title: Optimistic perception of HIV/AIDS, unprotected sex and implications for prevention among men who have sex with men, São Paulo, Brazil.
abstract: BACKGROUND
  This study examines the association between optimistic perceptions about AIDS and unprotected sex among men who have sex with men (MSM) in the city of São Paulo, Brazil.
  
  
  METHODS
  A cross-sectional study was carried out among MSM in leisure areas of São Paulo in 2003. We interviewed 161 participants aged 18-30 years.
  
  
  RESULTS
  Thirty-nine per cent (95% confidence interval 32-47%) reported unprotected anal sex with steady or casual partners in the previous 6 months. The optimistic perception score created for this study was associated with unprotected sex (P = 0.01) and higher education (P = 0.02). The quartile with the most optimistic perception was 1.8 times more likely to engage in unprotected anal sex compared with the quartile with the least optimistic perception.
  
  
  CONCLUSIONS
  This study suggests that the current situation regarding AIDS, which is seemingly favourable, may create optimistic perceptions leading to unprotected sexual practices. Prevention programmes, particularly for MSM, need to take this into account.
authors.affiliation: NEPAIDS, Brazilian National STD/AIDS Program, Ministry of Health, Brasília, Brazil. crica@usp.br
authors.forename: Cristiane G M
authors.initials: CG
authors.lastname: da Silva
authors.forename: Dreyf de A
authors.initials: Dde A
authors.lastname: Gonçalves
authors.forename: Júlio C B
authors.initials: JC
authors.lastname: Pacca
authors.forename: Edgar
authors.initials: E
authors.lastname: Merchan-Hamann
authors.forename: Norman
authors.initials: N
authors.lastname: Hearst
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D001938:Brazil; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000517:prevention & control / Q000523:psychology* / Q000635:transmission; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D008297:Male; D011594:Psychometrics; D012309:Risk-Taking; D021841:Safe Sex / Q000523:psychology; D012959:Socioeconomic Factors; D047568:Unsafe Sex / Q000523:psychology*