Document 0470
 DOCN  M9480470
 TI    Predictors of unprotected intercourse among gay and bisexual youth:
       knowledge, beliefs, and behavior.
 DT    9410
 AU    Remafedi G; Youth and AIDS Project, University of Minnesota Hospital
       and; Clinics, Minneapolis 55455-0392.
 SO    Pediatrics. 1994 Aug;94(2 Pt 1):163-8. Unique Identifier : AIDSLINE
       MED/94309964
 AB    OBJECTIVE. To examine human immunodeficiency virus (HIV)-related
       knowledge, attitudes, and behaviors and predictors of unprotected anal
       intercourse. DESIGN. Structured interviews and paper-and-pencil
       instruments. SETTING. Community sites in Minnesota during 1989 to 1991.
       SUBJECTS. Two hundred thirty-nine gay and bisexual male adolescent
       volunteers. OUTCOME MEASURES. AIDS knowledge and beliefs, self-reported
       substance use, and sexual behavior. RESULTS. Subjects demonstrated
       accurate knowledge and beliefs about HIV; but 63% were found to be at
       extreme risk for prior HIV exposure, based on histories of unprotected
       anal intercourse and/or intravenous drug use. Thirty-four percent of
       subjects reported unprotected anal sex with at least one of the last
       three partners in the previous year. Perceived likelihood of HIV
       acquisition, substance abuse, having a steady partner, noncommunication
       with partners about risk reduction, and frequent intercourse were found
       to be significantly associated (P < .05) with unprotected anal sex in
       the previous year. CONCLUSIONS. Programs for gay and bisexual youth
       should focus on preventing unprotected anal intercourse. Other goals are
       to promote: communication with sexual partners, consistent condom use
       during oral and vaginal sex, low risk sexual practices, avoidance of
       substance use in sexual situations, and developmentally appropriate HIV
       antibody counseling and testing services.
 DE    Adolescence  Adult  *Bisexuality/STATISTICS & NUMER DATA  Comparative
       Study  Condoms/STATISTICS & NUMER DATA/*UTILIZATION  Female
       *Homosexuality/STATISTICS & NUMER DATA  Human  HIV
       Infections/EPIDEMIOLOGY/PREVENTION & CONTROL  HIV-1  Interviews
       *Knowledge, Attitudes, Practice  Logistic Models  Male
       Minnesota/EPIDEMIOLOGY  Prognosis  Questionnaires  Risk Factors  *Sex
       Behavior/STATISTICS & NUMER DATA  Sexual Partners  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).