WHY DO HOMOSEXUAL MEN RELAPSE INTO UNSAFE SEX - PREDICTORS OF RESUMPTION OF UNPROTECTED ANOGENITAL INTERCOURSE WITH CASUAL PARTNERS

被引:40
作者
DEWIT, JBF
VANGRIENSVEN, GJP
KOK, G
SANDFORT, TGM
机构
[1] DEPT PUBL HLTH & ENVIRONM,MUNICIPAL HLTH SERV,AMSTERDAM,NETHERLANDS
[2] UNIV LIMBURG,DEPT HLTH EDUC,6200 MD MAASTRICHT,NETHERLANDS
关键词
HIV AIDS; HOMOSEXUAL MEN; HOMOSEXUAL BEHAVIOR; BEHAVIOR MODIFICATION; PREVENTION; MAINTENANCE; RELAPSE; PREDICTORS;
D O I
10.1097/00002030-199308000-00014
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
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.
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页码:1113 / 1118
页数:6
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