International conference on AIDS. Amsterdam NLD, 1992/06.
This longitudinal study examined predictors of patterns of change in HIV sexual risk acts among homosexual and bisexual adolescent males.
A consecutive series of 136 homosexual and bisexual adolescent males aged 14-19 years were recruited into the study.
Subjects were predominantly Hispanic (51%) and African American (31%) and seeking services at a homosexual-identified community-based agency in New York city.
All subjects participated in an intensive HIV intervention program.
Patterns of change in HIV sexual risk acts were based on assessments at four points (intake and 3,6, and 12 months later) and were used to classify youths as demonstrating one of five patterns of anal and oral sexual acts : protected (anal : 45%, oral : 25%), improved (32% and 28%, respectively), relapse (5% and 8%), variable (8% and 15%), and unprotected (10% and 24%). Components of the health belief, self-efficacy, peer influence, coping, and distress models were assessed as predictors of these patterns.
Protected and improved patterns of sexual risk acts were associated with low levels of anxiety, depression, and substance use and high self-esteem.
These data suggest that HIV interventions must address non-HIV-related issues confronting youths in difficult life circumstances, particularly emotional distress and the role of peer networks for homosexual and bisexual youths.
Mots-clés Pascal : Homosexualité, Bisexualité, Mâle, Adolescent, Homme, Relation sexuelle, Evolution, Comportement sexuel, Croyance, Santé, Comportement, Influence sociale, Relation interpair, Trouble psychiatrique, Coping, Efficacité personnelle, Personnalité, Etude longitudinale
Mots-clés Pascal anglais : Homosexuality, Bisexuality, Male, Adolescent, Human, Sexual intercourse, Evolution, Sexual behavior, Belief, Health, Behavior, Social influence, Peer relation, Mental disorder, Coping, Self efficacy, Personality, Follow up study
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0271435
Code Inist : 002A26G05. Création : 01/03/1996.