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Men were eligible for participation if they reported sexual contact with men during the six months preceding the STI consultation, they were at least 18 years old, and could understand written Dutch or English.

Individuals could participate more than once, if subsequent visits to the clinic were related to a possible new STI episode.

Between July 2008 and August 2009 MSM were recruited from the STI outpatient clinic of the Public Health Service of Amsterdam, the Netherlands.

Participants completed a questionnaire concerning sexual behaviour.

Only men reporting both online and offline casual sex partners were included.

Several studies have shown that MSM are more likely to engage in unprotected anal intercourse with sex partners they meet through the Internet (online) than with partners they meet at social venues (offline) [1–3].

This implies that men who acquire partners online may be at a higher risk for sexually transmitted infections (STI) and HIV [4–6].

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