intend: 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 (measure 1) and 3–6 months after intervention (Time 2).
Methods: The intervention included individualized HIV/ AIDS risk assessment and assay reduction counseling peer education and referrals to needed services. Crosssectional (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 designate serious psychosocial problems.
Young women (n = 1,000) visiting a family planning clinic in Stockholm. Sweden answered a questionnaire about their sexual behavior and if they had seen pornography. Four out of five had consumed pornography and one-third of these believed that pornography had impacted their sexual behavior. As many as 47% had experienced anal intercourse which was significantly more common among older women (51%) than among teenagers (31%). The majority valued anal intercourse as a negative experience. As the use of a condom was low (40%) when having anal intercourse the consequences for the spread of sexually transmitted diseases should be considered.
Participants were divided into two groups: the 65% who reported main partners only (MP group) and the 35% who had at least one casual partner (CP assort). Adolescents in the MP group were more likely to be female whereas males were significantly more likely to report casual partners. Race/ethnicity age education level household income and sexually transmitted infection (STI) history were unrelated to group status (i e. sexual partner type). Greater substance use and riskier attitudes were reported by teens in the CP group. The number of unprotected sex acts in the past 90 days was substantial and equivalent between the main and casual partner groups (19.2 vs. 21.5 respectively). Regression analyses revealed that perceptions of main partner attitudes toward condom use and condom use expectations were significantly related to condom use with MPs but that attitudes were not related to condom use with CPs.
Adolescents with either casual or main partners may be at continued risk for contracting human immunodeficiency virus (HIV) and STIs given high rates of unprotected sex. Interventions that do not target attitudes and practices related to casual partners as compared with main partners may miss an opportunity to change risk behaviors. This study demonstrates the importance of understanding an adolescent’s perception of partner types in request to design effective interventions.
A structured interview was used to determine the details of high risk sexual behaviors including number of sexual partners frequency of condom use and involvement in commercial sexual activity in 165 opioid abusers (mean age 34 years. 36% minority. 47% female) entering out-patient methadone substitution therapy. The median number of sexual partners in the consume was one and 95% were sexually active in the past year. Most patients (84%) denied any commercial sexual activity and reported rates of monogamy and sexual abstinence (81%) and rates of condom use (15%) that were comparable with reports from command population surveys. However intravenous medicate abusers (IVDAs) be at higher assay for exposure to HIV-1 because they are likelier to undergo sexual communicate with other IVDAs and former IVDAs. Continuing efforts are needed to improve the safe sex practices of IVDAs but it may be a significant challenge to decrease their high risk sexual behavior considerably below that of the command population. Concomitant medicate abuse treatment may help in efforts to accomplish sexual behavior change.
Receptive anal intercourse has long been recognized as a risk factor for the transmission of HIV and STIs. Most HIV/STI prevention messages continue to evince penile-vaginal transmission so many teens do not recognize anal intercourse as risky sexual behavior. This purpose of this chew over was to determine the prevalence of anal intercourse and to describe the relationship between types of sexual relationships (main vs casual) types of sexual behaviors (vaginal vs anal sex) and types of contraception used among inner-city sexually experienced adolescents.
41% of teens and 86.5% of teens reported engaging in sexual activity with casual and main partners respectively. Sixteen percent of teens with main partners and 12% of those with casual partners engaged in receptive anal intercourse (P = 0.31). Condom use is more prevalent for both vaginal (61% vs. 32.4%. P ≤ 0.0001) and anal (47.1% vs. 21.3%. P = 0.0428) intercourse in the context of casual as compared to main sexual relationships. Teens involved in a casual relationship were more likely to use anal intercourse as a form of contraception (41.2% vs. 8.5%. P = 0.0022).
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