Sexual negotiation in the AIDS era

Kippax, Susan; Noble, Jason; Prestage, Garrett; Crawford, June; Campbell, Danielle; Baxter, Don; Cooper, David R.

doi:10.1097/00002030-199702000-00009

Cited by 277 publications

(175 citation statements)

References 6 publications

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“…This is a judgment call for health promotion authorities, who need to balance the risk of alienating the target audience if they insist on an unrealistic 'belt and braces' approach to HIV prevention against the risk of being responsible for sporadic cases of oral transmission. The result in practice is that gay men in Sydney, despite higher HIV prevalence, hardly ever use condoms for fellatio 12,13 -indeed it is considered so little as a risk practice that most surveys of sexual behaviour do not even ask about it. 14 In this context it is not clear that it is reasonable to exhort women to use dams for cunnilingus, especially given the very low prevalence of HIV among women, although some barrier for oral sex might be desired by a known serodiscordant couple.…”

Section: What Are Dams For?mentioning

confidence: 99%

The practical and symbolic purpose of dental dams in lesbian safer sex promotion

Richters¹,

Clayton²

2010

Sex. Health

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Section: What Are Dams For?mentioning

confidence: 99%

The practical and symbolic purpose of dental dams in lesbian safer sex promotion

Richters¹,

Clayton²

2010

Sex. Health

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“…Because of welldocumented barriers to condom use, research is also needed to develop and test the effectiveness of alternatives to latex condoms (e.g., negotiated safety, rectal microbicides, rectal use of female condoms). [95][96][97][98][99][100][101] Most important, there is an urgent need for health departments, community-based organizations, and prevention advocates to conduct critical assessments of local prevention activities for MSM and, if needed, to reinvigorate and strengthen these programs. Comprehensive programs for MSM are essential and should include ongoing broad-based awareness campaigns to keep HIV salient in the minds of MSM and to reinforce community norms that support riskreducing practices.…”

Section: Implications For Public Healthmentioning

confidence: 99%

Are we headed for a resurgence of the HIV epidemic among men who have sex with men?

Wolitski

Valdiserri²,

Denning³

et al. 2001

Am J Public Health

250

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HIV remains a critical health issue for men who have sex with men (MSM). In the United States, an estimated 365,000 to 535,000 MSM are living with HIV, and 42% of new HIV infections occur in this population. Recent data on sexually transmitted diseases and on sexual behavior indicate the potential for a resurgence in HIV infections among MSM. Outbreaks of gonorrhea and syphilis have been reported in a growing number of cities, and several studies have observed an increase in unprotected anal intercourse among MSM. These increases in HIV risk behavior may be attributed to several factors that have affected the sexual practices of MSM, including changes in beliefs regarding the severity of HIV disease. These emerging data have implications for surveillance and intervention research activities and indicate a need to reevaluate, refocus, and reinvigorate HIV prevention efforts for MSM. Our recommendations for addressing the HIV prevention needs of MSM include the need to consider HIV-related issues within the broader context of the physical, mental, and sexual health of MSM.

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“…Nevertheless, it should be noted that integrating negotiations into regular or committed sexual relationships among homosexual men has been achieved with some success. 23 Similar negotiation strategies have been suggested for women in stable but intrinsically risky relationships such as seen in our subjects, recognizing that such strategies require that the woman realize that monogamy does not necessarily imply that the sexual contact is safe, and that any intervention must address communication barriers between regular couples. 24 Ultimately, the development of such strategies will require a firm foundation in validated behavioral science…”

Section: Discussionmentioning

confidence: 70%

Human Immunodeficiency Virus (HIV)-Related Risk-Taking Behaviors in Women Attending Inner-City Prenatal Clinics in the Mid-West

et al. 1999

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OBJECTIVE:Federal guidelines recommend the provision of human immunodeficiency virus education to all attendees of prenatal clinics. The current study was conducted to assess risk-taking behaviors among urban women voluntarily pursuing prenatal care. DESIGN AND SETTING:African American women attending urban prenatal clinics in Cleveland, Ohio were subjected to an extensive interview before receiving an experimental AIDS education curriculum. The interview sought detailed information regarding demographics, lifetime and recent sexual activity, condom use, and lifetime and recent illicit drug use. RESULTS:A total of 1017 women were interviewed; of these women, ϳ73% were single. The majority had a monthly income of less than $500. A total of 66% had only one partner in the past year, and almost 90% had Յ1 partner in the past 6 months. A total of 98% identified a main partner. Nearly all subjects were at least fairly certain that this partner did not use intravenous drugs, and 71% were at least fairly certain that he was monogamous. Only 19% used condoms most or all the time. Intravenous drug use among study subjects was very infrequent. CONCLUSION:These data indicate that inner-city Cleveland women seeking prenatal care are largely monogamous around the time of their gestation, and that a history of intravenous drug use is infrequent. They suggest that prenatal counseling in urban clinics will need to address women who largely are engaged in single-partner relationships at the time of the intervention.The mandate to provide voluntary prenatal testing for human immunodeficiency virus (HIV) was strengthened by the discovery that intragestational administration of zidovudine can prevent vertical transmission of virus. 1 However, anonymous serosurveys have indicated that most women presenting in labor are uninfected, even in areas in which the incidence of HIV infection is high. 2 Therefore, guidelines established by the American Academy of Pediatrics, 3 the American College of Obstetrics and Gynecology, 4 and the federal government 5 continue to emphasize the pressing need to provide HIV counseling as well as serologic screening during the prenatal period as a principal means of preventing infection in mothers and reducing the incidence of HIV infection in children.However, the rational design of prenatal counseling programs requires that the degree of risk-taking behavior, particularly unprotected or promiscuous sexual activity or intravenous drug use, be assessed in the population for whom the education is designed. There are few reports documenting the degree of HIV-related risky behavior practiced by women attending prenatal clinics. Therefore, the following survey was completed to assess the AIDS risks of women voluntarily pursuing prenatal care in inner-city clinics in Cleveland, Ohio, to help guide the design of perigestational interventions. METHODSStudy subjects were pregnant African American women attending one of five prenatal clinics in economically disadvantaged, geographically distinct neighborhoods in C...

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Sexual negotiation in the AIDS era

Abstract: The adoption of the strategy of negotiated safety among men in HIV-seronegative regular relationships may help such men sustain the safety of their sexual practice.

Cited by 277 publications

References 6 publications

The practical and symbolic purpose of dental dams in lesbian safer sex promotion

The practical and symbolic purpose of dental dams in lesbian safer sex promotion

Are we headed for a resurgence of the HIV epidemic among men who have sex with men?

Human Immunodeficiency Virus (HIV)-Related Risk-Taking Behaviors in Women Attending Inner-City Prenatal Clinics in the Mid-West

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