       Document 0614
 DOCN  M9440614
 TI    Evaluation of AIDS prevention among homosexual and bisexual men in
       Switzerland.
 DT    9404
 AU    Dubois-Arber F; Masur JB; Hausser D; Zimmermann E; Paccaud F; University
       Institute for Social and Preventive Medicine,; Lausanne, Switzerland.
 SO    Soc Sci Med. 1993 Dec;37(12):1539-44. Unique Identifier : AIDSLINE
       MED/94135302
 AB    Attitudinal and behavioural change among gay men in Switzerland was
       measured between 1987 and 1990 to evaluate the effectiveness of AIDS
       prevention activities. The methodology used included a self-administered
       questionnaire published in Swiss gay magazines and distributed by gay
       organizations (N = 795 in 1987, N = 720 in 1990) and in-depth interviews
       with men recruited through advertisements and through the questionnaire
       (N = 42 in 1987, N = 24 in 1990). The two independent sampling
       procedures yielded similar samples with regard to socio-demographic
       characteristics, allowing comparisons to be made between the 1987 and
       1990 data. Personal confrontation with AIDS (knowing someone who is
       HIV-positive, or who is ill or dead from AIDS) increased significantly
       during the period but more adequate ways of coping developed.
       Behavioural change towards safer sex began well before the first study.
       The majority of responding homosexuals have adapted their sexual
       behaviour to the new situation created by AIDS and generally maintain a
       protective behaviour. However, exceptions (condom rupture or episodes of
       non-protection) are not infrequent and should deserve more attention.
       Three indicators of sexual behaviour (number of sexual partners, anal
       sex and use of condom and oral sex with ejaculation), reported for the
       last 3 months before each study, exhibit few changes between 1987 and
       1990: number of partners remained stable, unprotected oral sex
       decreased. Anal sex slightly increased, the use of condoms remaining
       stable. Sixty-seven percent of the sample knew their serostatus in 1990
       (57% in 1987), and 13% of these stated that they were HIV+ (14% in
       1987).
 DE    Acquired Immunodeficiency Syndrome/*PREVENTION & CONTROL/  TRANSMISSION
       Adult  Bisexuality/*PSYCHOLOGY  Evaluation Studies
       Homosexuality/*PSYCHOLOGY  Human  *Knowledge, Attitudes, Practice  Male
       Middle Age  Risk-Taking  Switzerland  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

