Changes in Sexual Behavior Among Gay and Bisexual Men Since the Beginning of the AIDS Epidemic
Thomas J. Coates Division of General Internal Medicine Center for AIDS Prevention Studies University of California, San Francisco
Ron D. Stall Colleen C. Hoff Center for AIDS Prevention Studies University of California, San Francisco
The most important public health agenda in AIDS is to prevent more individuals from becoming infected with HIV. Research is an essential component of program development. The research to date has highlighted that important behavior changes have occurred. However, many urban centers have shown less than optimal changes among gay and bisexual men, and data are not available for many other centers. There are few data available on the efficacy of various strategies for behavior change. Research is essential to pinpoint behavior and to implement and evaluate the efficacy of programs to reduce high-risk behavior in this high-risk population.
This report seeks to describe the degree to which gay and bisexual men have changed specific sexual practices that place them at risk for HIV infection, the degree to which these changes can be associated with specific educational or public health programs, and the costs of these specific programs. Methodological critiques of the research are also provided.
Risk factors for seroconversion in male-to-male sexual contact have been identified as number of male sexual partners and unprotected receptive or