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Copyright of Culture, Health & Sexuality is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The objective of this study was to determine the contributions of a range of psychosocial, demographic and behavioural variables to gay men's intentions to take an HIV test. A cross-sectional self-report survey was undertaken. Researchers approached patrons of all known gay bars in Glasgow and Edinburgh during May 2000. Questionnaires were completed by 803 men (response rate of 78%). Those with a stronger intention to test had previously tested, and they were younger, with two or more recent unprotected anal sex partners. They perceived their HIV status to be unknown, had less fear of a positive test result, and perceived more benefits of testing. Intention to test in those with two or more recent unprotected anal sex partners was attenuated if accompanied by increased fear of a positive test result. Results are considered in the context of the theories of reasoned action and planned behaviour. Intention to test is far from a unitary phenomenon, and the existence of various sub-groups within the gay population demands a new approach to both research and health promotion. [ABSTRACT FROM AUTHOR]

The roles of clinicians and investigators have been increasingly intertwined over the past 30 years. This study explores the tensions of performing both roles in the context of HIV medicine. Clinicians, who are also investigators, were interviewed in Australia during the course of an intensive phase II clinical trial. Clinicians described both positive and negative outcomes of participating in clinical trials. The clinicians considered it beneficial to be able to offer potentially effective therapies at an early stage to their patients and found research broadened their work and experience. They also thought it less disruptive to the patients to be able to enrol at their usual site of health care delivery. Difficulties encountered in engaging in clinical trials were described as problems with the time involved in clinical trial work, and ethical dilemmas in recruitment and retention. Further tensions were associated with the often conflicting demands of patients' interests and research goals. Depuis une trentaine d'années, les rôles de clinicien et de chercheur ont tendance à se confondre de plus en plus. Cet article étudie, dans le contexte de la médecine du VIH, les conflits qui apparaissent lorsque ces deux rôles sont remplis simultanément. Lors d'un essai clinique intensive de phase II effectuéen Australie, nous avons interrogédes cliniciens qui étaient des aussi chercheurs. Ces cliniciens ont decrit les retombées positives et négatives de leur participation à des esscus cliniques. Parmi les aspects positifs, les praticiens considéraient comme bénéfique le fait de pouvoir proposer à leurs patients à un otude précoce des thérapies potentiellement efficaces, et ils ont trouvéque faire de la recherche avait élargi le champ de leur activitéet leur expérience. Ils ont également estimé qu'il était moins perturbant pour leurs patients de pouvoir participer aux études à l'endroit où ils reçoivent habituellement des soins. Parmi les obstacles rencontrés par les praticiens s'engageant dans des études cliniques, ont été mentionnés des problémes lís au temps consacre aux essais, et des dilemmes éthiques concernant le recrutement et le mantier des participants dans un essai. D'autres tensions sont nés de la difficulté à combiner deux exigences contradictoires : l'intérét des patients et les objectifs de la recherche. Los papeles de los médicos clínicos y los investigadores se han entrelazado cada vez más en los últimos 30 años. Este estudio explora las tensiones entre ambos papeles en la practica medica que estudia el VIH. Durante el curso de un ensayo clínico intenso de fase II, fueron entrevistados en Australia médicos cliacute;nicos, que también son investigadores. Estos médicos describieron los resultados de su participación en los ensayos clínicos, tanto positiva como negativamente. Creían que era beneficioso ser capaz de ofrecer a los pacientes terapias potencialmente eficaces en las primeras etapas y pensaban que la investigación ampliaba su trabajo y experiencia. También opinaron que era menos perjudicial para los pacientes que pudieran ir a sus centros usuales de sanidad. Encontraron dificultades en la participación ensayos clínicos ya que representan un problema por el tiempo dedicado al trabajo clíico de los ensayos y un dilema ético alrededorde la selección de pacientes y su retención. Otras tensiones se relacionan con las demandas, a menudo conflictivas, entre los intereses de los pacientes y los objetivos de la investigación. [ABSTRACT FROM AUTHOR]