Male Homosexual Behavior and the Effects of AIDS Education: A Study of Behavior and Safer Sex in New Zealand and South Australia

By B. R. Simon Rosser | Go to book overview

is, safe or unsafe, greater stress of the options within safer sex may be appropriate.

The conclusions of this chapter suggest that education interventions have a more complex effect on sexual behavior than merely modifying unsafe sex. The need for other comparative intervention studies, particularly targeted toward those who relapse and the stable "unsafe sex" groups, is thus an urgent priority.


NOTES
1
Ross & Herbert [ 1987], p. 146.
2
Quadland et al. [ 1988].
3
See Ross & Rosser [1989b].
4
Janz & Becker [ 1984].
5
Puckett & Bye [ 1987].
6
Bloom, Krathwohl & Masia [ 1964].
7
At an alpha level of < .05. See Table 16.1.
8
Trend analysis is here defined as significant at an alpha level of < .10, X2 = 2.83, df = 1,p <.10, that is, the increase in respondents practicing safer sex was great enough to be distinguished at.10. See Table 16.1.
9
Consequently, they were not significant at p < .05.
10
Baseline: 8/26; follow-up, 14/26; percent increase: +23%, X2 (1) = 2.84, p < .10.
11
Baseline: 28/85; follow-up, 34/79; percent increase: +10%, X2 = 3.908, df 1, p < .05.
12
That is, 100% use of condoms for all penoanal activity, whether insertive or receptive.
13
See Rosser [ 1989], Table 17.3, for a detailed presentation of these figures.
14
Given the findings in Chapter 9, in most cases it is more likely to be a reintroduction than an introduction.
15
Monogamous at baseline: SAP: 10/28, ESS: 5/26; monogamous at followup: SAP: 12/28 (+7%), ESS: 3/26 (-7%); X2 = 7.98, df = 1, p < .10.
16
This hierarchy is worked out on the following principles: avoidance of anal intercourse is safer than consistent condom usage because condoms may leak or break, while condom usage in turn is safer than monogamy because partners may be unfaithful.
17
At least as related to the behavior of homosexually active men with respect to safer sex. Most health behavior change models to date have been based on behaviors like smoking and obesity, where a reduction in the targeted behavior is considered a success. Because one unsafe sexual encounter is sufficient to transmit HIV, we are dealing with a qualitatively different situation.
18
A stepwise discriminant function analysis was performed using the change in twenty-two sexual, prophylactic, and drug behavior variables between baseline and follow-up as predictors of membership in the five groups. Four discriminant functions were calculated, with a combined X2 = 70.08, df = 40, p < .005. After removal of the first function, the discriminating power of the remaining functions was marginally significant, X2 = 39.60, df = 27, p < .055. Following removal of the second function, the discriminating power of the remaining functions was not significant, X2 = 10.40, df = 16, ns. The first two functions accounted for 44% and 42% of the between group variability, respectively.

-180-

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