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Predictors of vulnerability to AIDS risk behavior relapse.

J A Kelly1, J S St Lawrence, T L Brasfield

  • 1Department of Psychiatry and Mental Health Sciences, Medical College of Wisconsin, Milwaukee 53226.

Journal of Consulting and Clinical Psychology
|February 1, 1991
PubMed
Summary

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Effects of Stigmatization on Gay Men Living with HIV/AIDS in a Central-Eastern European Context: A Qualitative Analysis from Hungary.

Sexuality research & social policy : journal of NSRC : SR & SP·2013

Predictors of relapse in HIV prevention were identified in gay men. Younger age, substance use before sex, and external locus of control for HIV infection predicted return to high-risk behaviors.

Area of Science:

  • Psychology
  • Public Health
  • Behavioral Science

Background:

  • HIV prevention programs aim to reduce high-risk sexual behaviors among gay men.
  • Long-term maintenance of behavior change is a significant challenge in HIV prevention.

Purpose of the Study:

  • To identify psychological and behavioral predictors of relapse to high-risk sexual practices in gay men after attending an AIDS prevention program.
  • To differentiate between individuals who successfully maintain behavior change and those who relapse.

Main Methods:

  • Longitudinal study following 68 gay men for 16 months post-intervention.
  • Psychological and behavioral data collected prior to the prevention program were analyzed.
  • Discriminant analysis was used to predict change maintenance versus relapse.
Keywords:
Acquired Immunodeficiency SyndromeAlcohol DrinkingAmericasBarrier MethodsBehaviorBiologyCoital FrequencyCondomContraceptionContraceptive MethodsDeveloped CountriesDiseasesEducationFamily PlanningHealth EducationHiv InfectionsHomosexualsLife StyleLongitudinal StudiesMultiple PartnersNorth AmericaNorthern AmericaPsychological FactorsResearch MethodologyRisk FactorsSex Behavior--changesSexual PartnersSocial AdjustmentSocial BehaviorStatistical StudiesStudiesTechnical ReportUnited StatesUser ComplianceViral Diseases

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Main Results:

  • Younger age, history of unprotected receptive anal intercourse, multiple partners, and reinforcement value of high-risk practices predicted relapse.
  • Intoxication before sex, lower depression scores, belief in external control of HIV, and homosexuality "outness" were also associated with relapse.
  • Discriminant analysis accurately classified 86% of participants as relapsers or change-maintainers.

Conclusions:

  • Pre-intervention psychological and behavioral factors can predict long-term success in HIV prevention among gay men.
  • Targeted interventions addressing these predictors may improve sustained behavior change and reduce HIV transmission risk.