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Understanding why heterosexual adults do not practice safer sex: a comparison of two samples.
AIDS Educ Prev. 1996 Jun; 8(3):247-57.AE

Abstract

We assessed why heterosexually active adults did not have "safer sex" with their last sexual partner. Subjects enrolled in HIV education and testing trials at a sexually transmitted disease (STD) clinic and a university student health service (SHS) completed questionnaires about their last sexual partner's risk factors for HIV and whether they had safer sex with this partner. Of the 652 sexually active subjects, 61% reported not having safer sex with their last sexual partner and explained why. Low perceived risk of HIV infection was the most common reason, indicated by 62%, though most knew too little about their partner to ensure the encounter was low risk. Other reasons included condom unavailability (20%), the subject "didn't want to" use a condom (19%), "couldn't stop ourselves" (15%), the partner's influence (14%), and alcohol or drug use (11%). Thirty-one percent of subjects indicated more than one reason for not having safer sex. SHS subjects more often reported that the encounter was low risk for HIV transmission (p = 0.0001), while STD subjects more often reported condom unavailability (p = 0.002) and drug and alcohol use (p = 0.003). We conclude that there are many different factors promoting sexual behavior at risk of infection, combinations of which are important, and that these factors differ between samples. Preventive interventions must focus on the factors most important to the targeted population and may need to consider multiple factors simultaneously.

Authors+Show Affiliations

Department of Medicine, University of California, Los Angeles.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

8806953

Citation

Kusseling, F S., et al. "Understanding Why Heterosexual Adults Do Not Practice Safer Sex: a Comparison of Two Samples." AIDS Education and Prevention : Official Publication of the International Society for AIDS Education, vol. 8, no. 3, 1996, pp. 247-57.
Kusseling FS, Shapiro MF, Greenberg JM, et al. Understanding why heterosexual adults do not practice safer sex: a comparison of two samples. AIDS Educ Prev. 1996;8(3):247-57.
Kusseling, F. S., Shapiro, M. F., Greenberg, J. M., & Wenger, N. S. (1996). Understanding why heterosexual adults do not practice safer sex: a comparison of two samples. AIDS Education and Prevention : Official Publication of the International Society for AIDS Education, 8(3), 247-57.
Kusseling FS, et al. Understanding Why Heterosexual Adults Do Not Practice Safer Sex: a Comparison of Two Samples. AIDS Educ Prev. 1996;8(3):247-57. PubMed PMID: 8806953.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Understanding why heterosexual adults do not practice safer sex: a comparison of two samples. AU - Kusseling,F S, AU - Shapiro,M F, AU - Greenberg,J M, AU - Wenger,N S, PY - 1996/6/1/pubmed PY - 1996/6/1/medline PY - 1996/6/1/entrez KW - Americas KW - Behavior KW - Developed Countries KW - Heterosexuals KW - North America KW - Northern America KW - Perception KW - Psychological Factors KW - Research Report KW - Risk Reduction Behavior--determinants KW - Sex Behavior KW - United States SP - 247 EP - 57 JF - AIDS education and prevention : official publication of the International Society for AIDS Education JO - AIDS Educ Prev VL - 8 IS - 3 N2 - We assessed why heterosexually active adults did not have "safer sex" with their last sexual partner. Subjects enrolled in HIV education and testing trials at a sexually transmitted disease (STD) clinic and a university student health service (SHS) completed questionnaires about their last sexual partner's risk factors for HIV and whether they had safer sex with this partner. Of the 652 sexually active subjects, 61% reported not having safer sex with their last sexual partner and explained why. Low perceived risk of HIV infection was the most common reason, indicated by 62%, though most knew too little about their partner to ensure the encounter was low risk. Other reasons included condom unavailability (20%), the subject "didn't want to" use a condom (19%), "couldn't stop ourselves" (15%), the partner's influence (14%), and alcohol or drug use (11%). Thirty-one percent of subjects indicated more than one reason for not having safer sex. SHS subjects more often reported that the encounter was low risk for HIV transmission (p = 0.0001), while STD subjects more often reported condom unavailability (p = 0.002) and drug and alcohol use (p = 0.003). We conclude that there are many different factors promoting sexual behavior at risk of infection, combinations of which are important, and that these factors differ between samples. Preventive interventions must focus on the factors most important to the targeted population and may need to consider multiple factors simultaneously. SN - 0899-9546 UR - https://www.unboundmedicine.com/medline/citation/8806953/Understanding_why_heterosexual_adults_do_not_practice_safer_sex:_a_comparison_of_two_samples_ L2 - https://medlineplus.gov/hivaids.html DB - PRIME DP - Unbound Medicine ER -