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CDC HIV/AIDS/Viral Hepatitis/STD/TB Prevention News Update
Changes in Sexual Behavior and Condom Use Associated With a Risk"
Cohn, C.L.
June 12, 1992
Morbidity and Mortality Weekly Report (06/12/92) Vol. 41, No. 23, P. 412

HIV prevention counseling and skills-provision training are necessary in programs offering HIV-prevention intervention for homosexual men, write D.L. Cohn et al. of the Centers for Disease Control. The Denver Disease Control Service conducted a study of homosexual/bisexual men as part of CDC's Demonstration Projects for HIV Prevention and Risk Reduction. Participants made two visits at study entry, then made follow-up visits every six months. During the first visits, individuals completed self-administered questionnaires regarding knowledge, attitudes, and beliefs; were tested for HIV; received comprehensive counseling on HIV infection; and received skills-provision training. Ninety five of the 298 men (32 percent) were HIV-positive. Of the 252 who reported condom use, any condom use in the last 90 days notably increased, from 63 percent at initial visits to 71 percent after 12 months. Men who engaged in insertive anal intercourse with primary partners reported an increase of condom use from 2.6 initially to 3.2 at six months. Similar patterns were found from men having receptive anal intercourse with primary partners. The findings of the decrease in anal intercourse may be a result of the emphasis the intervention program placed on the high risks associated with unprotected anal intercourse.

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