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Increase in unprotected anogenital intercourse among homosexual men
J B de Wit1, J A van den Hoek, T G Sandfort
1Department of Gay and Lesbian Studies, Utrecht University, The Netherlands.
American Journal of Public Health
|October 1, 1993
Summary
High-risk sexual behaviors, including unprotected intercourse, are increasing among homosexual men in Amsterdam. This rebound suggests a concerning trend in HIV prevention efforts within this population.
Area of Science:
- Public Health
- Epidemiology
- Sexual Health
Background:
- Human immunodeficiency virus (HIV) infection remains a significant public health concern.
- Previous behavioral changes in homosexual men aimed to reduce HIV transmission.
- Monitoring sexual behaviors is crucial for effective HIV prevention strategies.
Purpose of the Study:
- To analyze trends in high-risk sexual behaviors among homosexual men in Amsterdam.
- To identify a potential rebound in behaviors associated with HIV infection.
- To assess the prevalence of lapse and relapse into unsafe sex.
Main Methods:
- Analysis of data from municipal sexually transmitted disease clinics in Amsterdam.
- Examination of longitudinal behavioral data from a cohort of homosexual men.
- Tracking of gonorrhea cases and unprotected anogenital intercourse.
Main Results:
- An increase in gonorrhea cases among homosexual and bisexual men visiting clinics.
- A rise in unprotected anogenital intercourse among homosexual men in the Amsterdam cohort.
- Evidence of a rebound in behavior change and prevalent lapse/relapse into unsafe sex.
Conclusions:
- The findings indicate a concerning resurgence of high-risk sexual behaviors among homosexual men.
- This rebound necessitates a re-evaluation and potential intensification of HIV prevention interventions.
- Longitudinal data highlight the challenges in maintaining behavioral changes for sexual health.