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Those with less risk in their previous sexual history, those who did not engage in commercial sex, and those who attended more HIV intervention sessions were more likely to reduce their sexual risk. The impact of sessions varied significantly by race\/ethnicity: African-American youths reduced their risk acts most dramatically. Abstinence was consistently and significantly more likely among younger youths and those who had been abstinent before enrollment. The youths significantly reduced the number of sexual partners following the intervention; this reduction in partners was maintained through the 12-month follow-up and was greatest among youths with no involvement in commercial sexual activity (prostitution). CONCLUSIONS. The efficacy of HIV prevention programs must be empirically evaluated. <\/jats:p>","DOI":"10.2105\/ajph.84.12.1938","type":"journal-article","created":{"date-parts":[[2008,11,29]],"date-time":"2008-11-29T13:18:52Z","timestamp":1227964732000},"page":"1938-1946","source":"Crossref","is-referenced-by-count":44,"title":["Factors mediating changes in sexual HIV risk behaviors among gay and bisexual male adolescents."],"prefix":"10.2105","volume":"84","author":[{"given":"M J","family":"Rotheram-Borus","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Reid","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Rosario","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"844","reference":[{"key":"p_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.58.1.57"},{"key":"p_2","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.43.11.965"},{"key":"p_3","unstructured":"Miller HG, Turner CF, Moses LE, eds. 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