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We used an Internet-based questionnaire to investigate whether viewing pornography depicting unprotected anal intercourse UAI was associated with engaging in UAI in a sample of non-monogamous men who have sex with men MSM. In the 3 months prior to interview, Polytomous logistic regression of the subjects who provided data on pornography viewing showed significantly elevated odds ratios for having engaged in receptive UAI, insertive UAI, and both receptive and insertive UAI associated with increasing percentage of pornography viewed that depicted UAI. We also found independently significant associations of engaging in UAI with age, use of inhalant nitrites, and HIV status. Although the data cannot establish causality, our findings indicate that viewing pornography depicting UAI and engaging in UAI are correlated.
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