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But we are here to address the questions of why this is the case, what evidence there is to support these studies and these trends, and to set out what makes Internet chat rooms different from other venues.Joining me today are several individuals, all of whom either as public health officials, researchers, safe sex advocates or some combination thereof, have a particular interest and expertise in Internet chat room use among MSM. Frank has worked on men's sex and health issues for more than 15 years. He is assistant research psychologist and has studied and worked on a number of community-based interventions among gay men.Unlike some fatal attractions, a simple click of a mouse button ends contact – should the person want to break it off – without any explanations or apologies, she said.

Some went online for a quick "sex fix," while others established more meaningful connections where they talked about personal problems and marital issues, Mileham said. Still others wanted to engage in cybersex, exchanging sexual fantasies with someone while masturbating, she said.But some used this form of effortless escapism while their spouse was in the room, she said.Said one such man, "While I'm on the computer my wife just assumes I'm writing a report for work." Another man said his wife, who knew what he was doing and didn't like it, looked over his shoulder sometimes while he was typing, Mileham said.Participants: Philip Huang, Asian Health Service, Oakland, California; Jeff Klausner, MD, San Francisco Department of Public Health; Deb Levine, Internet Sexuality Information Services, San Francisco; Greg Rebchook, UCSF Center for AIDS Prevention Studies; Frank Strona, Mark Vogel: Welcome to today's roundtable discussion sponsored by HIV In Site and The Center for AIDS Prevention Studies, both at UCSF.The roundtable discussion today is about MSM, sex and Internet chat rooms.

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