Abstract
Much is known about the factors associated with risky sexual behavior among HIV-negative men who have sex with men (MSM) and among MSM whose HIV antibody status is unknown. However, little is known about the dynamics of continuing risky behavior among HIV-positive MSM. This research employed both questionnaire and extensive individual interview techniques to assess the levels of risky behavior, as well as the factors associated with risky behavior, in a sample of 42 seropositive MSM. Findings suggest that risky behavior occurs with some frequency, and that it is occasioned by informational, motivational, and behavioral skills-relevant deficits in the population at focus. Moreover, levels of risky behavior appear to differ with seropositive and seronegative primary partners. Implications for designing interventions for seropositive MSM are discussed.
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REFERENCES
Ajzen, I., and Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Englewood Cliffs, NJ: Prentice-Hall.
Bandura, A. (1994). Social cognitive theory and exercise of control over HIV infection. In R. J. DeClemente & J. L. Peterson (Eds.), Preventing AIDS: Theories and methods of behavioral interventions (pp. 25–54). New York: Plenum Press.
Casadonte, P. P., DesJarlais, D. C., Friedman, S. R., and Rotrosen, J. P. (1990). Psychological and behavioral impact among intravenous drug users of learning HIV test results. International Journal of Addiction, 25, 409–426.
Chan, D. K., and Fishbein, M. (1993). Determinants of college women's intentions to tell their partners to use condoms. Journal of Applied Social Psychology, 23, 1455–1470.
Fisher, W. A. (1990). All together now: An integrated approach to preventing adolescent pregnancy and STD/HIV infection. Sex Information and Education Council of the United States, 18, 1–11.
Fisher, W. A., and Fisher, J. D. (1993). A general social psychological model for changing AIDS risk behavior. In J. B. Pryor & G. D. Reeder (Eds.), The social psychology of HIV infection (pp. 127–153). Hillsdale, NJ: Erlbaum.
Fisher, J. D., and Fisher, W. A. (1992). Changing AIDS risk behavior. Psychological Bulletin, 111, 455–474.
Fisher, J. D., Fisher, W. A., Misovich, S. J., Kimble, D. L., and Malloy, T. E. (1996). Changing AIDS risk behavior: Effects of an intervention emphasizing AIDS risk reduction information, motivation, and behavioral skills in a college student population. Health Psychology, 15, 114–123.
Fisher, J. D., Fisher, W. A., Williams, S. S., and Malloy, T. E. (1994). Empirical tests of an information, motivation, behavioral skills model of AIDS preventive behavior with gay men and heterosexual university students. Health Psychology, 13, 238–250.
Fisher, J. D., Hertzog-Covell, N., and Fisher, W. A. (1993). AIDS prevention knowledge, motivation, and behavioral skills in samples of gay men, high school students, and university students. Unpublished manuscript, University of Connecticut, Storrs, CT.
Hammer, J., Fisher, J. D., and Fisher, W. A. (1996). When two heads aren't better than one: AIDS risk behavior in college couples. Journal of Applied Social Psychology, 26, 375–397.
Ishii-Kuntz, M., Whitbeck, L. B., and Simons, R. L. (1990). AIDS and perceived change in sexual practice: An analysis of a college sample from California and Iowa. Journal of Applied Social Psychology, 20, 1301–1321.
Kalichman, S. C. (1996). Continued sexual risk behavior among HIV seropositive, drug-using men. Morbidity and Mortality Weekly Reports, 45, 151–152.
Kalichman, S. C., Greenberg, J., and Abel, G. G. (1997a). Sexual compulsivity among HIV positive men who engage in high-risk sexual behavior with multiple partners: An exploratory study. AIDS Care, 9, 441–450.
Kalichman, S. C., Kelly, J. A., and Rompa, D. (1997b). Continued high risk sex among HIV seropositive gay and bisexual men seeking HIV prevention services. Health Psychology, 16, 369–373.
Kamenga, M., Ryder, R. W., Jingu, M., Mbuyi, N., Mbu, L., Behets, F., Brown, C., and Heyward, W. L. (1991). Evidence of marked sexual behavior change associated with low HIV-1 seroconversion in 149 married couples with discordant HIV-1 serostatus: Experience at an HIV counseling center in Zaire. AIDS, 5, 61–67.
Kelly, J. A. (1995). Changing HIV risk behavior: Practical strategies. New York: Guilford Press.
Kelly, J. A., and St. Lawrence, J. S. (1988). The AIDS health crisis: Psychological and social interventions. New York: Plenum Press.
Kelly, J. A., Murphy, D. A., Bahr, G. R., Koob, J. J., Morgan, M. G., Kalichman, S. C., Stevenson, L. Y., Brasfield, T. L., Bernstein, B. M., and St. Lawrence, J. S. (1993). Factors associated with severity of depression and high-risk sexual behavior among persons diagnosed with HIV infection. Health Psychology, 12, 215–219.
Lemp, G. F., Hirozawa, A., Givertz, D., Nieri, G. N., Anderson, L., Lindergren, M. L., Janssen, R. S., and Katz, M. (1994). Seroprevelence of HIV and risk behaviors among young homosexual and bisexual men. Journal of the American Medical Association, 272, 449–454.
Marks, G., Ruiz, M. S., Richardson, J. L., Reed, D., Mason, H. R. C., Sotelo, M., and Turner, P. A. (1994). Anal intercourse and disclosure of HIV infection among seropositive gay and bisexual men. Journal of Acquired Immune Deficiency Syndromes, 1, 866–869.
Misovich, S. J., Fisher, J. D., and Fisher, W. A. (1997). Close relationships and elevated HIV risk behavior: Evidence and possible underlying psychological processes. General Psychology Review, 1, 72–107.
Misovich, S. J., Fisher, J. D., and Fisher, W. A. (1996). The perceived AIDS-preventive utility of knowing one's partner well: A public health dictum and individuals' risky sexual behavior. Canadian Journal of Human Sexuality, 5, 83–90.
Perry, S. W., Card, C. A. L., Moffatt, M., Ashman, T., Fishman, B., and Jacobsberg, L. B. (1994). Self-disclosure of HIV infection to sexual partners after repeated counseling. AIDS Education and Prevention, 6, 403–441.
Poku, K. A., and Linn, J. G. (1994). Behavioral and psychosocial factors related to HIV-infected individual's knowingly engaging in high risk behavior. Journal of the Tennessee Medical Association, 87, 97–100.
Thompson, S. C., Nanni, C., and Levine, A. (1996). The stressors and stress of being HIV-positive. AIDS Care, 8, 5–14.
Vaughn, S., Schaumm, J. S., and Sinagub, J. (1996). Focus group interventions in education and psychology. Thousand Oaks, CA: Sage.
Weinstein, N. D. (1989). Perceptions of personal susceptibility to harm. In V. M. Mays, G. W. Albee, and S. F. Schneider (Eds.), Primary prevention of AIDS: Psychological approaches (pp. 142–167). London: Sage.
Williams, S. S., Doyle, T. M., Pittman, L. D., Weiss, L. H., Fisher, J. D., and Fisher, W. A. (in press). Role-played safer sex skills of heterosexual college students influenced by both personal and partner factors. AIDS and Behavior.
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Fisher, J.D., Willcutts, D.L.K., Misovich, S.J. et al. Dynamics of Sexual Risk Behavior in HIV-Infected Men Who Have Sex with Men. AIDS Behav 2, 101–113 (1998). https://doi.org/10.1023/A:1022190728882
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DOI: https://doi.org/10.1023/A:1022190728882