turnover, and prevention practices of this population segment remains an important challenge. There is a need for a series of surveys in this area to assess the reliability of past findings, and to regularly monitor how the general U.S. population is responding to HIV and other STD prevention programs.
In summary, this chapter has reviewed literature on sexual mixing and networks, and has presented new data showing that the degree of sexual mixing differs by urban setting, gender, age, and ethnic group. Recent mapping studies illustrate the fluid nature of at risk populations. This fluidity complicates the ability to predict STD/HIV touched on the many social and psychological models currently being used to study sexual behaviors relevant to HIV disease, and noted some general common deficiencies in these models. A particular deficiency is the lack of work on the sexual relationship. Finally, the chapter has presented the elements of a model for understanding sexual relationships and followed this with data on four aspects of sexual relationships that are of significance for sexual health: gender differences, sexual communication, power, and relationship boundaries.
This work was supported in part by grants to the first author from the National Institute on Mental Health and National Institute on Aging (MH48642, MH48638, MH43892, MH51523).
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