title: Levels and predictors of HIV risk behavior among Black men who have sex with men.
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.
authors: Center for AIDS Intervention Research (CAIR), Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, WI 53202, USA. cairdirector@mcw.edu
authors: Jeffrey A
authors: JA
authors: Kelly
authors: Janet S
authors: JS
authors: St Lawrence
authors: Yuri A
authors: YA
authors: Amirkhanian
authors: Wayne J
authors: WJ
authors: DiFranceisco
authors: Michelle
authors: M
authors: Anderson-Lamb
authors: Luis I
authors: LI
authors: Garcia
authors: Manh T
authors: MT
authors: Nguyen
mesh_terms: D000293:Adolescent; D000328:Adult; D044383:Black People / Q000523:psychology* / Q000706:statistics & numerical data; D017280:Condoms / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control / Q000635:transmission*; D007722:Health Knowledge, Attitudes, Practice; D018451:Homosexuality, Male / Q000208:ethnology* / Q000706:statistics & numerical data*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D010379:Peer Group; D011237:Predictive Value of Tests; D012044:Regression Analysis; D012307:Risk Factors; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D012747:Sexual Partners; D012944:Social Support; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology; D011795:Surveys and Questionnaires; D047568:Unsafe Sex / Q000706:statistics & numerical data; D055815:Young Adult
references: Am J Public Health. 2004 Jul;94(7):1122-4
references: 15226130
references: AIDS Care. 2012;24(9):1087-91
references: 22690708
references: J Black Psychol. 2004;30(1):78-105
references: 20041036
references: MMWR Morb Mortal Wkly Rep. 2008 Sep 12;57(36):985-9
references: 18784639
references: J Nurs Meas. 1993 Winter;1(2):165-78
references: 7850498
references: Int J STD AIDS. 2007 Feb;18(2):105-8
references: 17331282
references: J Acquir Immune Defic Syndr. 2004 Apr 15;35(5):526-36
references: 15021318
references: Am J Public Health. 2001 May;91(5):767-73
references: 11344885
references: AIDS Behav. 2009 Aug;13(4):630-7
references: 19479369
references: Cult Health Sex. 2007 May-Jun;9(3):263-75
references: 17457730
references: AIDS Educ Prev. 2010 Dec;22(6):483-95
references: 21204625
references: Am J Public Health. 2008 Jun;98(6):1074-80
references: 18445806
references: AIDS Behav. 2012 Apr;16(3):508-15
references: 21805191
references: AIDS Behav. 2013 Mar;17(3):931-8
references: 22298339
references: Arch Sex Behav. 1989 Jun;18(3):203-15
references: 2751415
references: Sex Transm Dis. 2002 Feb;29(2):73-8
references: 11818891
references: Int J STD AIDS. 2006 Jan;17(1):50-6
references: 16409680
references: PLoS One. 2011;6(8):e17502
references: 21826193
references: J Acquir Immune Defic Syndr. 2002 Nov 1;31(3):339-47
references: 12439211
references: AIDS Educ Prev. 2003 Feb;15(1 Suppl A):39-52
references: 12630598
references: J Acquir Immune Defic Syndr. 2005 Apr 15;38(5):603-14
references: 15793373
references: J Acquir Immune Defic Syndr. 2005 Feb 1;38(2):213-8
references: 15671808
references: Am J Public Health. 2001 Jun;91(6):907-14
references: 11392933
references: AIDS Care. 2003 Feb;15(1):89-102
references: 12655837
references: Am J Public Health. 2006 Jun;96(6):1007-19
references: 16670223
references: Health Educ Behav. 2000 Aug;27(4):430-41
references: 10929751
references: AIDS. 2007 Oct 1;21(15):2083-91
references: 17885299
references: AIDS Patient Care STDS. 2005 Nov;19(11):737-44
references: 16283834
references: Health Educ Res. 2009 Feb;24(1):119-27
references: 18281710