Personality disorder and sexual risk taking among homosexually active and heterosexually active men attending a genito-urinary medicine clinic.

61 homosexually active men and 57 heterosexually active men attending a genito-urinary medicine clinic were assessed for personality disorder and sexual risk taking. Of the homosexually active men, 23/61 (38%) were found to have personality disorders, as against 16/57 (28%) of the heterosexually active men. Multiple regression analysis indicated that antisocial personality disorder (p < 0.001) was the main predictor of sexual risk taking for the homosexually active clinic attenders. In the case of the heterosexually active men attending the clinic, sexual risk taking was predicted by cocaine use (p < 0.001) and antisocial personality disorder (p < 0.001). These results indicate a need to screen for personality disorders in genitourinary medicine clinics and at the time of pre-HIV test counseling.