Document 0335
 DOCN  M9590335
 TI    Changing patterns of sexual practice in response to HIV: a
       cross-sectional analysis of three samples of gay and homosexually active
       men in Australia.
 DT    9509
 AU    Noble J; Kippax S; National Centre for HIV Social Research, Macquarie
       University.
 SO    Annu Conf Australas Soc HIV Med. 1994 Nov 3-6;6:163 (unnumbered
       abstract). Unique Identifier : AIDSLINE ASHM6/95291764
 AB    This paper investigates the importance of gay community attachment in
       changing sexual practice by comparing three large samples of men who
       have sex with men (or homosexually active men). The 1986 Social Aspects
       of the Prevention of AIDS study (SAPA) and the 1993 Sydney Men and
       Sexual Health study (SMASH) used face to face interviews to survey
       mostly gay-community attached (GCA) men. The 1992 national MaleCall
       study, using a more anonymous phone-in method, reached both GCA and
       non-GCA men. Comparisons over similar cohorts (SAPA vs. SMASH) indicate
       an increase in safe sexual practice over time. There is also a tendency
       for men to move towards either regular or casual partners, with fewer
       men having both types in SMASH. It is argued that HIV has made it more
       difficult to negotiate complex sexual arrangements. Looking at the
       MaleCall study, and at non-GCA men from all 3 studies, suggests that
       this pattern of changing practice is linked to gay community attachment.
       Quite different patterns of sexual practice are observed when comparing
       GCA men and non-GCA men. We argue that the data from SAPA and SMASH
       represent gay community based collective change.
 DE    Australia/EPIDEMIOLOGY  Cohort Studies  Cross-Sectional Studies
       Homosexuality, Male/*STATISTICS & NUMER DATA  Human  HIV
       Infections/*PREVENTION & CONTROL/TRANSMISSION  Knowledge, Attitudes,
       Practice  Male  *Sex Behavior  MEETING ABSTRACT

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