Psychosocial issues among gay- and non-gay-identifying HIV-seropositive African American and Latino MSM.
This qualitative study examined sociocultural and behavioral factors including sexual health, sexual identity, and sexual risk among HIV-seropositive African American and Latino men who have sex with men (MSM) who also have a history of sexual abuse. Twenty-three men participated in 4 focus groups, responding to conceptually organized questions regarding the relationship between histories of violence and sexual and drug-related HIV risk behaviors for reinfection and transmission. Consensual qualitative research methods were used to analyze audiotaped transcriptions. Seven domains focusing on consensual and nonconsensual sexual practices, cultural and gender-bound beliefs, and social expectations were identified. Implications of these psychosocial issues for HIV-seropositive gay- and non-gay-identifying African American and Latino MSM with histories of sexual abuse in future interventions are discussed.
Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA 90024-1759, USA. KeoniWmd@aol.com
John K
JK
Williams
Gail E
GE
Wyatt
Judith
J
Resell
John
J
Peterson
Agnes
A
Asuan-O'Brien
D000328:Adult; D044383:Black People / Q000208:ethnology / Q000523:psychology*; D002648:Child; D002650:Child Abuse, Sexual / Q000208:ethnology / Q000523:psychology*; D003431:Cross-Cultural Comparison; D017144:Focus Groups; D006679:HIV Seropositivity / Q000208:ethnology / Q000523:psychology* / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D018451:Homosexuality, Male / Q000208:ethnology / Q000523:psychology*; D006801:Humans; D008297:Male; D017058:Mexican Americans / Q000208:ethnology / Q000523:psychology*; D012307:Risk Factors; D012725:Sexual Behavior / Q000208:ethnology / Q000523:psychology; D001741:Black or African American