AIDS and Behavior

, Volume 10, Issue 5, pp 575–578 | Cite as

Correlates of Unprotected Anal Sex with Casual Partners: A Study of Gay Men Living in the Southern United States

  • David R. Holtgrave
  • Richard Crosby
  • R. Luke Shouse
Brief Report


This study identified demographic and behavioral correlates of engaging in unprotected anal sex (UAS) with non-main partners among men having sex with men (MSM). Just over 1,000 men completed anonymous surveys with 25% of the men reporting their most recent sexual act with a non-main male partner was UAS. These men tended to be white, older, HIV seropositive, and high (or drunk) when having sex. In multivariate analysis being seropositive, and being high or drunk retained significance. Subsequent research may build upon these findings to determine the causal pathway to UAS among MSM having sex with non-main partners. Findings may be useful in constructing prevention interventions for MSM frequenting gay venues.


HIV prevention Risk behavior Behavioral surveillance Men who have sex with men Homosexual men 


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Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • David R. Holtgrave
    • 1
    • 2
    • 3
  • Richard Crosby
    • 4
    • 5
    • 6
  • R. Luke Shouse
    • 7
  1. 1.Department of Behavioral Sciences and Health Education, Rollins School of Public HealthAtlantaUSA
  2. 2.Department of Health, Behavior & Society, Bloomberg School of Public Health, Johns Hopkins UniversityBaltimoreUSA
  3. 3.Emory Center for AIDS ResearchAtlantaUSA
  4. 4.College of Public Health, University of KentuckyLexingtonUSA
  5. 5.Rural Center for AIDS/STD Prevention at Indiana UniversityBloomingtonUSA
  6. 6.The Kinsey Institute for Research in Sex, Gender, and ReproductionBloomingtonUSA
  7. 7.Georgia Department of Human Resources, Division of Public HealthAtlantaUSA

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