Longitudinal predictors of reductions in unprotected anal intercourse among gay men in San Francisco: the AIDS Behavioral Research Project.
Longitudinal predictors of reductions in unprotected anal intercourse among gay men in San Francisco: the AIDS Behavioral Research Project.
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DOI：
10.2105/ajph.80.8.978
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发表时间：
1990-08
影响因子：
12.7
通讯作者：
L. McKusick;Thomas J. Coates;Stephen F. Morin;Lance M. Pollack;Colleen C. Hoff
中科院分区：
文献类型：
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作者：
L. McKusick;Thomas J. Coates;Stephen F. Morin;Lance M. Pollack;Colleen C. Hoff
对旧金山508名男同性恋进行了无保护肛交的预测。该队列于1983-84年招募，当时49.8%的非一夫一妻制男性（N = 435）和71.2%的一夫一妻制男性（N = 73）报告进行无保护肛交。1988年，只有12%的非一夫一妻制男性和27.4%的一夫一妻制男性报告了这些行为。1984年进行无保护肛交的非一夫一妻制男性更年轻，报告说无保护肛交是他们最喜欢的性活动，改变性行为的有效性较低，报告说朋友更有可能从事高风险行为，对健康指南的了解较少，当时抑郁程度较低。1984年报告说无保护肛交是他们最喜欢的性行为的非一夫一妻制个体在1988年更有可能采取这种行为。1988年，那些知道自己的血清检测呈阳性的人报告无保护肛交的可能性较低。这些数据推断，为了改变与艾滋病相关的高危行为，社区风险降低计划应针对年轻人，以提高个人降低风险的效能，挑战同伴规范，促进抗体检测，并提倡更安全的性活动。
Predictors of unprotected anal intercourse were examined among 508 gay men in San Francisco. The cohort was recruited in 1983-84 at which time 49.8 percent of non-monogamous men (N = 435) and 71.2 percent of monogamous men (N = 73) reported practicing unprotected anal intercourse. Only 12 percent of non-monogamous and 27.4 percent of monogamous men reported these practices in 1988. The non-monogamous men who practiced unprotected anal intercourse in 1984 were more likely to be younger, to report that unprotected anal intercourse was their favorite sexual activity, to be low in perceived efficacy to change sexual behavior, to report that friends were more likely to engage in high-risk behaviors, to have less knowledge of health guidelines, and to be less depressed at that time. Non-monogamous individuals who in 1984 reported that unprotected anal intercourse was their favorite sexual activity were more likely to practice that behavior in 1988. Those who knew their serostatus as positive were less likely to report unprotected anal intercourse in 1988. These data infer that in order to modify AIDS-related high-risk behaviors, community risk-reduction programs be differentially aimed at young persons so as to increase personal efficacy about risk reduction, challenge peer norms, promote antibody testing, and eroticize safer sexual activities.