Medical College of Wisconsin
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Reinforcement value of unsafe sex as a predictor of condom use and continued HIV/AIDS risk behavior among gay and bisexual men. Health Psychol 1998 Jul;17(4):328-35

Date

08/11/1998

Pubmed ID

9697942

DOI

10.1037//0278-6133.17.4.328

Scopus ID

2-s2.0-0031818350 (requires institutional sign-in at Scopus site)   59 Citations

Abstract

The pleasure or reinforcement value of high-risk sex may be an important influence on success in risk reduction efforts. Seronegative gay and bisexual men (N = 297) completed measures assessing their unprotected and safer sex practices, as well as measures of cognitive and skill factors and a measure assessing the subjective reinforcement value of unprotected anal intercourse. Regression analyses showed that the reinforcement value of unprotected anal intercourse accounted for variance in predicting levels of condom use above that that could be accounted for by factors such as knowledge, behavior change intentions, perceived vulnerability, condom attitudes, and sexual communication skills. Only reinforcement value of unprotected sex and substance use significantly predicted how frequently participants engaged in high-risk sex. Increased attention to the valence of sexual reinforcers will improve HIV risk reduction models and enhance AIDS prevention efforts.

Author List

Kelly JA, Kalichman SC

Author

Jeffrey A. Kelly PhD Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Acquired Immunodeficiency Syndrome
Adult
Bisexuality
Condoms
HIV Infections
HIV Seronegativity
Health Knowledge, Attitudes, Practice
Homosexuality, Male
Humans
Male
Middle Aged
Personality Inventory
Sexual Behavior