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Levels and predictors of HIV risk behavior among Black men who have sex with men. AIDS Educ Prev 2013 Feb;25(1):49-61

Date

02/08/2013

Pubmed ID

23387951

Pubmed Central ID

PMC4067001

DOI

10.1521/aeap.2013.25.1.49

Scopus ID

2-s2.0-84873618858   30 Citations

Abstract

Black men who have sex with men (MSM) contract HIV at disproportionately high rates, and National HIV/AIDS Strategy goals to reduce HIV incidence cannot be successful without improved HIV prevention among racial minority MSM. A total of 210 Black MSM from three cities (Cleveland, Miami, and Milwaukee) completed measures assessing their sexual behavior and demographic characteristics, as well as AIDS-specific psychosocial scales, broader contextual domains, and substance use. Nearly 50% of men reported recent unprotected anal intercourse (UAI), often with non-main partners, with partners not known to be HIV seroconcordant, or with multiple partners. Thirty-seven percent of men reported being HIV positive. In multiple regression analyses, higher levels of unprotected behavior were predicted by weaker perceived peer norms for condom use, weaker risk reduction behavioral intentions, being HIV negative, and recent use of marijuana, cocaine/crack, and poppers. Greater number of UAI partners was associated with weaker perceived peer condom use norms, lower risk reduction intentions, illicit use of prescribed opiates, and fewer AIDS conspiracy beliefs. These findings suggest important factors that should be targeted in HIV prevention programs for Black MSM.

Author List

Kelly JA, St Lawrence JS, Amirkhanian YA, DiFranceisco WJ, Anderson-Lamb M, Garcia LI, Nguyen MT

Authors

Yuri A. Amirkhanian PhD Professor in the Psychiatry department at Medical College of Wisconsin
Wayne J. DiFranceisco Research Scientist II in the Psychiatry department at Medical College of Wisconsin
Jeffrey A. Kelly PhD Professor in the Psychiatry department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Condoms
Cross-Sectional Studies
HIV Infections
Health Knowledge, Attitudes, Practice
Homosexuality, Male
Humans
Interviews as Topic
Male
Peer Group
Predictive Value of Tests
Regression Analysis
Risk Factors
Risk Reduction Behavior
Risk-Taking
Sexual Partners
Social Support
Socioeconomic Factors
Substance-Related Disorders
Surveys and Questionnaires
Unsafe Sex
Young Adult