High-risk sexual behavior and condom use among gay and bisexual African-American men

Objectives. Little is known about the human immunodeficiency virus (HIV) high-risk sexual practices of gay and bisexual African-American men. These data are needed so that better interventions can be developed and implemented in this population. Methods. The frequency and correlates of unprotected a...

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Bibliographic Details
Published in:American journal of public health (1971) 1992-11, Vol.82 (11), p.1490-1494
Main Authors: Peterson, J L, Coates, T J, Catania, J A, Middleton, L, Hilliard, B, Hearst, N
Format: Article
Language:English
Subjects:
Acquired Immune Deficiency Syndrome
Acquired Immunodeficiency Syndrome
Adult
Adults
African Americans
African Americans - psychology
AIDS
AIDS/HIV
At Risk Persons
Behavior Change
Behavior Patterns
Biological and medical sciences
Bisexuality
Black American people
Black people
Blacks
California
California (San Francisco)
Change Strategies
Condoms
Condoms - statistics & numerical data
Fundamental and applied biological sciences. Psychology
Gays & lesbians
Health Education
Health Knowledge, Attitudes, Practice
HIV
Homosexuality
Homosexuals
Human immunodeficiency virus
Humans
Immune system
Incidence
Life Sciences & Biomedicine
Male
Males
Medical research
Men
Personality. Affectivity
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Public Health
Public, Environmental & Occupational Health
Risk
Risk Reduction
Risk Taking Behavior
Risk-Taking
Risks
Science & Technology
Sex Education
Sexual Behavior
Sexual behaviour
Sexuality. Sexual behavior
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Summary:Objectives. Little is known about the human immunodeficiency virus (HIV) high-risk sexual practices of gay and bisexual African-American men. These data are needed so that better interventions can be developed and implemented in this population. Methods. The frequency and correlates of unprotected anal intercourse were examined among 250 gay and bisexual African-American men in the San Francisco Bay Area. The cohort was recruited in 1990 from bars, bathhouses, and erotic bookstores, and through African-American gay organizations, street outreach, advertisements in gay mainstream and African-American newspapers, health clinics, and personal referral from other participants. Results. More than 50% of the men in our sample reported having unprotected anal intercourse in the past 6 months, a considerably higher percentage than that among py White men in San Francisco through 1988 and 1989. Men who practice unprotected anal intercourse were more likely to be poor, to have been paid for sex, or to have used injection drugs; to have a higher perceived risk of HIV infection; and to report less social support for concerns about risky sexual behavior. Condom norms, condom efficacy, and negative expectations about using condoms predicted these men's failure to use them. Conclusion. In the second decade of the acquired immunodeficiency syndrome epidemic, risk reduction programs are still needed for gay and bisexual African-American men.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.82.11.1490