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M94A2086.TXT
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1994-10-24
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Document 2086
DOCN M94A2086
TI Sexual behavior and behavior change among men who have sex with men in
Brazil, 1989-1993.
DT 9412
AU Parker R; Lorenco L; Mota M; Valle A; ABIA, Grupo Pela VIDDA-RJ,
IMS/UERJ, Brazil.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):384 (abstract no. PD0145). Unique
Identifier : AIDSLINE ICA10/94370489
AB OBJECTIVE: To assess levels of risk behavior and behavioral change in
response to HIV/AIDS between 1989 and 1993 among men who have sex with
men in Rio de Janeiro, Brazil. METHODS: In an initial cross-sectional
study carried out in 1989, 503 structured interviews were conducted with
subjects recruited through friendship networks and targeted outreach
activities. In 1993, drawing on the same sample design and recruitment
strategies, a second cross-sectional study was carried out, and 300
structured interviews were conducted using a comparable question
schedule. Between 1989 and 1993, an additional 150 semi-structured
interviews were conducted and ethnographic observation was carried out
throughout the study. RESULTS: High levels of knowledge and information,
as well as an accurate perception of HIV risk, were found throughout the
period of study. In 1989, however, although 40% of the sample reported
having made significant behavioral changes, high risk behavior continued
to be widespread, and 54% reported unprotected anal intercourse. By
1993, however, 62% of the sample reported having made significant
behavioral changes, and unprotected anal intercourse had dropped to 20%.
DISCUSSION AND CONCLUSION: Over the course of a four year period,
important behavioral changes have been documented, suggesting that even
in the context of developing countries adequate support for HIV/AIDS
prevention programs can result in a significant reduction of behavioral
risk. Findings suggest that risk reduction is closely linked to the
development of social support structures and a growing sense of gay
community. Social isolation, discrimination, and the experience of
violence continue to inhibit behavioral change.
DE Acquired Immunodeficiency Syndrome/*PREVENTION & CONTROL/
PSYCHOLOGY/TRANSMISSION Brazil Condoms Cross-Sectional Studies
*Developing Countries Homosexuality/*PSYCHOLOGY Human HIV
Infections/*PREVENTION & CONTROL/PSYCHOLOGY/TRANSMISSION *Knowledge,
Attitudes, Practice Male Personality Assessment Risk Factors *Sex
Behavior MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).