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Risky sex relapse, the next challenge for AIDS prevention programs: the AIDS behavioral research project.


Int Conf AIDS. 1989 Jun 4-9;5:699 (abstract no. T.D.O.8). Unique

OBJECTIVE: Research on other health-related behaviors such as smoking, drinking and weight loss has shown that initial health behavior change is often followed by relapse. This study was designed to examine the stability of individual behavior change following initial adoption of safe sex as well as psychosocial predictors of relapse. METHODS: A sample of 453 gay and bisexual men were followed annually from 1984 to 1987. High risk sex was defined as unprotected anal intercourse with multiple partners. Predictor variables included social support, personal efficacy, sexual self control, knowledge of health guidelines, and openness about one's sexual orientation. These were examined in a multiple logistic regression comparing subjects who relapsed to those who were able to maintain low risk behaviors over time following initial behavior change. RESULTS: The individual behaviors over time were grouped into the following behavior patterns: TABULAR DATA, SEE ABSTRACT VOLUME. Subjects who relapsed reported lower levels of self efficacy and less social support for safe sex behaviors than did subjects who were able to maintain safe sex behaviors. CONCLUSION: It is clear from these data that future AIDS prevention programs need to include relapse prevention components to increase the likelihood that behavior change will be maintained over time. The predictor analysis suggests that it may be beneficial to address social support and self efficacy issues in these interventions.

Acquired Immunodeficiency Syndrome/PREVENTION & CONTROL/ *PSYCHOLOGY *Behavior *Homosexuality Human Male Regression Analysis Research Risk Factors *Sex Behavior ABSTRACT


Information in this article was accurate in September 30, 1990. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.