Faculty Collaboration Database

Situational, partner, and contextual factors associated with level of risk at most recent intercourse among Black men who have sex with men. AIDS Behav 2014 Jan;18(1):26-35

Date

07/23/2013

Pubmed ID

23868691

Pubmed Central ID

PMC3868642

DOI

10.1007/s10461-013-0532-y

Scopus ID

2-s2.0-84892787693 (requires institutional sign-in at Scopus site)   17 Citations

Abstract

African American men who have sex with men (MSM) in the United States bear a disproportionate burden of HIV infection and disease incidence. 178 Black MSM provided detailed situational information concerning their most recent act of anal intercourse (AI) with a male partner including condom use, partner characteristics, serostatus disclosure, and substance use. Participants completed scales assessing AIDS-related as well as broader contextual domains. Most recent AI acts occurred with same-race partners outside of main relationships. Over one-third of AI acts were unprotected, and almost half of the unprotected acts were not between known HIV-concordant partners. Nearly half of men reported substance use before sex. In a multiple regression analysis, unprotected AI with a partner not known to be concordant was predicted by low risk reduction intentions and indicators of a casual relationship. The findings highlight issues and partner contexts associated with risk for contracting HIV infection among Black MSM.

Author List

Kelly JA, DiFranceisco WJ, St Lawrence JS, Amirkhanian YA, Anderson-Lamb M

Authors

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

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

AIDS Serodiagnosis
Adult
Community-Based Participatory Research
Condoms
Florida
HIV Infections
Health Knowledge, Attitudes, Practice
Homosexuality, Male
Humans
Male
Ohio
Risk-Taking
Sexual Behavior
Sexual Partners
Socioeconomic Factors
Substance-Related Disorders
Surveys and Questionnaires
Unsafe Sex