Abstract
OBJECTIVES. Little is known about the human immunodeficiency virus (HIV) high-risk sexual practices of gay and bisexual African-American men. These data are needed so that better interventions can be developed and implemented in this population. METHODS. The frequency and correlates of unprotected anal intercourse were examined among 250 gay and bisexual African-American men in the San Francisco Bay Area. The cohort was recruited in 1990 from bars, bathhouses, and erotic bookstores, and through African-American gay organizations, street outreach, advertisements in gay mainstream and African-American newspapers, health clinics, and personal referral from other participants. RESULTS. More than 50% of the men in our sample reported having unprotected anal intercourse in the past 6 months, a considerably higher percentage than that among gay White men in San Francisco through 1988 and 1989. Men who practiced unprotected anal intercourse were more likely to be poor, to have been paid for sex, or to have used injection drugs; to have a higher perceived risk of HIV infection; and to report less social support for concerns about risky sexual behavior. Condom norms, condom efficacy, and negative expectations about using condoms predicted these men's failure to use them. CONCLUSION. In the second decade of the acquired immunodeficiency syndrome epidemic, risk reduction programs are still needed for gay and bisexual African-American men.
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- Catania J. A., Coates T. J., Stall R., Bye L., Kegeles S. M., Capell F., Henne J., McKusick L., Morin S., Turner H. Changes in condom use among homosexual men in San Francisco. Health Psychol. 1991;10(3):190–199. doi: 10.1037//0278-6133.10.3.190. [DOI] [PubMed] [Google Scholar]
- 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]
- Ekstrand M. L., Coates T. J. Maintenance of safer sexual behaviors and predictors of risky sex: the San Francisco Men's Health Study. Am J Public Health. 1990 Aug;80(8):973–977. doi: 10.2105/ajph.80.8.973. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kelly J. A., St Lawrence J. S., Brasfield T. L., Lemke A., Amidei T., Roffman R. E., Hood H. V., Smith J. E., Kilgore H., McNeill C., Jr Psychological factors that predict AIDS high-risk versus AIDS precautionary behavior. J Consult Clin Psychol. 1990 Feb;58(1):117–120. doi: 10.1037//0022-006x.58.1.117. [DOI] [PubMed] [Google Scholar]
- Kelly J. A., St Lawrence J. S., Brasfield T. L., Stevenson L. Y., Diaz Y. E., Hauth A. C. AIDS risk behavior patterns among gay men in small southern cities. Am J Public Health. 1990 Apr;80(4):416–418. doi: 10.2105/ajph.80.4.416. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kelly J. A., St Lawrence J. S., Hood H. V., Brasfield T. L. Behavioral intervention to reduce AIDS risk activities. J Consult Clin Psychol. 1989 Feb;57(1):60–67. doi: 10.1037//0022-006x.57.1.60. [DOI] [PubMed] [Google Scholar]
- 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]
- Samuel M., Winkelstein W., Jr Prevalence of human immunodeficiency virus infection in ethnic minority homosexual/bisexual men. JAMA. 1987 Apr 10;257(14):1901–1902. [PubMed] [Google Scholar]
- Valdiserri R. O., Lyter D. W., Leviton L. C., Callahan C. M., Kingsley L. A., Rinaldo C. R. AIDS prevention in homosexual and bisexual men: results of a randomized trial evaluating two risk reduction interventions. AIDS. 1989 Jan;3(1):21–26. [PubMed] [Google Scholar]
- 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]