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Electronic Media Access and Use for Sexuality and Sexual Health Education Among Men Who Have Sex With Men in Four Cities in Tanzania

Ross, Michael W. ; Kashiha, John ; Nyoni, Joyce ; Larsson, Markus LU and Agardh, Anette LU orcid (2018) In International Journal of Sexual Health 30(3). p.264-270
Abstract

Background: Electronic media use is an important avenue for reaching stigmatized populations. We examined Internet access and use of sexually related electronic media among men who have sex with men (MSM) in 4 cities in Tanzania. Methods: A questionnaire was administered to 231 MSM in Dar es Salaam, Mwanza, Arusha, and Tanga regarding electronic media type, times of use, type of use and frequency of use of sexually-related media. Results: Mean age was 25.7 years, and 52% had completed high school. Half had access to the internet through personal electronic devices, a further quarter had access through work, 10% through friends’ devices, and only 2% had no access to the internet. Most frequently used electronic devices were personal... (More)

Background: Electronic media use is an important avenue for reaching stigmatized populations. We examined Internet access and use of sexually related electronic media among men who have sex with men (MSM) in 4 cities in Tanzania. Methods: A questionnaire was administered to 231 MSM in Dar es Salaam, Mwanza, Arusha, and Tanga regarding electronic media type, times of use, type of use and frequency of use of sexually-related media. Results: Mean age was 25.7 years, and 52% had completed high school. Half had access to the internet through personal electronic devices, a further quarter had access through work, 10% through friends’ devices, and only 2% had no access to the internet. Most frequently used electronic devices were personal computer followed by work smartphone, with work computer a close third. These patterns were consistent for both seeking other men for sex and finding sexual health information. All respondents had accessed sexual material electronically at some time. Substantial logged-in time was reported each week seeking/chatting with potential sexual partners (median = 48 hr), looking at “porn” (median = 24 hr), and searching for health information (median = 7 hr). Over 98% indicated that they would use an anonymous/confidential online service for HIV and sexually transmitted infection testing. The majority (79%) had found sexual partners throughout the Internet in the last 24 hours, and 52% sought sexual health education online 2–3 times per week. Peak search time was evenings, increasing during weekends. Discussion: For Tanzanian MSM in cities, sexual electronic media use is high and includes work devices. Sexual health information seeking, and openness to electronic counseling and testing was almost universal. Electronic sites for sexual health access should be explored and evaluated.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Africa, electronic media, homosexual, men, sexual health
in
International Journal of Sexual Health
volume
30
issue
3
pages
264 - 270
publisher
Routledge
external identifiers
  • scopus:85060990580
ISSN
1931-7611
DOI
10.1080/19317611.2018.1491919
language
English
LU publication?
yes
id
88829ce7-3217-4d36-9fe5-ff765cb5ac11
date added to LUP
2019-02-15 09:27:37
date last changed
2022-03-17 21:41:36
@article{88829ce7-3217-4d36-9fe5-ff765cb5ac11,
  abstract     = {{<p>Background: Electronic media use is an important avenue for reaching stigmatized populations. We examined Internet access and use of sexually related electronic media among men who have sex with men (MSM) in 4 cities in Tanzania. Methods: A questionnaire was administered to 231 MSM in Dar es Salaam, Mwanza, Arusha, and Tanga regarding electronic media type, times of use, type of use and frequency of use of sexually-related media. Results: Mean age was 25.7 years, and 52% had completed high school. Half had access to the internet through personal electronic devices, a further quarter had access through work, 10% through friends’ devices, and only 2% had no access to the internet. Most frequently used electronic devices were personal computer followed by work smartphone, with work computer a close third. These patterns were consistent for both seeking other men for sex and finding sexual health information. All respondents had accessed sexual material electronically at some time. Substantial logged-in time was reported each week seeking/chatting with potential sexual partners (median = 48 hr), looking at “porn” (median = 24 hr), and searching for health information (median = 7 hr). Over 98% indicated that they would use an anonymous/confidential online service for HIV and sexually transmitted infection testing. The majority (79%) had found sexual partners throughout the Internet in the last 24 hours, and 52% sought sexual health education online 2–3 times per week. Peak search time was evenings, increasing during weekends. Discussion: For Tanzanian MSM in cities, sexual electronic media use is high and includes work devices. Sexual health information seeking, and openness to electronic counseling and testing was almost universal. Electronic sites for sexual health access should be explored and evaluated.</p>}},
  author       = {{Ross, Michael W. and Kashiha, John and Nyoni, Joyce and Larsson, Markus and Agardh, Anette}},
  issn         = {{1931-7611}},
  keywords     = {{Africa; electronic media; homosexual; men; sexual health}},
  language     = {{eng}},
  month        = {{01}},
  number       = {{3}},
  pages        = {{264--270}},
  publisher    = {{Routledge}},
  series       = {{International Journal of Sexual Health}},
  title        = {{Electronic Media Access and Use for Sexuality and Sexual Health Education Among Men Who Have Sex With Men in Four Cities in Tanzania}},
  url          = {{http://dx.doi.org/10.1080/19317611.2018.1491919}},
  doi          = {{10.1080/19317611.2018.1491919}},
  volume       = {{30}},
  year         = {{2018}},
}