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No clear regional trends regarding safer sex were found. Using data from the largest German online social network and dating site for MSM, a lower bound of at least , MSM between the age of 18 and 75 could be found, corresponding to 1. The highest proportion was found in the age group of 28 to 30 year-olds, and the number and the proportion of profiles decreased after the age of Our results are comparable to the results of Marcus et al.

A detailed comparison to this study by federal states can be found in S4 Table , but, besides the double counting of some ages, our estimates exceed the number of MSM in the lower scenario only in five federal states with the maximal deviance of With regard to the optional information, more than half of the profiles owners indicated to be "gay" and This may be due to the migration of MSM into larger cities.

There are two issues that need to be considered interpreting the analyses of the behavioural aspects. Secondly, certain terminologies e. The strong age-dependency could indicate two different phenomena. The higher share of "no information" profiles in the younger age groups may be due to a higher awareness for data privacy issues, leading to users who are unwilling to reveal personal information that are perceived to be of high sensitivity.

Another reason may be indifference about certain variables at a young age that might become clearer with increasing age e. The increase of users stating that they practice safer sex "never" or based on a negotiated agreement "needs discussion" in the older age groups may be attributed to a higher share of HIV-positive men in these age groups who engage in serosorting, meaning that a person prefers to choose sexual partners based on HIV status.


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However, motivational reasons for engaging in intentional unprotected anal intercourse bareback sex are diverse, and barebacking is not limited to HIV-positive MSM. An interview study conducted in five European and North American cities found that for some MSM semen exchange includes a symbolic role leading to a higher level of connectedness, completion, or naturalness [ 21 ]. Apart from such interpersonal processes, medical advances leading to a reduced risk of infection from HIV positive partners using combination antiretroviral therapy cART and therefore having undetectable viral load [ 22 , 23 , 24 , 25 ] may contribute to condomless anal sex.

Since the top and not the bottom has to use the condom, the bottom necessarily has to discuss condom use with the top if he wants to make sure that condoms are used, while the top can just use a condom without discussing it.

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However, also tops might need to discuss condom use or safer sex in general. The presented results have several limitations. It remains unclear what percentage of the MSM population owns a profile on the studied website and if there are differences in the use of online services between certain groups e. It may also be possible that a single user might have several profiles for different regions, e. In summary, it is not possible to determine the proportion of gay and bisexual men that use PlanetRomeo and to incorporate this in the calculation of the overall number of MSM in Germany.

Thus it is only possible to interpret our estimations as lower boundaries. Furthermore, the data does not allow to identify profiles that are connected to a certain region only for a short period of time e. These limitations would allow both for under- and overestimation of the lower boundary of the number of MSM in Germany and may also be a biasing factor when analysing the regional distribution of MSM. In this context, the low relative, standardised frequency in the state Brandenburg may be the result of residents of this state to choose the more attractive but close-by state of Berlin instead of their actual place of residence.

In general, federal city states have a higher density of profiles. Furthermore, as the data represents online, self-reported data, the numbers may significantly differ from the actual behaviour in reality and need to be interpreted with caution. In the absence of other data sources, social media websites may to be one way to retrieve information about lower limits of population sizes and behaviour data of specific populations.

The present study provided numbers on the total population size and age-specific rates of MSM in Germany as well as sub-group-specific information on stated behaviour. This data can be used for tailoring health promotion and to inform modelling studies, which otherwise might need to strongly rely on assumptions on the population size and behavioural parameters.

Relative frequency of German accounts over age across the 16 federal states, standardised by the respective male population. Comparison between the estimates of the population sizes of MSM between 20 and 59 years in the 16 federal states of Germany between the present study and Marcus et al.

The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. National Center for Biotechnology Information , U. PLoS One. Published online Feb Garrett Prestage, Editor. Author information Article notes Copyright and License information Disclaimer. Infectious Diseases Epidemiology, Berlin, Germany.

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Competing Interests: The authors have declared that no competing interests exist. Received May 3; Accepted Jan 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.

Dataset: Dataset containing the collected data from PlanetRomeo.

S1 Table: Relative frequency of German accounts. S2 Table: Safer sex across age. S3 Table: Safer sex across preferred position. S4 Table: Comparison of population size. Abstract Background In the absence of detailed information about the population size and behaviour data of men-who-have-sex-with-men MSM , the estimation of prevalence rates of sexually transmitted infections STIs and the design of public health interventions become difficult.

Methods We used publicly accessible data from a large online dating and social network website for MSM in Germany to retrieve data on the age and regional distribution of profiles. Results A total of , user profiles correspond to an average Conclusions Online social network or dating sites can provide some information about specific populations in the absence of other data sources.

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Background Since the beginning of the new millennium and especially since , an increase in diagnosed sexually transmitted infections STIs has been observed in many industrialized countries. The aim of this study, by using data from a large MSM online dating and social network site, is twofold: To estimate the lower boundary of the age-specific population size and regional distribution of MSM in Germany, To provide additional information on general demographics, sexual identity, and self-reported sexual preferences relevant for modelling the impact of interventions among MSM.

Results Overall PlanetRomeo users Overall, as of October , the website stated to have , registered users with a regional distribution across the federal states of Germany as displayed in Table 1.

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Table 1 Number of user profiles in Germany stratified by federal state of residence as stated on the website as of October and as retrieved from the search engine as of January Open in a separate window. Table 2 Number of user profiles in Germany stratified by age group as retrieved by the search engine.

Original results overlapping age groups Age group No. Table 3 Characteristics of the user community in Germany including sexual identity, preferred position in anal intercourse and declared commitment to safer sex. Fig 1. Relative frequency of German accounts over age across the 16 federal states. Fig 2. Safer sex across age. Fig 3.

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Safer sex and preferred position. Discussion Using data from the largest German online social network and dating site for MSM, a lower bound of at least , MSM between the age of 18 and 75 could be found, corresponding to 1. Conclusions In the absence of other data sources, social media websites may to be one way to retrieve information about lower limits of population sizes and behaviour data of specific populations. Not exactly a digital read this flirtportal24 is the profiles. Talking about websites: handovers in my experience, and queer people. Roba provides deep expertise across a waste of mobile apps.

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