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Correlates of Sexual HIV Risk Among African American Men Who Have Sex With Men. Am J Public Health 2016 Jan;106(1):96-102

Date

11/13/2015

Pubmed ID

26562130

Pubmed Central ID

PMC4689635

DOI

10.2105/AJPH.2015.302945

Scopus ID

2-s2.0-84952023836   11 Citations

Abstract

OBJECTIVES: We examined correlates of condomless anal intercourse with nonmain sexual partners among African American men who have sex with men (MSM).

METHODS: We recruited social networks composed of 445 Black MSM from 2012 to 2014 in Milwaukee, Wisconsin; Cleveland, Ohio; and Miami Beach, Florida. Participants reported past-3-month sexual behavior, substance use, and background, psychosocial, and HIV-related characteristics.

RESULTS: Condomless anal intercourse outside main concordant partnerships, reported by 34.4% of MSM, was less likely in the case of no alcohol and marijuana use in the past 30 days, and higher risk-reduction behavioral intentions. High frequency of condomless anal intercourse acts with nonmain partners was associated with high gay community participation, weak risk-reduction intentions, safer sex not being perceived as a peer norm, low condom-use self-efficacy, and longer time since most recent HIV testing.

CONCLUSIONS: Condomless anal intercourse with nonmain partners among Black MSM was primarily associated with gay community participation, alcohol and marijuana use, and risk-reduction behavioral intentions.

Author List

Kelly JA, St Lawrence JS, Tarima SS, DiFranceisco WJ, Amirkhanian YA

Authors

Yuri A. Amirkhanian PhD Professor in the Psychiatry department at Medical College of Wisconsin
Jeffrey A. Kelly PhD Professor in the Psychiatry department at Medical College of Wisconsin
Sergey S. Tarima PhD Associate Professor in the Institute for Health and Equity department at Medical College of Wisconsin




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

Adolescent
Adult
African Americans
Comorbidity
Condoms
Florida
HIV Infections
Health Knowledge, Attitudes, Practice
Homosexuality, Male
Humans
Logistic Models
Male
Middle Aged
Ohio
Peer Group
Risk-Taking
Self Efficacy
Social Norms
Substance-Related Disorders
Wisconsin
Young Adult
jenkins-FCD Prod-486 e3098984f26de787f5ecab75090d0a28e7f4f7c0