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Preventing unprotected anal intercourse in gay men: a comparison of two intervention techniques.


Int J STD AIDS. 1995 Mar-Apr;6(2):89-94. Unique Identifier : AIDSLINE

This study compared the effectiveness of getting gay men to evaluate the self-justifications they use when breaking their safe sex rules to that of a standard approach to AIDS education. Men (n = 109) who had 'slipped up' (broken their safe sex rules by having unprotected anal intercourse) kept diaries of their sexual behaviour for 16 weeks. After 4 weeks they were allocated to one of 3 conditions, 2 involving brief interventions--Self-justifications (evaluation of self-justifications) and Standard (examination of posters used in AIDS education)--and a Control (diary only). At the time of the intervention, more members of the Self-justifications than the Standard group thought that it would help them not to slip up. In the post-intervention period, the 3 groups did not differ in the incidence of sexual activity or in the proportion who slipped up at least once, but the Self-justifications group were less likely to have had multiple slip-ups. Three possible explanations are offered for the effectiveness of the Self-justifications intervention. This approach may provide a useful alternative to standard techniques of AIDS education.

Acquired Immunodeficiency Syndrome/*PREVENTION & CONTROL Adolescence Adult Comparative Study *Homosexuality, Male Human Male Middle Age Self-Evaluation Programs Sex Education/*METHODS Support, Non-U.S. Gov't JOURNAL ARTICLE


Information in this article was accurate in September 30, 1995. 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.