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December 1989

Recent Sexual Behaviors Among Homosexual Men Seeking Primary Medical Care

Author Affiliations

Scott Brooks

From the Departments of Medicine, Division of General Internal Medicine (Drs Linn, Spiegel, and Leake), and Pathology (Mr Brooks), UCLA, Los Angeles, Calif; Department of Medicine, University of California at San Diego Medical Center (Dr Mathews); and Edmund D. Edelman Health Center, Gay and Lesbian Community Services Center, Los Angeles, Calif (Mr Lien).

Arch Intern Med. 1989;149(12):2685-2690. doi:10.1001/archinte.1989.00390120049010

• We studied the sociodemographic characteristics, knowledge, and beliefs about acquired immunodeficiency syndrome transmission and sexual practices of 823 gay or bisexual men seeking primary care. During the previous 2 months, 64% had engaged in at least one sexual behavior considered unsafe. These patients compared with those having safer sex, were younger, of lower socioeconomic status, and from a racial minority, especially Latino. The unsafe group also had more sexual partners, engaged in sexual acts more often, felt less in control over their sexual behavior, used recreational drugs more frequently, and were less likely to talk about safe sex with partners. The unsafe group had less adequate knowledge about human immunodeficiency virus transmission but felt safer from the risk of acquired immunodeficiency syndrome even when engaging in unsafe sex. Educational programs dealing more directly with belief systems and the potential addiction to recreational drugs and sexual behaviors need to be developed for primary care settings.

(Arch Intern Med. 1989;149:2685-2690)

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