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Reinforcement value of unsafe sex as a predictor of condom use and continued HIV/AIDS risk behavior among gay and bisexual men.
Kelly JA; Kalichman SC; Center for AIDS Intervention Research,
January 30, 1999
Health Psychol. 1998 Jul;17(4):328-35. Unique Identifier : AIDSLINE

The pleasure or reinforcement value of high-risk sex may be an important influence on success in risk reduction efforts. Seronegative gay and bisexual men (N = 297) completed measures assessing their unprotected and safer sex practices, as well as measures of cognitive and skill factors and a measure assessing the subjective reinforcement value of unprotected anal intercourse. Regression analyses showed that the reinforcement value of unprotected anal intercourse accounted for variance in predicting levels of condom use above that that could be accounted for by factors such as knowledge, behavior change intentions, perceived vulnerability, condom attitudes, and sexual communication skills. Only reinforcement value of unprotected sex and substance use significantly predicted how frequently participants engaged in high-risk sex. Increased attention to the valence of sexual reinforcers will improve HIV risk reduction models and enhance AIDS prevention efforts.

JOURNAL ARTICLE Acquired Immunodeficiency Syndrome/*PREVENTION & CONTROL/ PSYCHOLOGY/TRANSMISSION Adult Bisexuality/*PSYCHOLOGY *Condoms Homosexuality, Male/*PSYCHOLOGY Human HIV Infections/*PREVENTION & CONTROL/PSYCHOLOGY/TRANSMISSION HIV Seronegativity Knowledge, Attitudes, Practice Male Middle Age Personality Inventory *Sex Behavior Support, U.S. Gov't, P.H.S.

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