CHANGES AT A HUMAN-IMMUNODEFICIENCY-VIRUS TESTING CLINIC IN THE PREVALENCE UNSAFE SEXUAL-BEHAVIOR AMONG MEN WHO HAVE SEX WITH MEN

Goal: Given reductions in risky sexual behavior reportedly occurring d uring the 1980s among men who have sex with men, the authors sought to assess if such trends are continuing. Study Design: The authors analy zed initial visit data for 4,880 men who presented at a human immunode ficiency virus testing clinic from 1988 through 1993 and who reported; my male partners during the preceding 12 months. Results: From 1988 to 1993, the percent of men who have sex with men reporting any oral sex (virtually all of which was unprotected) or any anal sex (more than t wo-thirds of which was unprotected) during the previous 6 months incre ased from 78% to 90% (P < 0.001) and from 47% to 55% (P = 0.6), respec tively, Adjusting for demographics and numbers of partners did not cha nge results, Conclusions: Unprotected anal sex persists, whereas unpro tected oral sex is increasing among men who have sex with men and who present for human immunodeficiency virus testing. New strategies are n eeded to reduce human immunodeficiency virus risk among men who have s ex, with men.