Wilkinson, Michael John (1992) Human and environmental factors associated with HIV/AIDS high-risk behaviour in homosexual and bisexual men in the West Midlands, United Kingdom. PhD thesis, University of Warwick.

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Abstract

HIV/AIDS prevention needs of homosexual and bisexual men from the West Midlands Region (UK) were investigated (N=1,750). Data analysis revealed that unsafe sex was associated with youth, and belief that safer sex was boring, difficult, and not right Furthermore, unsafe sex was associated with two indicators of social deprivation: low educational attainment, and unskilled occupation

The results also indicated that unsafe sex was associated with increased visitations to gay cottages/tow-paths, and the acceptance of money or gifts in exchange for sex. Moreover, unsafe sex was associated with gay mass media as a source of HIV information, knowledge of positive HIV status, and perceived risk of contracting HIV. However, data analysis revealed that unsafe sex was not associated with marital status and four measures of social support

The results demonstrated that although HIV/AIDS knowledge levels were generally high, attitude barriers continued to exert a negative influence on health protective behaviour. The evidence suggested that both human and environmental factors contributed to unsafe sex, and that the Health Belief Model provided little utility in HIV / AIDS prevention research.

Evidence from this investigation exposed the pressing need to target health promotional services at groups of gay men who were most at risk for HIV infection, notably the young and those who experienced social deprivation. Recommendations based on the Ottawa Charter were offered on how best to target such services.

Key Words - AIDS, prevention, social deprivation, gay men

Item Type:	Thesis or Dissertation (PhD)
Subjects:	R Medicine > RA Public aspects of medicine
Library of Congress Subject Headings (LCSH):	AIDS (Disease), HIV infections, Male homosexuality -- Midlands (England)
Official Date:	1992
Dates:	Date Event 1992 Submitted
Institution:	University of Warwick
Theses Department:	School of Postgraduate Medical Education
Thesis Type:	PhD
Publication Status:	Unpublished
Supervisor(s)/Advisor:	Dodge, Jeffrey Samuel.
Sponsors:	West Midlands Regional Health Authority ; Great Britain, Department of Education and Science
Version Number:	xi, 291 leaves : illustrations
Language:	eng
Version Number:	xi, 291 leaves : illustrations

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