Article: Increases in Unsafe Sex and Rectal Gonorrhea Among Men Who Have Sex With Men -- San Francisco, California, 1994-1997.

Reductions in AIDS cases among men who have sex with men (MSM) have been attributed in part to widespread declines in unprotected anal sex since the mid-1980s (1) and use of increasingly effective antiretroviral therapy (ART) since the mid-1990s (2). Because data about HIV infection incidence are limited, other indicators of transmission risk have been used. In San Francisco, data from annual behavioral surveys among MSM (1994-1997) and from the sexually transmitted disease (STD) surveillance program (1990-1997) were analyzed to characterize changes in HIV risk behaviors of MSM and changes in incidence of male rectal gonorrhea. This report describes the findings of these ...

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