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1994-09-19
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Document 0322
DOCN M9490322
TI Associations with high-risk sexual behavior: a survey of young men of
color attending urban youth centers [see comments]
DT 9411
AU Steiner BD; Shields CG; Noble GL; Bayer WH; Department of Family
Medicine and Psychiatry, University of; Rochester/Highland Hospital, NY.
SO J Am Board Fam Pract. 1994 May-Jun;7(3):189-95. Unique Identifier :
AIDSLINE MED/94337615
CM Comment in: J Am Board Fam Pract 1994 May-Jun;7(3):266-8
AB BACKGROUND: Sexually transmitted diseases and human immunodeficiency
virus (HIV) represent growing health care concerns that affect subgroups
of the population in disproportionately high numbers. We researched
associations with high-risk sexual behavior in young men of color living
in an economically depressed area of a mid-size city. Our results are
used to discuss the possibility of more effective interventions.
METHODS: We analyzed the responses of 95 men (aged 12 to 29 years) to a
self-administered questionnaire. We then examined variables hypothesized
to be associated with high-risk sexual behavior and used bivariate and
multivariate analyses to report associations found for this group.
RESULTS: Improved perception of one's general health (odds ratio [OR]
0.95) and believing that peers approved of condoms (OR 0.51) were
inversely associated with high-risk sexual behavior, whereas use of
illegal drugs (OR 6.0), history of being arrested (OR 3.92), and age
older than 18 years (OR 1.4) were directly associated. Knowledge about
HIV was not significantly different in men who participated in high-risk
sexual behavior and those who did not. Seventy-eight percent of HIV
knowledge questions were answered correctly by both groups. CONCLUSIONS:
Our findings support the need to develop interventions that focus on
more than knowledge dissemination. Interventions using modeling and
education by peers have the potential to reach at-risk adolescents and
young adults more effectively. Such interventions should address broader
societal problems, such as health perceptions, drug abuse, and crime.
DE Adolescence Adult Asian Americans/PSYCHOLOGY Blacks/*PSYCHOLOGY
Family/PSYCHOLOGY Health Behavior Hispanic Americans/PSYCHOLOGY Human
HIV Infections/PREVENTION & CONTROL/*TRANSMISSION Knowledge, Attitudes,
Practice Life Style Male Peer Group Personality Inventory/STATISTICS
& NUMER DATA Psychometrics *Risk-Taking *Sex Behavior Sex Education
Sexually Transmitted Diseases/PREVENTION & CONTROL/*TRANSMISSION Social
Environment Socioeconomic Factors Substance
Abuse/COMPLICATIONS/PSYCHOLOGY JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).