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© 2003 American Public Health Association
RESEARCH AND PRACTICE |
Beryl A. Koblin is with the New York Blood Center, New York, NY. Margaret A. Chesney and Thomas J. Coates are with the School of Medicine, University of California, San Francisco. Marla J. Husnik and Yijian Huang are with the Statistical Center for HIV/AIDS Research and Prevention, Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Wash. Sam Bozeman is with Abt Associates Inc, Cambridge, Mass. Connie L. Celum is with the Department of Medicine, University of Washington, Seattle. Susan Buchbinder is with the San Francisco Department of Public Health. Kenneth Mayer is with the Fenway Community Health Center, Boston, Mass. David McKirnan is with the Howard Brown Health Center, Chicago, Ill. Franklyn N. Judson is with Denver Public Health and the University of Colorado Health Sciences Center, Denver.
Correspondence: Requests for reprints should be sent to Beryl A. Koblin, PhD, New York Blood Center, 310 E 67th St, New York, NY 10021 (e-mail: beryl_koblin{at}nybc.org).
Objectives. We describe the prevalence of risk behaviors at baseline among men who have sex with men (MSM) who were enrolled in a randomized behavioral intervention trial conducted in 6 US cities.
Methods. Data analyses involved MSM who were negative for HIV antibodies and who reported having engaged in anal sex with 1 or more partners in the previous year.
Results. Among 4295 men, 48.0% and 54.9%, respectively, reported unprotected receptive and insertive anal sex in the previous 6 months. Unprotected sex was significantly more likely with 1 primary partner or multiple partners than with 1 nonprimary partner. Drug and alcohol use were significantly associated with unprotected anal sex.
Conclusions. Our findings support the continued need for effective intervention strategies for MSM that address relationship status, serostatus of partners, and drug and alcohol use.
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