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. 1988 Dec;78(12):1535–1538. doi: 10.2105/ajph.78.12.1535

Patterns of sexual behavior and condom use in a cohort of homosexual men.

M T Schechter 1, K J Craib 1, B Willoughby 1, B Douglas 1, W A McLeod 1, M Maynard 1, P Constance 1, M O'Shaughnessy 1
PMCID: PMC1349730  PMID: 3189629

Abstract

To measure the magnitude of risk reduction within a cohort of homosexual men, questionnaire responses in April 1984-March 1985 were compared to those in October 1986-September 1987. A total of 361 subjects were eligible (231 seronegative, 130 seropositive). The annual number of sex partners declined significantly from a median of 8.0 to 5.0 with no difference between the serologic groups. The number of subjects reporting no receptive anal intercourse increased as did condom use during anal receptive intercourse. More seronegatives than seropositives subjects reported no condom use during receptive anal intercourse with regular partners (45.7 per cent versus 23.4 per cent), and with casual partners (14.9 per cent versus 1.5% percent). Among subjects with the most casual sexual contact at the second visit, 33.3 per cent of seronegatives and 29.2 per cent of seropositives did not report usual condom use during receptive anal intercourse with casual partners. Although we have documented marked risk reductions, safe sex practices are still not universal, and a few individuals continue to put themselves at extremely high risk.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Calabrese L. H., Harris B., Easley K. A., Proffitt M. R. Persistence of high risk sexual activity among homosexual men in an area of low incidence for acquired immunodeficiency syndrome. AIDS Res. 1986 Fall;2(4):357–361. doi: 10.1089/aid.1.1986.2.357. [DOI] [PubMed] [Google Scholar]
  2. Carne C. A., Weller I. V., Johnson A. M., Loveday C., Pearce F., Hawkins A., Smith A., Williams P., Tedder R. S., Adler M. W. Prevalence of antibodies to human immunodeficiency virus, gonorrhoea rates, and changed sexual behaviour in homosexual men in London. Lancet. 1987 Mar 21;1(8534):656–658. doi: 10.1016/s0140-6736(87)90415-6. [DOI] [PubMed] [Google Scholar]
  3. Coates R. A., Soskolne C. L., Calzavara L., Read S. E., Fanning M. M., Shepherd F. A., Klein M. M., Johnson J. K. The reliability of sexual histories in AIDS-related research: evaluation of an interview-administered questionnaire. Can J Public Health. 1986 Sep-Oct;77(5):343–348. [PubMed] [Google Scholar]
  4. Emmons C. A., Joseph J. G., Kessler R. C., Wortman C. B., Montgomery S. B., Ostrow D. G. Psychosocial predictors of reported behavior change in homosexual men at risk for AIDS. Health Educ Q. 1986 Winter;13(4):331–345. doi: 10.1177/109019818601300405. [DOI] [PubMed] [Google Scholar]
  5. Fox R., Odaka N. J., Brookmeyer R., Polk B. F. Effect of HIV antibody disclosure on subsequent sexual activity in homosexual men. AIDS. 1987 Dec;1(4):241–246. [PubMed] [Google Scholar]
  6. Jones C. C., Waskin H., Gerety B., Skipper B. J., Hull H. F., Mertz G. J. Persistence of high-risk sexual activity among homosexual men in an area of low incidence of the acquired immunodeficiency syndrome. Sex Transm Dis. 1987 Apr-Jun;14(2):79–82. doi: 10.1097/00007435-198704000-00004. [DOI] [PubMed] [Google Scholar]
  7. Martin J. L. The impact of AIDS on gay male sexual behavior patterns in New York City. Am J Public Health. 1987 May;77(5):578–581. doi: 10.2105/ajph.77.5.578. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. McCusker J., Stoddard A. M., Mayer K. H., Zapka J., Morrison C., Saltzman S. P. Effects of HIV antibody test knowledge on subsequent sexual behaviors in a cohort of homosexually active men. Am J Public Health. 1988 Apr;78(4):462–467. doi: 10.2105/ajph.78.4.462. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. McKusick L., Horstman W., Coates T. J. AIDS and sexual behavior reported by gay men in San Francisco. Am J Public Health. 1985 May;75(5):493–496. doi: 10.2105/ajph.75.5.493. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Saltzman S. P., Stoddard A. M., McCusker J., Moon M. W., Mayer K. H. Reliability of self-reported sexual behavior risk factors for HIV infection in homosexual men. Public Health Rep. 1987 Nov-Dec;102(6):692–697. [PMC free article] [PubMed] [Google Scholar]
  11. Schechter M. T., Boyko W. J., Douglas B., Willoughby B., McLeod A., Maynard M., Craib K. J., O'Shaughnessy M. The Vancouver Lymphadenopathy-AIDS Study: 6. HIV seroconversion in a cohort of homosexual men. CMAJ. 1986 Dec 15;135(12):1355–1360. [PMC free article] [PubMed] [Google Scholar]
  12. Schechter M. T., Boyko W. J., Jeffries E., Willoughby B., Nitz R., Constance P., Weaver M., Wiggs B., O'Shaughnessy M. The Vancouver Lymphadenopathy-AIDS Study: 4. Effects of exposure factors, cofactors and HTLV-III seropositivity on number of helper T cells. Can Med Assoc J. 1985 Aug 15;133(4):286–292. [PMC free article] [PubMed] [Google Scholar]
  13. Winkelstein W., Jr, Samuel M., Padian N. S., Wiley J. A., Lang W., Anderson R. E., Levy J. A. The San Francisco Men's Health Study: III. Reduction in human immunodeficiency virus transmission among homosexual/bisexual men, 1982-86. Am J Public Health. 1987 Jun;77(6):685–689. doi: 10.2105/ajph.77.6.685. [DOI] [PMC free article] [PubMed] [Google Scholar]

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