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AJPH First Look, published online ahead of print May 2, 2006
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AJPH.2005.070771v1
96/6/1078    most recent
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June 2006, Vol 96, No. 6 | American Journal of Public Health 1078-1084
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2005.070771

RESEARCH AND PRACTICE

Patterns and Correlates of Deliberate Abstinence Among Men and Women With HIV/AIDS

Laura M. Bogart, PhD, Rebecca L. Collins, PhD, David E. Kanouse, PhD, William Cunningham, MD, MPH, Robin Beckman, MPH, Daniela Golinelli, PhD and Chloe E. Bird, PhD

Laura M. Bogart, Rebecca L. Collins, David E. Kanouse, Robin Beckman, Daniela Golinelli, and Chloe E. Bird are with the Health Program, RAND Corp, Santa Monica, Calif. William Cunningham is with the Division of General Internal Medicine and Health Services Research, Department of Medicine, and the Department of Health Services, School of Public Health, at University of California Los Angeles.

Correspondence: Requests for reprints should be sent to Laura M. Bogart, RAND Corp, 1776 Main St, PO Box 2138, Santa Monica, CA 90407-2138 (e-mail: lbogart{at}rand.org).

Objectives. We examined correlates of deliberate sexual abstinence among gay/bisexual men, heterosexual men, and women in a national probability sample of adults with HIV.

Methods. Participants in the HIV Cost and Services Utilization Study (HCSUS; n=1339) answered questions about oral, anal, or vaginal sexual intercourse in the past 6 months; those who reported none of these behaviors (n=415) were asked about their reasons for abstinence. Of these, 201 participants (11% of gay/bisexual men, 18% of women, 18% of heterosexual men) indicated that their abstinence was deliberate. Multivariate models were used to predict deliberate abstinence.

Results. In multivariate analyses, not having a primary relationship partner/spouse was a significant correlate of deliberate abstinence for all 3 groups. Higher perceived responsibility for limiting disease transmission and nondrinking status were related to deliberate abstinence only among gay/bisexual men. Worse health was associated with deliberate abstinence only among heterosexual men.

Conclusions. Perhaps because HIV is more common in gay communities, abstinence choices may be more closely linked to a higher sense of responsibility for reducing transmission among gay/bisexual men, and their illness may be less of an impediment to sexual activity.






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