Current sexual activity and risky sexual behavior in older men with or at risk for HIV infection.
In a cross-sectional analysis, we investigated frequency of sexual activity and factors associated with risky sexual behavior among 624 oldermen, aged 49-80, with or at risk for HIV infection. During the prior 6 months, 75% reported sexual activity with at least one partner, and one quarter of both the HIV-negative and HIV-positive men had more than one sexual partner. Only 18% of the HIV-negative men and 58% of the HIV-positive men always used condoms with their sexual partners. Factors independently and positively associated with risky sexual behavior included lack of HIV infection, any drug use in the past 6 months, greater importance of sex in one's life, weekly or more frequent sexual activity in the past 6 months, and ever taking sildenafil. These results suggest that older men with or at risk for HIV infection are sexually active, participate in risky sexual behavior, and need safer sex interventions.
Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY 10467, USA. nicooperm@montefiore.org
Nina A
NA
Cooperman
Julia H
JH
Arnsten
Robert S
RS
Klein
D001741:Black or African American / Q000523:psychology; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D023241:Antiretroviral Therapy, Highly Active / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D018023:HIV Seronegativity; D006679:HIV Seropositivity; D006630:Hispanic or Latino / Q000523:psychology; D018451:Homosexuality, Male; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010879:Piperazines / Q000627:therapeutic use; D011687:Purines / Q000627:therapeutic use; D019057:Quality-Adjusted Life Years; D012309:Risk-Taking; D012725:Sexual Behavior / Q000208:ethnology / Q000523:psychology*; D012747:Sexual Partners / Q000523:psychology*; D000068677:Sildenafil Citrate; D015819:Substance Abuse, Intravenous / Q000150:complications* / Q000208:ethnology; D013450:Sulfones / Q000627:therapeutic use; D016019:Survival Analysis; D044465:White People / Q000523:psychology
D010879:Piperazines; D011687:Purines; D013450:Sulfones; D000068677:Sildenafil Citrate