Document 0998
 DOCN  M9470998
 TI    Time from safer to unsafe sexual behaviour among homosexual men.
 DT    9409
 AU    de Wit JB; van Griensven GJ; Utrecht University, Department of Gay and
       Lesbian Studies, The; Netherlands.
 SO    AIDS. 1994 Jan;8(1):123-6. Unique Identifier : AIDSLINE MED/94280687
 AB    OBJECTIVE: To study relapse into unsafe sex among homosexual men using a
       novel method. DESIGN: Time from safer to unsafe sexual behaviour was
       analysed using Kaplan-Meier procedures. Cox proportional hazard analysis
       was performed to quantify the relation between duration of safer sex and
       several covariates. SUBJECTS: Subjects were homosexual men enrolled in a
       longitudinal cohort study in Amsterdam and included in the present
       assessment if they had ever reported an episode of safer sexual
       behaviour of at least 12 months. RESULTS: Of the 402 participants who
       met the inclusion criterion, 289 (72%) reported at least one episode of
       unprotected anogenital intercourse during follow-up. The median time
       from safer to unsafe sexual behaviour was 30 months. After 88 months of
       follow-up, the cumulative incidence of unsafe sexual behaviour reached
       88%. Younger age, HIV seropositivity and use of amyl nitrites (poppers),
       were related to a shorter time to unsafe sexual behaviour. CONCLUSIONS:
       Based on these findings it is possible to target relapse prevention at
       specific groups of homosexual men, thereby increasing programme
       effectiveness and efficiency.
 DE    Demography  *Homosexuality  Human  Longitudinal Studies  Male
       Netherlands  *Sex Behavior  Support, Non-U.S. Gov't  Time Factors
       JOURNAL ARTICLE

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