Safer sexual behaviors have been widely promoted for many years as an effective means of preventing the transmission of HIV. However, creating an initial change in an individual's behavior does not guarantee that an individual will maintain that behavior change. This meta-analysis looked at one population---men who have sex with men---and fit a random effects model to the data for the available studies on the frequency of higher risk sexual behaviors. It is clear the prevention programs need to be developed that focus on maintenance of changes to safer sexual behaviors. By identifying the important predictors of the frequency of higher risk sexual behaviors, this meta-analysis provides suggestions on what may be important to include in targeted prevention programs.