title: Situational, partner, and contextual factors associated with level of risk at most recent intercourse among Black men who have sex with men.
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.
authors.affiliation: Department of Psychiatry and Behavioral Medicine, Center for AIDS Intervention Research (CAIR), Medical College of Wisconsin, 2071 North Summit Avenue, Milwaukee, WI, 53202, USA, cairdirector@mcw.edu.
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Kelly
authors.forename: Wayne J
authors.initials: WJ
authors.lastname: DiFranceisco
authors.forename: Janet S
authors.initials: JS
authors.lastname: St Lawrence
authors.forename: Yuri A
authors.initials: YA
authors.lastname: Amirkhanian
authors.forename: Michelle
authors.initials: M
authors.lastname: Anderson-Lamb
mesh_terms: D015492:AIDS Serodiagnosis; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D055812:Community-Based Participatory Research; D017280:Condoms / Q000706:statistics & numerical data; D005431:Florida / Q000453:epidemiology; D015658:HIV Infections / Q000453:epidemiology / Q000208:ethnology / Q000517:prevention & control; D007722:Health Knowledge, Attitudes, Practice; D018451:Homosexuality, Male / Q000208:ethnology*; D006801:Humans; D008297:Male; D009820:Ohio / Q000453:epidemiology; D012309:Risk-Taking; D012725:Sexual Behavior / Q000208:ethnology* / Q000706:statistics & numerical data; D012747:Sexual Partners; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000453:epidemiology; D011795:Surveys and Questionnaires; D047568:Unsafe Sex / Q000208:ethnology / Q000706:statistics & numerical data