HIV-related behaviors and perceptions among adults in 25 states: 1997 behavioral risk factor surveillance system

Objectives. To assess the level of HIV-related risk behavior among the gene ral US adult population, we analyzed data from the first sexual behavior qu estions available for states to use with the Behavioral Risk Factor Surveil lance System. Methods. The Behavioral Risk Factor Surveillance System is a state-specific , population-based, random telephone survey. In 1997, 25 states collected s exual behavior data. Annual prevalence estimates for selected behaviors wer e calculated and examined by sociodemographic characteristics. The correlat ion between actual and perceived HIV risk also was determined. Results. Most (77.1%) of the respondents reported just 1 sexual partner in the past year; 26.0% reported using a condom at last intercourse. Males, pe rsons who were younger, and Blacks were more likely to report 2 or more par tners but also more likely to report using a condom at last intercourse. On ly 4.1% of the respondents reported a risk factor for HIV infection; 7.7% r eported that they were at medium or high risk for HIV. Actual and perceived HIV risk were positively associated. Conclusions. Most US adults do not engage in HIV-related risk behavior; tho se that do are more likely to report protective behavior.