Selection of Film Clips and Development of a Video for the Investigation of Sexual Decision Making Among Men Who have Sex with Men (Report)

From the outset of the HIV epidemic in the United States, men who have sex with men (MSM) have been disproportionately affected by HIV and AIDS. MSM represent approximately 50% of those living with HIV in the United States and over 70% of HIV+ men (Centers for Disease Control [CDC], 2007; Hall et al., 2008). The MSM community made remarkable strides to reduce rates of risky sexual behavior during the first decade of the HIV and AIDS epidemic (Martin, 1987; Ostrow, 1999). However, recent data reveal an estimated 8.6% annual increase in the number of HIV and AIDS diagnoses among MSM from 2001 to 2006 (CDC, 2008). To stem the tide of new infections among MSM and to reduce transmission of sexually transmitted diseases (STDs) and drug-resistant HIV strains among MSM already living with HIV, research involving MSM remains a critical public health priority. Despite the considerable advances in the last 10 years in the effectiveness and accessibility of medications in slowing the progression of AIDS, there remains no medical cure for it. Therefore, behavioral interventions aimed at decreasing the incidence of HIV through promotion of safer sexual practices remain the best approach to ameliorating the HIV epidemic (Kalichman & Weinhardt, 2001). Accordingly, there has been a major emphasis among researchers on identifying biological, psychological, and social or situational factors that may be associated with the occurrence of unsafe sex and the mechanisms of their action. One factor routinely identified as a risk modifier is alcohol use, especially with respect to how alcohol intoxication may impair sexual decision making.

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