ABSTRACT
The findings of research on sexuality and risk behaviour seem often contradictory. On the one hand gay and bisexual men are reported to have changed drastically their sexual behaviour through the adoption of safer sex strategies, which combine an affir-mation of sexual choice with rational disease prevention.1 On the other hand, men who have sex with men are still found to continue to have unprotected sex. Ten years after Berkowitz and Callen published How to Have Sex in an Epidemic, Ekstrand et al. (1992) detected that almost 60 per cent of the gay and bisexual men in their sample had taken part, once or more, in unprotected anal intercourse over a period of four years. The number of new infections among gay and bisexual men is approximately 10 per month in Sweden. This may not sound alarming in an international context, but it suffices to cause us to ask ourselves what weaknesses are still to be found in a safer sex strategy.
