Skip to main content
PMC home page
American Journal of Public Health logoLink to American Journal of Public Health
. 1994 Dec;84(12):2003–2007. doi: 10.2105/ajph.84.12.2003

Extramarital sex and HIV risk behavior among US adults: results from the National AIDS Behavioral Survey.

K H Choi 1, J A Catania 1, M M Dolcini 1
PMCID: PMC1615405  PMID: 7998648

Abstract

Data from the National AIDS Behavioral Survey were used to examine the social distribution of extramarital sex and risk for human immunodeficiency virus (HIV) infection among married individuals in the United States. Of 1686 married respondents living across the United States, 2.2% reported extramarital sex; of 3827 married respondents living in 23 urban areas with large Hispanic or African-American populations, 2.5% reported having sexual partners outside marriage. The data indicate that the correlates of extramarital sex varied by race/ethnicity. Low levels of condom use were found among people reporting extramarital sex (8% to 19% consistent users).

Full text

PDF
2003

Selected References

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

  1. Catania J. A., Coates T. J., Stall R., Turner H., Peterson J., Hearst N., Dolcini M. M., Hudes E., Gagnon J., Wiley J. Prevalence of AIDS-related risk factors and condom use in the United States. Science. 1992 Nov 13;258(5085):1101–1106. doi: 10.1126/science.1439818. [DOI] [PubMed] [Google Scholar]
  2. Catania J. A., Gibson D. R., Chitwood D. D., Coates T. J. Methodological problems in AIDS behavioral research: influences on measurement error and participation bias in studies of sexual behavior. Psychol Bull. 1990 Nov;108(3):339–362. doi: 10.1037/0033-2909.108.3.339. [DOI] [PubMed] [Google Scholar]
  3. Catania J. A., Pollack L., McDermott L. J., Qualls S. H., Cole L. Help-seeking behaviors of people with sexual problems. Arch Sex Behav. 1990 Jun;19(3):235–250. doi: 10.1007/BF01541549. [DOI] [PubMed] [Google Scholar]
  4. Dolcini M. M., Catania J. A., Coates T. J., Stall R., Hudes E. S., Gagnon J. H., Pollack L. M. Demographic characteristics of heterosexuals with multiple partners: the National AIDS Behavioral Surveys. Fam Plann Perspect. 1993 Sep-Oct;25(5):208–214. [PubMed] [Google Scholar]
  5. Feldblum P. J. Results from prospective studies of HIV-discordant couples. AIDS. 1991 Oct;5(10):1265–1266. doi: 10.1097/00002030-199110000-00020. [DOI] [PubMed] [Google Scholar]
  6. Hingson R., Strunin L., Craven D. E., Mofenson L., Mangione T., Berlin B., Amaro H., Lamb G. A. Survey of AIDS knowledge and behavior changes among Massachusetts adults. Prev Med. 1989 Nov;18(6):806–816. doi: 10.1016/0091-7435(89)90016-9. [DOI] [PubMed] [Google Scholar]
  7. Keeter S., Bradford J. B. Knowledge of AIDS and related behavior change among unmarried adults in a low-prevalence city. Am J Prev Med. 1988 May-Jun;4(3):146–152. [PubMed] [Google Scholar]
  8. Leigh B. C., Temple M. T., Trocki K. F. The sexual behavior of US adults: results from a national survey. Am J Public Health. 1993 Oct;83(10):1400–1408. doi: 10.2105/ajph.83.10.1400. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Lindan C., Allen S., Carael M., Nsengumuremyi F., Van de Perre P., Serufilira A., Tice J., Black D., Coates T., Hulley S. Knowledge, attitudes, and perceived risk of AIDS among urban Rwandan women: relationship to HIV infection and behavior change. AIDS. 1991 Aug;5(8):993–1002. doi: 10.1097/00002030-199108000-00011. [DOI] [PubMed] [Google Scholar]
  10. Ngugi E. N., Plummer F. A., Simonsen J. N., Cameron D. W., Bosire M., Waiyaki P., Ronald A. R., Ndinya-Achola J. O. Prevention of transmission of human immunodeficiency virus in Africa: effectiveness of condom promotion and health education among prostitutes. Lancet. 1988 Oct 15;2(8616):887–890. doi: 10.1016/s0140-6736(88)92480-4. [DOI] [PubMed] [Google Scholar]
  11. Padilla E. R., O'Grady K. E. Sexuality among Mexican Americans: a case of sexual stereotyping. J Pers Soc Psychol. 1987 Jan;52(1):5–10. doi: 10.1037//0022-3514.52.1.5. [DOI] [PubMed] [Google Scholar]
  12. Ryder R. W., Ndilu M., Hassig S. E., Kamenga M., Sequeira D., Kashamuka M., Francis H., Behets F., Colebunders R. L., Dopagne A. Heterosexual transmission of HIV-1 among employees and their spouses at two large businesses in Zaire. AIDS. 1990 Aug;4(8):725–732. doi: 10.1097/00002030-199008000-00002. [DOI] [PubMed] [Google Scholar]
  13. Smith T. W. Adult sexual behavior in 1989: number of partners, frequency of intercourse and risk of AIDS. Fam Plann Perspect. 1991 May-Jun;23(3):102–107. [PubMed] [Google Scholar]
  14. Swieczkowski J. B., Walker C. E. Sexual behavior correlates of female orgasm and marital happiness. J Nerv Ment Dis. 1978 May;166(5):335–342. doi: 10.1097/00005053-197805000-00004. [DOI] [PubMed] [Google Scholar]
  15. 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]

Articles from American Journal of Public Health are provided here courtesy of American Public Health Association

RESOURCES