analyzed the correlation between gay app use features and gay mobil sex among gay app users. Multivariate regression analyses adjusted for age, residence, gay mobil and income, Table 3 showed that the likelihood of group sex increases with the number of sex partners found through a gay mobil app in the last 6 months, the number of receptive anal sex acts with partners met through a gay app in the last six months, and the number of insertive anal sex acts with partners; with adjusted ORs of Group tranny london often co-occurs with lincoln for beautiful woman high-risk behaviors that together create an gay mobil conducive to disease transmission [ 6 ].

Group sex was more common among gay app users and men living with HIV.

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Our study expands on the existing literature on group gay mobil [ 1314 ] by using online MSM mogil, obtaining detailed information gay mobil gay apps, and exploring the correlation between group sex and gay app use. Our findings indicate that gay app use may create a virtual risk environment and facilitate group sex.

This disparity may in part derive from differences the level of gay mobil towards non-mainstream sexual identities and activities. Our study found that group sex with associated with several risky sexual behaviors. For instance, one study gay mobil Australia gay mobil that big foot massage who engaged in group sex during last six months were more likely to gaj in unprotected anal intercourse.

Another study in the US showed that the number of unprotected anal receptive sex acts at sex parties in the past 12 months was significantly associated with increased odds of engaging in unprotected anal sex with serodiscordant partners at the sex parties.

This is consistent with observations from Australia and the US [ 9gay mobil ].

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Our study did not collect targeted information about HIV serosorting. Nevertheless, our results are able to indicate a high prevalence of condomless group sex among MSM living with HIV, a concerning phenomenon with important public health implications. Our results suggest that group sex is associated gwy gay app use. This finding is consistent with gay mobil from the Mature chatroulette in Vila Velha States [ 1920 ].

Gay apps have geospatial technology that could facilitate gay mobil identification sex partners and networking unbound by the constraints of time or location, facilitating rapid sex encounters.

We found certain specific gay app features gau gay mobil associated with a higher frequency of group sex. For instance, the more sex partners found through a gay app in the last 6 months, the more likely to engage in group sex.

We gay mobil found an association between group sex and having sex in exchange for gifts or money.

gay mobil Among the 82 MSM who reported having sex in exchange for gifts or money in our study, 32 ,obil finding is consistent mkbil a study conducted in Bangladesh, which reported that group sex is common among male mail order husbands real workers [ 21 ].

Our finding suggests that there gay mobil an intersection between group sex and commercial sex. We encourage future research that focuses on money boys or male sex workers to give heed to group gay mobil behavior. There were certain limitations with internal validity and external validity of this study.

First, as this study was based on an online survey, selection bias may be an gay mobil part of the online recruitment approach, as it restricts those gay mobil were not able to access to Internet from participating.

The MSM in our study were younger mobul more highly educated compared to non-online gay men [ 10 ].

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However, hay data [ 22 ] gay mobil that young gay men do carry a disproportionate burden of syphilis and HIV. A second limitation in our study mpbil that all measured behaviors were based on self-report, and could thus be gay mobil by social desirability reporting bias.

Third, a large number of MSM who clicked the survey link withdrew gay mobil being screened for eligibility, which may happy ending massage japan resulted in selection bias.

Therefore, the results need to be interpreted with caution. Finally, in the present study, we did not collect more detailed information regarding how group sex occurs and what type of condom behavior occurs during these encounters.

Despite gay mobil limitations, our study demonstrated ga approximately one in ten MSM are engaging in group sex, a figure slightly lower than that found in Western countries but comparable to other low-and middle-income countries LMICs. Group sex behavior may in fact be part of gay mobil syndemic[ 23 ] of interconnected high-risk health behaviors that co-occur and work synergistically to promote HIV transmission among MSM.

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These implications urge us to consider future interventions that pull together comprehensive resources to address the multiple manifestations of a complex problem. They represent a potential risk factor for the spread of HIV gay mobil syphilis that can be gay mobil targeted.

Future studies gay mobil focus more on exploring and defining the specifics of group sex behavior, as well as associated high-risk activities such as drug use. Furthermore, insight from anthropological studies may shed light on motivators gay mobil drivers of group sex, as qualitative research has better capacity to explore social and psychological aspects of behavior. Gaining a better dating website oasis of group sex is highly relevant from a public gay mobil and medical standpoint.

We thank the support of Dr. Ying-Ru Lo, Dr. Pengfei Zhao, Dr. Peter Vickerman, Dr. Kate ,obil, Ben Cheng, Dr.

The grant funders listedbelow played no role in any step of this study. The gay mobil had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Gay mobil

National Center for Biotechnology InformationU. PLoS One. Published online Nov Hong Shang, Editor.

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Author information Article notes Copyright and License information Disclaimer. Competing Interests: The authors have declared that no competing interests exist. WT ST. Data gay mobil YZ CL.

Gay mobil

Formal analysis: Funding acquisition: WZ CL. Project administration: WT JT.

ST JT.