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In the younger group, perceptions of peer norms that support safer sex were related to less risk behavior. In both age groups, greater safer sex self-efficacy was linked to less HIV sexual risk-taking. Self-acceptance of gay or bisexual identity was related to less sexual risk for those aged 15 to 17 years. In both age groups, use of amphetamines, ecstasy, and amyl nitrate was associated with unprotected anal intercourse.
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The age groups did not differ in the proportion of men who reported any unprotected anal intercourse in the previous 6 months (31.2%). The men aged 15 to 17 years used alcohol, ecstasy, and heroin less frequently than those aged 18 to 22 years. Overall, the prevalence of hepatitis-B core antibody was significantly lower in the younger age group (5.0%) than in the older group (14.1%). HIV seroprevalence was somewhat lower among those aged 15 to 17 years (2.0%) compared with those aged 18 to 22 years (6.8%). Of the 719 participants, 100 (16.2%) were aged between 15 and 17 years. Interviews assessed sexual and drug-use behavior as well as psychosocial variables believed to be related to sexual risk-taking, including self-acceptance of gay or bisexual identity, perceptions of peer norms concerning safer sex, and perceptions of the ability to practice safer sex (safer sex self-efficacy). Blood specimens were collected and tested for HIV antibodies, hepatitis B, and syphilis. Design and Methods:Īn interviewer-administered cross-sectional survey of 719 gay and bisexual males between 15 and 22 years old was conducted through a venuebased sampling design. To examine drug-use patterns and correlates of sexual risk behavior in both of these age groups. To compare HIV seroprevalence and sexual risk behavior among very young gay and bisexual men (aged 15-17 years) and their older counterparts (aged 18-22 years).