Abstract

Several predictors of high-risk sexual behavior in gay men (internalized homophobia, locus of control, multiple AIDS-related loss, depression, and substance use) were examined. Eighty-seven HIV-negative gay males (M=36.7 years old, SD=5.9) were recruited through advertisements in the greater San Francisco, CA Bay Area. Structural equation modeling(SEM)analysis revealed that, as predicted, internalized homophobia, multiple AIDS-related losses, and substance use emerged as significant predictors of high-risk sexual behavior. Subsidiary analyses further revealed that multiple AIDS-related losses predicted both internalized homophobia and substance use suggesting that multiple losses experienced by gay men over the course of the AIDS epidemic may lead to other maladaptive behaviors.

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