CONTINUED HIGH-RISK SEX AMONG HIV-SEROPOSITIVE GAY AND BISEXUAL MEN SEEKING HIV PREVENTION SERVICES

The authors examined HIV risk-related sexual behaviors in an ethnicall y diverse sample of HIV seropositive gay and bisexual men (N = 86). Me asures of sexual behavior, substance use, condom attitudes, behavior c hange intentions, and engagement in risk-reducing practices were compl eted. Thirty-nine percent of the men reported engaging in unprotected anal intercourse in the past 3 months. Unprotected anal intercourse wa s associated with using nitrite inhalants, sex partners who used subst ances before sex, and low intentions to change risk behavior. These re sults highlight the difficulties that people living with HIV infection face in maintaining a lifetime of safer sex and the necessity of inte grating clinical and prevention interventions for these persons.