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Jokes went around about the reception a delicate youth like the Chinoise could look forward to in a Kabul jail.īut a last-minute substitute was found. Then someone's phone rang: The boy had been arrested by Afghan police while dancing at a wedding. He was the jealously guarded "property" of a wealthy Kabul businessman who had promised to bring him around later in the evening. Many had seen him dance at other parties. The 16-year-old Hazara youth was known as "the Chinoise" for his striking oriental features. Some were drinking while others were smoking hashish in open windows, looking down into the street of the middle-class Kabul district of Karte-Char as they anticipated the boy's arrival. To be most effective, programs should develop innovative communication strategies to take into account lack of self-acceptance of gay or bisexual identity and low self-efficacy for practicing safer sex.The 20-odd men who had come to the party were expecting a dancing boy, or bacha bereesh. To prevent seroconversions, interventions must target those <18 years of age, and prevention programs should address the use of certain drugs in relation to sex and sexual risk-taking.
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Very young gay and bisexual men engage in unprotected anal sex at rates comparable with those for their somewhat older counterparts, raising serious concern over their risk of acquiring HIV infection. In the younger group, perceptions of peer norms that support safer sex were related to less risk behavior. In both age groups, greater safer sex self-efficacy was linked to less HIV sexual risk-taking. Self-acceptance of gay or bisexual identity was related to less sexual risk for those aged 15 to 17 years. In both age groups, use of amphetamines, ecstasy, and amyl nitrate was associated with unprotected anal intercourse. The age groups did not differ in the proportion of men who reported any unprotected anal intercourse in the previous 6 months (31.2%).
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The men aged 15 to 17 years used alcohol, ecstasy, and heroin less frequently than those aged 18 to 22 years. Overall, the prevalence of hepatitis-B core antibody was significantly lower in the younger age group (5.0%) than in the older group (14.1%). HIV seroprevalence was somewhat lower among those aged 15 to 17 years (2.0%) compared with those aged 18 to 22 years (6.8%). Of the 719 participants, 100 (16.2%) were aged between 15 and 17 years. Interviews assessed sexual and drug-use behavior as well as psychosocial variables believed to be related to sexual risk-taking, including self-acceptance of gay or bisexual identity, perceptions of peer norms concerning safer sex, and perceptions of the ability to practice safer sex (safer sex self-efficacy). Blood specimens were collected and tested for HIV antibodies, hepatitis B, and syphilis. To examine drug-use patterns and correlates of sexual risk behavior in both of these age groups.Īn interviewer-administered cross-sectional survey of 719 gay and bisexual males between 15 and 22 years old was conducted through a venue-based sampling design. To compare HIV seroprevalence and sexual risk behavior among very young gay and bisexual men (aged 15-17 years) and their older counterparts (aged 18-22 years).