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M94A2081.TXT
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1994-10-24
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Document 2081
DOCN M94A2081
TI Unprotected sex & HIV positive young men: is it ever ok?
DT 9412
AU Goggin M; Rosenthal D; LaTrobe University, Australia.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):385 (abstract no. PD0146). Unique
Identifier : AIDSLINE ICA10/94370494
AB OBJECTIVE: To describe the changes in the sexual behaviours of HIV
positive young men over a one year period examining the factors
influencing their behaviour particularly unprotected sex. METHOD: 101
HIV positive young gay men, aged 17 to 30 years (mean 26.0), completed a
questionnaire regarding their sexual activity with casual and regular
partners of varying HIV serostatus. Time since diagnosis, health status,
history of prostitution, current drug and alcohol use and attachment to
the gay and HIV community and other factors were examined. One year
later, 82 of these men completed the same questionnaire and, in taped
interviews, were asked about their sexual experiences and attitudes
towards unprotected sex. RESULTS: Unprotected anal intercourse with
partners known to be HIV negative or of unknown HIV status increased
from 15% to 33% over the year. At the first stage, unprotected sex was
mostly with anonymous and casual partners which was predicted by high
number of partners, high drug use, recent HIV diagnosis and prostitution
history. At the second stage, the majority of the increasing level of
unprotected sex, which was predicted by high attachment to the gay and
HIV community, was occurring within long term relationships of
discordant HIV status. DISCUSSION AND CONCLUSIONS: While the majority
consistently practiced safe sex, those engaging in unprotected sex did
so mostly in long term relationships or in one-off anonymous encounters,
typically in gay saunas. When in relationships, young men made complex
choices about sexual behaviours and their consequences often out of
intense love, trust and mutual consent. In contrast, disclosure of HIV
status to anonymous partners was rare. Generally, an anonymous partners'
willingness to engage in unsafe sex was interpreted as acceptance of the
consequences. Different educational strategies (anonymous
sex/relationships) are discussed.
DE Adolescence Adult Australia Condoms *Homosexuality Human HIV
Seropositivity/*TRANSMISSION *Knowledge, Attitudes, Practice Male
Risk Factors *Sex Behavior Sex Education Sexual Partners Social
Environment Truth Disclosure MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).