Predictors of high-risk sexual behavior among gay men and men who have sex with men

This study of 576 gay men and men who have sex with men examined the predictive value of peer norms, self-efficacy, stigma, social support, age, and recreational drug use on high-risk sexual behavior that enables human immunodeficiency virus transmission. A bivariate analysis found each of these factors significant. A discriminant function analysis revealed that significant predictors of high-risk sexual behavior included low self-efficacy and low outcome expectancy with regard to successfully using a condom, disclosing infection status, and negotiating safer sex and low peer norms for safer sex. Counseling implications for this population are discussed.