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M94A0681.TXT
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1994-10-21
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Document 0681
DOCN M94A0681
TI Unsafe sex among gay men: towards a new intervention strategy.
DT 9412
AU Gold R; Rosenthal D; Faculty of Education, Deakin University, Waurn
Ponds, Vic.
SO Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:41 (abstract no. TE8).
Unique Identifier : AIDSLINE ASHM5/94348974
AB OBJECTIVE. To examine the effectiveness of an intervention strategy
based on men's justifications for breaking their own safe sex rules.
METHOD: We report an intervention study in which 109 gay men who had
slipped up (i.e., broken their safe sex rules by having unprotected
intercourse) kept diaries of their sexual behaviour for 16 weeks. After
four weeks they were randomly allocated to one of three conditions, two
involving very brief interventions--Cognitive (examination of
self-justifications for having unsafe sex) and Standard (examination of
posters used in AIDS education)--and a Control (diary only). There were
two interventions--at 4 and at 8 weeks. RESULTS AND CONCLUSIONS: A
disturbing proportion of the participants continued to have unsafe sex
over the course of the study. However, results suggest that, compared to
the Standard group, the Cognitive group believed that the intervention
was more likely to prevent them from slipping-up and that, in the
post-intervention period, the Cognitive group was less likely than the
other two groups to have multiple unsafe sexual encounters. The study
indicates that using cognitive strategies that require individuals to
reflect on their thinking may be an effective way to reduce the number
of gay men who relapse into unsafe sex.
DE Adult Condoms Homosexuality/*PSYCHOLOGY Human HIV
Infections/*PREVENTION & CONTROL/PSYCHOLOGY/TRANSMISSION Knowledge,
Attitudes, Practice Male Risk Factors *Sex Behavior *Sex Education
CLINICAL TRIAL MEETING ABSTRACT RANDOMIZED CONTROLLED TRIAL
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).