Document 0366 DOCN M9590366 TI Sydney men and sexual health: negotiated safety in a cohort of homosexually active men. DT 9509 AU Prestage G; Kippax S; Noble J; Crawford J; Cooper D; Baxter D; National Centre in HIV Social Research, Darlinghurst, NSW. SO Annu Conf Australas Soc HIV Med. 1994 Nov 3-6;6:125 (unnumbered abstract). Unique Identifier : AIDSLINE ASHM6/95291733 AB Sydney Men and Sexual Health (SMASH) is a cohort study of 903 homosexually active men involving an initial interview, with follow-up interviews every six to twelve months and clinical tests. Data collected includes HIV sero-status, knowledge of HIV, personal relationships, safe and unsafe sexual behaviour, contact with the epidemic, health, and involvement in the gay community. An examination of data concerning the use of condoms during intercourse with regular and casual partners, types of sexual practice, HIV status, and types of agreements between partners, finds that notions of safety in sexual relationships are highly complex and based on quite sophisticated understandings of HIV transmission. This paper will present some of these findings which highlight the complex ways in which individual gay men make decisions about their sexual behaviour and how these are reflected in the arrangements they make with their male sexual partners. Agreements between regular male partners about sexual behaviour both within and outside relationships are highly predictive of safe and unsafe sexual behaviour. Their knowledge of the HIV status of sexual partners is an important factor in such agreements. DE Follow-Up Studies Homosexuality, Male/*PSYCHOLOGY Human HIV Infections/*PREVENTION & CONTROL/PSYCHOLOGY/TRANSMISSION *Knowledge, Attitudes, Practice Male *Negotiating New South Wales *Sex Behavior Sexual Partners/PSYCHOLOGY *Urban Population MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).