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Official websites use. Share sensitive information only on official, secure websites. We found significantly increased rates of unprotected insertive and receptive anal intercourse in the study. Serosorting mediated and moderated the most extreme forms of risk behavior. These trends underscore the need for a renewed emphasis on education and prevention strategies.
Nevertheless, programs need to be informed by knowledge of behavioral and psychosocial factors underlying increases in risky behavior. Reviewing the literature in this area, there are two major schools of thought among researchers investigating changing HIV risk behavior over the past 15 years.
The other contends that the goal of safer sex is intact, but the means of achieving that goal is being adapted by individuals to fit their needs and circumstances. Optimism about treatment outcomes in turn led to increases in unprotected sex and other unsafe sex practices. Data from cross sectional studies suggest that attitudes may shift in response to perceptions about therapeutic improvements.
In particular, Ostrow 12 offers the idea that the HIV rebound and changing sexual behavior reflects a rejection of safe-sex norms advocated by the plethora of prevention programs targeted to gay men during the HIV epidemic.
The role of drugs in sexual activity among MSM has been given a great deal of attention in the research literature. Researchers focused on norm abandonment explanations have mainly examined global measures of unsafe sex, such as unprotected anal intercourse. Risk management strategies, however, by their very nature require more nuanced outcome measures to gauge sexual behavior. It should be underscored that non-condom use in intercourse potentially conveys disease risk, whether or not there is an attempt to manage HIV risk.