Why do homosexual men relapse into unsafe sex? Predictors of resumption of unprotected anogenital intercourse with casual partners. NLM AIDSLINE Important note: Information in this article was accurate in 1994. The state of the art may have changed since the publication date.

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Why do homosexual men relapse into unsafe sex? Predictors of resumption of unprotected anogenital intercourse with casual partners.

AIDS. 1993 Aug;7(8):1113-8. Unique Identifier : AIDSLINE MED/94000543
de Wit JB; van Griensven GJ; Kok G; Sandfort TG; Utrecht University, Department of Gay and Lesbian Studies, The; Netherlands.

Abstract: OBJECTIVE: To assess predictors of relapse into unprotected anogenital intercourse with casual partners among homosexual men in Amsterdam, The Netherlands. DESIGN: A prospective study ongoing since October 1984. METHODS: Self-reported data on sexual behaviour were obtained at 12 semi-annual intervals. Participants who reported unprotected anogenital intercourse with casual partners at wave 12 but not at wave 11 were considered to have relapsed into unsafe sex (n = 47). Men who did not report unprotected anogenital intercourse at wave 11 or at wave 12 were considered to have maintained behaviour change (n = 197). RESULTS: Relapse into unsafe sex with casual partners occurred more frequently among men with a less positive attitude towards condom use, lower personal efficacy with respect to using condoms with casual partners, a weaker intention to avoid anogenital intercourse with casual partners and those who were not involved in a primary relationship. Intention to avoid anogenital intercourse with casual partners was related to an individual's attitude, normative beliefs and personal efficacy with respect to avoiding anogenital intercourse. CONCLUSIONS: In order to improve motivation it is important to support homosexual men in their personal decision-making process, which may be more resolute when the outcome is in accordance with individual preferences. Therefore, health education should be community-based and sensitive to individual needs.
Keywords: Adult *Condoms *Homosexuality Human HIV Infections/PREVENTION & CONTROL Male Middle Age Prospective Studies *Sex Behavior Sexual Partners Support, Non-U.S. Gov't JOURNAL ARTICLEKWDadultKWDcondomsKWDhomosexualityhumanhivinfections/prevention&controlmalemiddleageprospectivestudiesKWDsexbehaviorsexualpartnerssupport,non-uKWDsKWDgov'tjournalarticle
940130
M9410784

Copyright © 1994 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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