The purpose of this study was to determine the stages of change and frequency of condom use among gay and bisexual men during high-risk sexual behaviors with primary and casual partners and to evaluate the effectiveness of collecting data using the Internet. Prevention of the transmission of HIV has become a major health priority, and strategies are needed to help individuals reduce high-risk sexual behaviors.
The participants in this study were 241 gay and bisexual men obtained via the Internet and from an established gay and bisexual organization. Descriptive statistics and multiple regression were used to analyze the participants' responses. Nineteen demographic variables were used as covariates in the data analysis.
The results revealed that gay and bisexual men were in the precontemplation stage of change for using a condom during vaginal, anal, and oral intercourse with their primary partners. With casual partners, the men were in the maintenance stage of change for using a condom during vaginal and anal intercourse but in the precontemplation stage of change for oral intercourse.
Several variables were found to be significantly associated with condom use during each sexual behavior with primary and casual partners. Findings suggest that older bisexual men, with higher incomes, who inform their partner of their HIV status, and who were confident in using a condom during vaginal intercourse were in a higher stage of change. Older gay and bisexual men who were confident in using a condom and who reported fewer disadvantages in using a condom were in a higher stage of change for using acondom during anal intercourse with a primary partner. For casual partners, gay and bisexual men who have fewer lifetime sexual partners and who are more confident in using a condom were in a higher stage of change for using a condom during anal intercourse.
The transtheoretical model of behavioral change was effective in determining the stages of change for using a condom during sexual activities with primary and casual partners. The knowledge gained from this study will be helpful in developing HIV prevention programs, as well as identifying the usefulness of the Internet as a data collection strategy.
The purpose of this study was to determine the stages of change and frequency of condom use among gay and bisexual men during high-risk sexual behaviors with primary and casual partners and to evaluate the effectiveness of collecting data using the Internet. Prevention of the transmission of HIV has become a major health priority, and strategies are needed to help individuals reduce high-risk sexual behaviors.The participants in this study were 241 gay and bisexual men obtained via the Internet and from an established gay and bisexual organization. Descriptive statistics and multiple regression were used to analyze the participants' responses. Nineteen demographic variables were used as covariates in the data analysis.The results revealed that gay and bisexual men were in the precontemplation stage of change for using a condom during vaginal, anal, and oral intercourse with their primary partners. With casual partners, the men were in the maintenance stage of change for using a condom during vaginal and anal intercourse but in the precontemplation stage of change for oral intercourse.Several variables were found to be significantly associated with condom use during each sexual behavior with primary and casual partners. Findings suggest that older bisexual men, with higher incomes, who inform their partner of their HIV status, and who were confident in using a condom during vaginal intercourse were in a higher stage of change. Older gay and bisexual men who were confident in using a condom and who reported fewer disadvantages in using a condom were in a higher stage of change for using acondom during anal intercourse with a primary partner. For casual partners, gay and bisexual men who have fewer lifetime sexual partners and who are more confident in using a condom were in a higher stage of change for using a condom during anal intercourse.The transtheoretical model of behavioral change was effective in determining the stages of change for using a condom during sexual activities with primary and casual partners. The knowledge gained from this study will be helpful in developing HIV prevention programs, as well as identifying the usefulness of the Internet as a data collection strategy.
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