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1994-08-09
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Document 0187
DOCN M9480187
TI Cognitive and behavioral adaptations to HIV/AIDS among gay and bisexual
adolescents.
DT 9410
AU Remafedi G; Department of Pediatrics, University of Minnesota,
Minneapolis; 55455.
SO J Adolesc Health. 1994 Mar;15(2):142-8. Unique Identifier : AIDSLINE
MED/94289442
AB PURPOSE: To examine short-term changes in HIV knowledge, beliefs, and
behaviors among gay and bisexual adolescents, 139 gay and bisexual male
adolescents (13-21 years of age) completed interviews and
self-administered surveys of HIV-related knowledge, attitudes, and
behaviors during an initial assessment (Time 1) and 3-6 months after
intervention (Time 2). METHODS: The intervention included individualized
HIV/AIDS risk assessment and risk reduction counseling, peer education,
and referrals to needed services. Cross-sectional (group) and individual
cognitive and behavioral changes were examined; adolescents who reported
unprotected anal intercourse and/or injecting drug use after
interventions were compared to those who did not. RESULTS: Compared to
Time 1, 60% fewer subjects at Time 2 reported unprotected anal
intercourse with recent partners. Subjects also reported less frequent
anal intercourse and more consistent use of condoms during follow-up.
Substance abuse severity scores and use of amphetamines and amyl nitrite
declined. One-quarter of subjects reported ongoing high-risk behaviors
associated with multiple partners, frequent anal intercourse, completion
of education, and relative numbers of gay friends. CONCLUSIONS:
Compliance with HIV risk reduction improved over time. Constructive
change most often involved the practices of anal intercourse and, to a
lesser extent, oral sex. Ongoing risk-taking behavior may reflect
serious psychosocial problems.
DE *Adaptation, Psychological Adolescence *Adolescent Psychology Adult
*Bisexuality Cross-Sectional Studies Educational Measurement Female
Health Education/*METHODS *Homosexuality Human HIV
Infections/EPIDEMIOLOGY/*PREVENTION & CONTROL/TRANSMISSION *Knowledge,
Attitudes, Practice Male Program Evaluation Prospective Studies Risk
Factors Support, Non-U.S. Gov't Support, U.S. Gov't, P.H.S. JOURNAL
ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).