{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T14:43:06Z","timestamp":1792420986993,"version":"4.5.0"},"reference-count":39,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"National Institute of Health","award":["P30MH136919"],"award-info":[{"award-number":["P30MH136919"]}]},{"name":"National Institute of Health","award":["R01MH110358"],"award-info":[{"award-number":["R01MH110358"]}]},{"name":"National Institute of Health","award":["R01NR020437"],"award-info":[{"award-number":["R01NR020437"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Gay men and other men who have sex with men are disproportionately impacted by HIV and other sexual transmitted infections. Thus, monitoring changes to HIV-related risk and prevention behaviors are relevant to contextualizing public health programming. The American Men\u2019s Internet Survey (AMIS) is conducted annually for gay men and other men who have sex with men (MSM), aged 15 and older to describe recent trends in key behaviors relevant to HIV prevention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from 62,125 analysis-eligible MSM participants in 7 AMIS cross-sectional cycles conducted from July 2017 through October 2024 were analyzed to identify temporal trends in the annual prevalence of sexual behaviors, substance use, and testing behaviors, stratified by participants\u2019 self-reported HIV status. Age interactions with behavior trends were also examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>MSM who reported a negative or unknown HIV status had significant increases in the prevalence of condomless anal intercourse with male partners (CAI) and use of illicit drugs other than marijuana. STI testing and diagnosis prevalence among MSM decreased in 2020 and rebounded starting in 2021. HIV testing prevalence increased among MSM HIV negative\/unknown status MSM aged 15-24; MSM in other age groups experienced a reduction in HIV testing in 2020 and a rebound starting in 2021. MSM living with HIV had significant increases in the prevalence of CAI and illicit drug use, including marijuana. STI testing and diagnosis prevalence among MSM living with HIV decreased in 2020 and rebounded starting in 2021.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Consistent increases in behaviors that may increase HIV and STI acquisition\/transmission risk occurred during a time when HIV and STI testing was significantly impacted by the COVID-19 pandemic followed by a rebound. The complexity of these trends highlights a need for ongoing monitoring of prevention and care behaviors, prevention strategies targeted at reducing risky behaviors and substance use, and expanded access to HIV\/STI testing, particularly during times when traditional in-person services may be curtailed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259582261497550","type":"journal-article","created":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T11:18:41Z","timestamp":1792149521000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["National Trends in Sexual Behavior, Substance Use and HIV Testing Among United States Men Who Have Sex With Men Recruited Online, 2017 Through 2024"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0540-9553","authenticated-orcid":false,"suffix":"Jr.","given":"Michael","family":"Smith","sequence":"first","affiliation":[{"name":"Emory University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristian","family":"Acero-Martinez","sequence":"additional","affiliation":[{"name":"Emory University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irah L.","family":"Lucas","sequence":"additional","affiliation":[{"name":"Emory University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariah","family":"Valentine-Graves","sequence":"additional","affiliation":[{"name":"Emory University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Baral","sequence":"additional","affiliation":[{"name":"Johns Hopkins University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah M.","family":"Murray","sequence":"additional","affiliation":[{"name":"Johns Hopkins University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick S.","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Emory University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Travis","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Emory University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,16]]},"reference":[{"key":"e_1_3_7_2_2","volume-title":"Estimated HIV incidence and prevalence in the United States 2017\u20132021","author":"Centers for Disease Control and Prevention","year":"2023","unstructured":"Centers for Disease Control and Prevention. Estimated HIV incidence and prevalence in the United States 2017\u20132021. Division of HIV\/AIDS Prevention; 2023. https:\/\/stacks.cdc.gov\/view\/cdc\/149080\/cdc_149080_DS1.pdf"},{"key":"e_1_3_7_3_2","volume-title":"Estimated HIV Incidence and Prevalence in the United States, 2018-2022","author":"Centers for Disease Control and Prevention","year":"2024","unstructured":"Centers for Disease Control and Prevention. Estimated HIV Incidence and Prevalence in the United States, 2018-2022. Centers for Disease Control and Prevention; 2024. https:\/\/www.cdc.gov\/hiv-data\/nhss\/estimated-hiv-incidence-and-prevalence.html"},{"key":"e_1_3_7_4_2","volume-title":"Sexually Transmitted Disease Surveillance 2021","author":"Centers for Disease Control and Prevention","year":"2024","unstructured":"Centers for Disease Control and Prevention. Sexually Transmitted Disease Surveillance 2021. Division of STD Prevention; 2024. https:\/\/www.cdc.gov\/sti-statistics\/media\/pdfs\/2024\/07\/2021-STD-Surveillance-Report-PDF_ARCHIVED-2-16-24.pdf"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.47540"},{"key":"e_1_3_7_6_2","unstructured":"Greenwood SP Andrew DM. Social Media Update 2016: Facebook usage and engagement is on the rise while adoption of other platforms holds steady. 2016. https:\/\/www.pewresearch.org\/internet\/2016\/11\/11\/social-media-update-2016\/"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-007-9224-9"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/1557988310372801"},{"key":"e_1_3_7_9_2","unstructured":"Smith A. 15% of American adults have used online dating sites or mobile dating apps. 2016. https:\/\/www.pewresearch.org\/internet\/2016\/02\/11\/15-percent-of-american-adults-have-used-online-dating-sites-or-mobile-dating-apps\/"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-018-2168-4"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1080\/14737159.2023.2187291"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1080\/00224499.2021.2012638"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-020-02894-2"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/15579883231168602"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/qai.0000000000002640"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/19419899.2022.2112745"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.2196\/publichealth.4314"},{"key":"e_1_3_7_18_2","doi-asserted-by":"publisher","DOI":"10.2196\/publichealth.5476"},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.2196\/publichealth.7119"},{"key":"e_1_3_7_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"issue":"166","key":"e_1_3_7_21_2","first-page":"1","article-title":"2013 NCHS Urban-Rural Classification Scheme for Counties","volume":"2","author":"Ingram DD","year":"2014","unstructured":"Ingram DD, Franco SJ. 2013 NCHS Urban-Rural Classification Scheme for Counties. Vital Health Stat. 2014;2(166):1-73.","journal-title":"Vital Health Stat"},{"key":"e_1_3_7_22_2","volume-title":"Clinical Testing Guidance for HIV","author":"Centers for Disease Control and Prevention","unstructured":"Centers for Disease Control and Prevention. Clinical Testing Guidance for HIV. Centers for Disease Control and Prevention. https:\/\/www.cdc.gov\/hivnexus\/hcp\/diagnosis-testing\/index.html. Accessed February 10, 2025."},{"key":"e_1_3_7_23_2","volume-title":"HIV Infection Risk, Prevention, and Testing Behaviors Among Men Who Have Sex With Men\u2014National HIV Behavioral Surveillance, 19 U.S. Cities, 2023","author":"Centers for Disease Control and Prevention","year":"2024","unstructured":"Centers for Disease Control and Prevention. HIV Infection Risk, Prevention, and Testing Behaviors Among Men Who Have Sex With Men\u2014National HIV Behavioral Surveillance, 19 U.S. Cities, 2023. Division of HIV\/AIDS Prevention; 2024. HIV Surveillance Report. https:\/\/stacks.cdc.gov\/view\/cdc\/162349"},{"key":"e_1_3_7_24_2","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2023.0034"},{"key":"e_1_3_7_25_2","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2023.0289"},{"key":"e_1_3_7_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-018-2252-9"},{"key":"e_1_3_7_27_2","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25883"},{"key":"e_1_3_7_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2023.104271"},{"key":"e_1_3_7_29_2","doi-asserted-by":"publisher","DOI":"10.1300\/J082v41n02_02"},{"key":"e_1_3_7_30_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.aids.0000180794.27896.fb"},{"key":"e_1_3_7_31_2","doi-asserted-by":"publisher","DOI":"10.7448\/ias.18.1.19273"},{"key":"e_1_3_7_32_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11904-005-0016-4"},{"key":"e_1_3_7_33_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-020-03097-5"},{"key":"e_1_3_7_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2022.103949"},{"key":"e_1_3_7_35_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-024-02103-z"},{"key":"e_1_3_7_36_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-021-03195-y"},{"key":"e_1_3_7_37_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-023-04238-2"},{"key":"e_1_3_7_38_2","doi-asserted-by":"publisher","DOI":"10.1097\/olq.0000000000001817"},{"key":"e_1_3_7_39_2","volume-title":"2023 Georgia HIV Surveillance Summary","author":"Georgia Department of Public Health","year":"2025","unstructured":"Georgia Department of Public Health. 2023 Georgia HIV Surveillance Summary. HIV Epidemiology Unit; 2025. https:\/\/dph.georgia.gov\/epidemiology\/georgias-hivaids-epidemiology-section\/hivaidscase-surveillance. Accessed April 15, 2026."},{"key":"e_1_3_7_40_2","volume-title":"2024 Annual HIV Surveillance Summary Report","author":"Pennsylvania Department of Health","year":"2025","unstructured":"Pennsylvania Department of Health. 2024 Annual HIV Surveillance Summary Report. Bureau of Epidemiology; 2025. https:\/\/www.pa.gov\/agencies\/health\/diseases-conditions\/infectious-disease\/hiv\/annual-summary. Accessed April 15, 2026."}],"container-title":["Journal of the International Association of Providers of AIDS Care (JIAPAC)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259582261497550","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23259582261497550","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259582261497550","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T14:16:24Z","timestamp":1792419384000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23259582261497550"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":39,"alternative-id":["10.1177\/23259582261497550"],"URL":"https:\/\/doi.org\/10.1177\/23259582261497550","relation":{},"ISSN":["2325-9582","2325-9582"],"issn-type":[{"value":"2325-9582","type":"print"},{"value":"2325-9582","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"article-number":"23259582261497550"}}