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Sexual Health Sexual Health Society
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RESEARCH ARTICLE

Obesity and sexual health trends among a large, national sample of men who have sex with men on Grindr in the USA

Michael Zaliznyak https://orcid.org/0000-0001-7242-2307 A , Manuel Gonzales B and Thomas W. Gaither C *
+ Author Affiliations
- Author Affiliations

A Department of Urology, University of California San Francisco, San Francisco, CA, USA.

B Department of Pediatrics, University of California San Francisco, San Francisco, CA, USA.

C Department of Urology, David Geffen School of Medicine, Los Angeles, CA, USA.

* Correspondence to: tgaither@mednet.ucla.edu

Handling Editor: Phillip Keen

Sexual Health 21, SH24049 https://doi.org/10.1071/SH24049
Submitted: 1 March 2024  Accepted: 25 June 2024  Published: 16 July 2024

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing

Abstract

Background

A growing number of men who have sex with men (MSM) utilise Grindr for seeking relationships and immediate/casual sexual encounters. Grindr and other mobile applications can be a valuable source of information on sociological predictors of health. One topic that is under reported is the use of Grindr by MSM with obesity. We described differences in Grindr use between MSM with and without obesity, and to use Grindr information to reveal trends which may serve as potential predictors of health.

Methods

Data was collected from 3744 Grindr users (mean age [s.d.], 32.3 years [9.1]) from the largest 50 metropolitan centres in the USA between February and May 2018. Users were divided into two cohorts based on BMI: (1) MSM with obesity (BMI > 30), n = 253; and (2) MSM without obesity, n = 3491. Profile characteristics were compared.

Results

When evaluating potential predictors for obesity, we found that black/African-American and older MSM were significantly more likely to have obesity. Further, we found that obesity among MSM was significantly inversely associated with the population percent lesbian, gay, bisexual, and transgender (LGBT) within a city. Additionally, we found that MSM with obesity were significantly more likely to indicate interest in immediate sexual encounters.

Conclusions

These results highlight important trends that may serve as predictors of health in urban settings. Furthermore, our results suggest that MSM with obesity may be more likely to engage in risky sexual behaviours. These findings may be useful in informing providers and healthcare officials on when and how to provide outreach to this unique population.

Keywords: BMI, Grindr, Hookup app, LGBT health, men’s health, MSM, obesity, race/ethnicity, sexual health.

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