Sexual Risk Behaviors in Late Middle Age and Older HIV Seropositive Adults

Little is known about the sexual behaviors of older adults, although the prevalence of HIV/AIDS is rapidly increasing in this population. As part of a larger multi-site study examining secondary HIV prevention, we recruited from an HIV primary care clinic 210 sexually active HIV positive individuals...

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Bibliographic Details
Published in:AIDS and behavior 2008-11, Vol.12 (6), p.935-942
Main Authors: Illa, Lourdes, Brickman, Andrew, Saint-Jean, Gilbert, Echenique, Marisa, Metsch, Lisa, Eisdorfer, Carl, Bustamante-Avellaneda, Victoria, Sanchez-Martinez, Mario
Format: Article
Language:English
Subjects:
Acquired Immune Deficiency Syndrome
Affect - physiology
Aged
Aging
AIDS
Child & adolescent psychiatry
Clinics
Condoms
Condoms - utilization
Disease prevention
Elderly
Female
Florida - epidemiology
Health Psychology
Health Surveys
Hispanic people
HIV
HIV Infections - epidemiology
HIV Infections - prevention & control
HIV Seropositivity - epidemiology
HIV-1
Human immunodeficiency virus
Humans
Infections
Infectious Diseases
Interviews as Topic
Male
Medicine
Medicine & Public Health
Middle age
Middle Aged
Older people
Original Paper
Population
Prevention
Primary care
Primary Health Care
Public Health
Risk
Risk taking
Sexual Behavior
Sexual Behavior - statistics & numerical data
Sexual Partners
Sexually transmitted diseases
STD
Stereotyping
Stigma
Vagina
Womens health
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Summary:Little is known about the sexual behaviors of older adults, although the prevalence of HIV/AIDS is rapidly increasing in this population. As part of a larger multi-site study examining secondary HIV prevention, we recruited from an HIV primary care clinic 210 sexually active HIV positive individuals aged 45 and over (125 men, 85 women) who had engaged in vaginal or anal sex within the past six months. Twenty percent of the participants reported inconsistent use of condoms and 33% had multiple sexual partners during the previous six months. Negative mood and perceived HIV stigma were associated with inconsistent condom use. In addition, multiple sex partners and higher level of education were related to inconsistent condom use during sex with partners of negative or unknown serostatus. These findings indicate that contrary to current beliefs, sexually active older adults, similar to younger ones, may be engaging in high risk transmission behaviors.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-008-9370-8