Influence of HIV positive status on sexual behavior among males

Abstract

ObjectiveTo compare HIV seronegative (HIV-) and HIV seropositive (HIV+) males in terms of sexual behavior with female and male partners of different types. MethodCross-sectional study. From August 1994 to February 1995, a sample of 236 respondents (150 HIV-and 86 HIV+) recruited from public health centers in the State of S. Paulo (Brazil), answered a questionnaire, including questions on demographic aspects, HIV and AIDS related knowledge, sexual orientation, use of alcohol and other drugs, sexual behavior with regular and casual female and male partners, and perceived risk of HIV infection. Sexual behavior with regular and casual female and male partners within the previous three months, was investigated. ResultsA lower proportion of HIV+ engaged in sexual contact with regular female partners (p < .01) and in vaginal intercourse with this type of partner (p < .01). A lower proportion of HIV+ engaged in overall sexual activity (p < .001) and reported lower frequency of penetrative sexual practices (p < .05). A high level of condom use with female and male partners was identified with no significant differences being found between the two serostatus groups. Some risky sexual behavior was identified, however, especially with regular partners, suggesting that some men were continuing to practice unsafe sex. ConclusionsThe high level of condom use identified suggests that safer sex advice has been taken up. Condom use was not universal, however, and some men continue to place themselves at risk, especially with regular partners. Prevention programs should strive not only to encourage HIV-to practice safer sex, but also to encourage HIV+ to do so in order to prevent further transmission of the virus. 504Rev. Saúde Pública, 32 (6), 1998HIV positive status on sexual behavior among males Ventura-Filipe, E. M. & Newman, S.P. Resumo Objetivo Comparar homens HIV soronegativos (HIV-) e HIV soropositivos (HIV+) em termos de comportamento sexual com parceiras e parceiros regulares e casuais. Método

Sexual orientation, use of drugs and risk perception among HIV-positive men in São Paulo, Brazil

“…2,3 However, some studies among men have shown that they still engage in risky sexual behaviours even after learning that they are HIV-positive (HIV þ ). [4][5][6][7] Since the majority of women with AIDS were infected through sexual transmission, 1 research on the behaviour of men who have sex with women is extremely important to better understand heterosexual transmission of HIV. Prevention efforts for heterosexuals will only be effective if both men and women change their behaviour.…”

Homens e a prevenção da aids: análise da produção do conhecimento da área da saúde

“…A aids como morte anunciada também aparece nas representações apresentadas pelos autores estudados (Alves, 2003;Santos et al, 2002;Guerriero, Ayres, Hearst, 2002;Barros et al, 2001;Silva et al, 2002;Ventura-Filipe, Newman, 1998). Essa associação, em parte, reforça-se pelo fato de, no final dos anos oitenta e meados dos noventa do século XX, essa doença ter sido responsável por significativas perdas de vidas, aparecendo como a principal causa de mortalidade para a população entre 15 e 49 anos, em alguns países, incluindo o Brasil (Santos et al, 2002;Silva et al, 2002).…”

“…Associado à estabilidade dos relacionamentos e à confiança, outro aspecto que fortalece a ideia de não uso do preservativo é a intimidade entre parceiros. Nesse sentido, o uso do preservativo pode ser considerado dispensável em casa -com a esposa -e em outros tipos de relacionamentos envolvendo compromisso efetivo (Alves, 2003;Guerriero, Ayres, Hearst, 2002;Villarinho et al, 2002;Antunes et al, 2002), sendo aceito quando os/as parceiros/as são desconhecidos/as ou não são fixos/as (Alves, 2003;Gilbert, Madureira, 2008;Gondim, Kerr-Pontes, 2000;Gondim et al, 2009;Guerriero, Ayres, Hearst, 2002;Silva et al, 2002;Ventura-Filipe, Newman, 1998;Vilela, Doreto, 2006). Silva et al (2002) verificaram que o uso do preservativo foi consistente com parceiras casuais (73%) e foi inconsistente com parceiras fixas (27%).…”