Persistence of High-Risk Sexual Activity among Homosexual Men in an Area of Low Incidence of the Acquired lmmunodeficiency Syndrome

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Abstract
Before 1985 only five cases of the acquired immunodeficiency syndrome (AIDS) had been diagnosed in New Mexico [USA], and there was no information regarding prevalence of antibody to the human immunodeficiency virus (HIV). Of 166 gay and bisexual men tested in 1985 in New Mexico, 20% were found to have antibody to HIV. Of 153 responding participants, 107 (70%) reported practicing receptive anal intercourse in the last 12 months, and only 13% of the 107 reported the regular use of condoms. High-risk sexual activity may have persisted in part because of underestimation of the local risk of acquiring HIV infection. Voluntary serologic testing and eduction of members of high-risk groups should be stressed in areas where the incidences of AIDS and of seropositivity to HIV are low but where high-risk sexual activity may still be prevalent.

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