Document 0187
 DOCN  M9480187
 TI    Cognitive and behavioral adaptations to HIV/AIDS among gay and bisexual
       adolescents.
 DT    9410
 AU    Remafedi G; Department of Pediatrics, University of Minnesota,
       Minneapolis; 55455.
 SO    J Adolesc Health. 1994 Mar;15(2):142-8. Unique Identifier : AIDSLINE
       MED/94289442
 AB    PURPOSE: To examine short-term changes in HIV knowledge, beliefs, and
       behaviors among gay and bisexual adolescents, 139 gay and bisexual male
       adolescents (13-21 years of age) completed interviews and
       self-administered surveys of HIV-related knowledge, attitudes, and
       behaviors during an initial assessment (Time 1) and 3-6 months after
       intervention (Time 2). METHODS: The intervention included individualized
       HIV/AIDS risk assessment and risk reduction counseling, peer education,
       and referrals to needed services. Cross-sectional (group) and individual
       cognitive and behavioral changes were examined; adolescents who reported
       unprotected anal intercourse and/or injecting drug use after
       interventions were compared to those who did not. RESULTS: Compared to
       Time 1, 60% fewer subjects at Time 2 reported unprotected anal
       intercourse with recent partners. Subjects also reported less frequent
       anal intercourse and more consistent use of condoms during follow-up.
       Substance abuse severity scores and use of amphetamines and amyl nitrite
       declined. One-quarter of subjects reported ongoing high-risk behaviors
       associated with multiple partners, frequent anal intercourse, completion
       of education, and relative numbers of gay friends. CONCLUSIONS:
       Compliance with HIV risk reduction improved over time. Constructive
       change most often involved the practices of anal intercourse and, to a
       lesser extent, oral sex. Ongoing risk-taking behavior may reflect
       serious psychosocial problems.
 DE    *Adaptation, Psychological  Adolescence  *Adolescent Psychology  Adult
       *Bisexuality  Cross-Sectional Studies  Educational Measurement  Female
       Health Education/*METHODS  *Homosexuality  Human  HIV
       Infections/EPIDEMIOLOGY/*PREVENTION & CONTROL/TRANSMISSION  *Knowledge,
       Attitudes, Practice  Male  Program Evaluation  Prospective Studies  Risk
       Factors  Support, Non-U.S. Gov't  Support, U.S. Gov't, P.H.S.  JOURNAL
       ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).