PMID: 8946628Nov 1, 1996Paper

Sexual adventurism, high-risk behavior, and human immunodeficiency virus-1 seroconversion among the Chicago MACS-CCS cohort, 1984 to 1992. A case-control study

Sexually Transmitted Diseases
Wayne J DiFranceiscoJ S Chmiel

Abstract

To predict incident human immunodeficiency virus (HIV)-1 seroconversions among a cohort of gay and bisexual men based on recalled sexual behavior, drug use, partnership status, and an index of sexual adventurism/risk-seeking attitudes. A nested case-control design was used in a retrospective study spanning a 9-year period. Sexual adventurism was an important predictor of HIV-1 infection. The partial risk ratio for our 100-point adventurism scale indicated a marginal rate of increase in seroconversion risk of 4% (odds ratio = 1.04; 95% confidence interval = 1.02 to 1.06), with almost 79% of seroconverters scoring above the median on the index. As expected, partner status, drug use, and unprotected receptive anal (RA) intercourse were associated with seroconversion. However, multivariate results indicated that men using condoms consistently in RA sex were also at higher risk for infection (odds ratio = 2.68; 95% confidence interval = 1.04 to 6.95) than men who abstained from RA intercourse. Results are discussed with respect to their implications for HIV prevention intervention and research. Recommendations include the development of new approaches and the adaptation of existing intervention techniques that recognize and treat pe...Continue Reading

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Citations

Mar 7, 2008·Journal of Sex Research·Donald Allensworth-DaviesMichael W Ross
Mar 2, 2005·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Michael C ClattsHuso Yi
Feb 23, 2007·Sexually Transmitted Infections·Ineke G StolteNicole H T M Dukers
Nov 3, 2011·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Daniel C BeachlerGypsyamber D'Souza
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Dec 21, 2012·Proceedings of the American Thoracic Society·Gordon GuyattUNKNOWN ATS/ERS Ad Hoc Committee on Integrating and Coordinating Efforts in COPD Guideline Development
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Sep 27, 2008·AIDS and Behavior·Garrett P PrestageDavid McInnes
Oct 15, 2010·AIDS and Behavior·Garrett PrestageIryna Zablotska
Sep 28, 2006·Substance Use & Misuse·Lydia N DrumrightSteffanie A Strathdee
Feb 26, 2015·AIDS and Behavior·Garrett PrestageIryna Zablotska
Mar 18, 2015·AIDS and Behavior·Garrett PrestageDuane Duncan
May 9, 2015·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·S StromdahlA Thorson
Nov 18, 2009·Sexual Health·Garrett PrestageJeff Hudson
Dec 13, 2006·AIDS·Garrett PrestageSusan C Kippax
Apr 13, 2006·Sexual Health·Jonathan E VolkAndrew E Grulich
Mar 10, 2000·Health Education & Behavior : the Official Publication of the Society for Public Health Education·D W SealA M Somlai

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