Correlates of Unprotected Anal Sex with Casual Partners: A Study of Gay Men Living in the Southern United States

Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Atlanta, GA, USA.
AIDS and Behavior (Impact Factor: 3.49). 10/2006; 10(5):575-8. DOI: 10.1007/s10461-006-9116-4
Source: PubMed


This study identified demographic and behavioral correlates of engaging in unprotected anal sex (UAS) with non-main partners among men having sex with men (MSM). Just over 1,000 men completed anonymous surveys with 25% of the men reporting their most recent sexual act with a non-main male partner was UAS. These men tended to be white, older, HIV seropositive, and high (or drunk) when having sex. In multivariate analysis being seropositive, and being high or drunk retained significance. Subsequent research may build upon these findings to determine the causal pathway to UAS among MSM having sex with non-main partners. Findings may be useful in constructing prevention interventions for MSM frequenting gay venues.

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Available from: R. Luke Shouse, Feb 04, 2015
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    • "For others, a reasoned judgment based on perception of risk takes place. In cases where perceived risk is low, harm reduction strategies involving HIV serodisclosure, serosorting, strategic positioning, and negotiated safety are, as reported in other studies, being used instead of condoms (Belcher et al. 2005; Van de Ven et al. 2002; Holtgrave, Crosby and Shouse 2006). Contextual factors, such as acting in the heat of the moment, condom availability, and substance use, are also influential and of similar importance to interpersonal factors. "
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    • "Several U.S. studies [4] [5] [6] suggest that unprotected anal sex accounts for the acquisition of most HIV infections among MSM, and situational factors play an important role in understanding sexual risk taking. One such factor is the use of methamphetamine during sex. "

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