Document 1851 DOCN M94A1851 TI Sexual behavior and beliefs in men living in Caracas, Venezuela. DT 9412 AU Barrios L; Marin B; Universidad Central, Resurrexit, Venezuela. SO Int Conf AIDS. 1994 Aug 7-12;10(1):437 (abstract no. PD0358). Unique Identifier : AIDSLINE ICA10/94370724 AB OBJECTIVE: HIV infection in Venezuela has occurred mostly in homosexual and bisexual men, but cases are starting to increase among women with a single male partner, presumably due to sexual behavior of that partner. Our objective was to obtain indepth information about the sexual behavior and HIV risk perception of Venezuelan men. METHODS: Indepth interviews were conducted with 16 men: 6 self-identified homosexuals, 4 bisexuals, and 6 heterosexuals. All were recruited through word of mouth and the sample included men of different ages, educational levels, and partner statuses. They described their life styles, beliefs about their risk of contracting HIV, STD and HIV knowledge, suggestions for HIV prevention, and types of sexual activities, including condom use, masturbation, sex under the influence of drugs or alcohol, male-to-male sex, and use of prostitutes. Qualitative analysis was used. RESULTS: Despite knowledge of the risks of contracting HIV and the effectiveness of safe sex, few men practice it. Many respondents believed HIV infection results from bad luck, and were more concerned about sexual performance than protection from HIV. To protect themselves, bisexuals used condoms and/or trusted their partner to be faithful, while heterosexuals sought women who looked healthy or used prostitutes, believing they are controlled by the health department. Most of the homosexuals thought it was enough to know your partner. Homosexuals often noted that Venezuelan gays do not take care of themselves because of the self-rejection created by Venezuelan culture. They suggested focusing campaigns on self-esteem. Bisexuals used condoms to avoid infecting their families and saw family as a good motivator for prevention campaigns. Heterosexuals preferred fear-based messages about the effects of AIDS. CONCLUSIONS: These Venezuelan men placed such value on their sexual behavior that they were often unwilling to change it even though they knew they were at risk. Protection of the family appears to be an effective motivator of safer behavior among bisexual men. Self-esteem of gay men is an issue that prevention campaigns should address. DE Bisexuality Homosexuality Human HIV Infections/*PREVENTION & CONTROL/TRANSMISSION Knowledge, Attitudes, Practice Risk Factors *Sex Behavior Venezuela MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).