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
11/13/2015Pubmed ID
26562130Pubmed Central ID
PMC4689635DOI
10.2105/AJPH.2015.302945Scopus ID
2-s2.0-84952023836 (requires institutional sign-in at Scopus site) 15 CitationsAbstract
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 YAAuthors
Yuri A. Amirkhanian PhD Professor in the Psychiatry and Behavioral Medicine department at Medical College of WisconsinWayne 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
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
AdolescentAdult
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