Article

Integrating professional and folk models of HIV risk: YMSM's perceptions of high-risk sex.

Saban Research Institute, Childrens Hospital Los Angeles, and Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA 90028, USA.
AIDS Education and Prevention (impact factor: 1.59). 07/2008; 20(3):220-38. DOI:10.1521/aeap.2008.20.3.220 pp.220-38
Source: PubMed

ABSTRACT Risks associated with HIV are well documented in research literature. Although a great deal has been written about high-risk sex, little research has been conducted to examine how young men who have sex with men (YMSM) perceive and define high-risk sexual behavior. In this study, we compare the "professional" and "folk" models of HIV risk based on YMSM's understanding of high-risk sex and where and how they gathered their understanding of HIV risk behaviors. The findings reported here emerged from the quantitative and qualitative interviews from the Healthy Young Men's Study, a longitudinal study examining risk and protective factors for substance use and sexual risk among an ethnically diverse sample of YMSM. Findings are discussed in relation to framing how service providers and others can increase YMSM's knowledge of sexual behavior and help them build solid foundations of sexual health education to protect them from sexually transmitted infections and HIV.

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    Article: HIV infection in homosexual and bisexual men 18 to 29 years of age: the San Francisco Young Men's Health Study.
    D H Osmond, K Page, J Wiley, K Garrett, H W Sheppard, A R Moss, L Schrager, W Winkelstein
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    ABSTRACT: Recent studies suggest very high human immunodeficiency virus (HIV) infection rates in some populations of younger homosexual men, but these studies may represent only particularly high-risk populations. The current study obtained population-based data on the HIV epidemic in young homosexual/bisexual men. A household survey of unmarried men 18 through 29 years of age involved a multistage probability sample of addresses in San Francisco. A follow-up interview and HIV test for men who were HIV negative at baseline were completed; the median follow-up was 8.9 months. Sixty-eight of 380 homosexual/bisexual men (17.9%) tested HIV seropositive. Sixty-three percent of men reported one or more receptive anal intercourse partners in the previous 12 months, and 41% of those men did not use condoms consistently. The HIV seroincidence rate among those seronegative at first study was 2.6% per year. HIV infection rates in young homosexual men in San Francisco are lower than those in the early 1980s; however, the rate of infection in these men, most of whom became sexually active after awareness of AIDS had become widespread, threatens to continue the epidemic in the younger generation at a level not far below that of a decade ago.
    American Journal of Public Health 01/1995; 84(12):1933-7. · 3.93 Impact Factor
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Keywords

define high-risk sexual behavior
 
Healthy Young Men's Study
 
high-risk sex
 
HIV risk behaviors
 
longitudinal study
 
men
 
models
 
protective factors
 
qualitative interviews
 
quantitative
 
research literature
 
Risks
 
sexual behavior
 
sexual health education
 
sexual risk
 
solid foundations
 
substance use
 
YMSM's understanding
 
young men