Predictors of relapse in sexual practices among homosexual men.
Selected sociodemographic, psychosocial, and behavioral variables were used to predict maintenance or relapse in sexual practices over a 1-year interval in a cohort of homosexual men in Chicago. Univariate analyses and multivariate logistic regression were used to define predictive models for safer practices separately for insertive and receptive and sex. Demographic and psychosocial variables were not associated with subsequent relapse. Neither was HIV serostatus. Using more rigorous multiple logistic regression, only monogamous relationships, less peer support, and less assertiveness in negotiating safer sex appeared to predict relapse to less safe practices. The importance of interpersonal variables and social norms for future interventions among homosexual men is discussed.
Adib
S M
SM
Department of Epidemiology, School of Public Health University of Michigan, Ann Arbor 48109.
Joseph
J G
JG
Ostrow
D G
DG
James
S A
SA
D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000517:prevention & control*; D000328:Adult; D002641:Chicago / Q000453:epidemiology; D003275:Contraceptive Devices, Male / Q000706:statistics & numerical data; D005544:Forecasting; D006679:HIV Seropositivity / Q000453:epidemiology; D007722:Health Knowledge, Attitudes, Practice; D006716:Homosexuality / Q000523:psychology*; D006801:Humans; D016015:Logistic Models; D008297:Male; D012307:Risk Factors; D012725:Sexual Behavior; D011795:Surveys and Questionnaires