| Publication Abstract Display | | Type: Published Abstract | | Title: Patterns and predictors of unsafe sexual behavior among HIV-seropositive individuals. | | Authors: Pedlow CT, Patterson TL, Semple SJ, Grant I, Sallis JF | | Year: 1998 | | Publication: Annals of Behavioral Medicine | | Volume: 20 Issue: S Pages: S49 | | Abstract:This study describes the patterns of unsafe sexual behavior among 102 HIV+ individuals and their HIV seronegative of serostatus unknown partners. Descriptive data are provided for sexual partner types, numbers of reported anal, oral, and vaginal sexual behaviors, and social cognitive theory variables. This study also examined the correlates and predictors of unsafe sexual behavior in a subgroup of gay and bisexual men. A series of hierarchical multiple regression analyses was conducted. Unprotected total sex acts was regressed on demographic, partner type, psychosocial, and social cognitive theory data variable (i.e., knowledge, self-efficacy, and positive outcome expectancies). Higher number of steady and anonymous partners, less approach coping, and more avoidant coping were significant individual predictors and together accounted for 37% of the variance. A second series of hierarchical regressions was completed in which unprotected anal sex was regressed on the same independent variables. Younger age, higher numbers of steady and casual partners, total mood disturbance, and fewer positive outcome expectancies were significant predictors and collectively accounted for 27% of the variance in unsafe sex anal sex. Overall, men reported having unsafe sex with multiple partners whereas women reported having more frequent unsafe sex with one partner. The associations between unprotected sex and the types of sexual partners, psychosocial functioning, and outcome expectations have important implications for intervention strategies for HIV+ individuals. By providing descriptions and predictors of unsafe sexual behavior in this sample, intervention efforts can address those specific high-risk actions related to the spread of HIV disease and encourage behavioral change to safer sexual behaviors. |
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