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HIV Acquisition and Transmission in Black Males

Arch Sex Behav; ePub 2017 Nov 9; Joseph, et al

Black men who have sex with men and women (BMSMW) are at increased HIV risk, but few efficacious interventions meet their unique needs, according to a recent study. 3 HIV prevention interventions were evaluated with a common protocol. BMSMW from Los Angeles, Philadelphia, and Chicago who reported sexual risk and bisexual behavior in the past year were recruited. Baseline assessments were conducted via audio computer-assisted interview and sexual behaviors assessed over the past 3 months. From December 2010 to November 2012, 584 BMSMW were enrolled across the 3 cities; more than half (55%) were recruited by other participants (mean age: 43 years). Researchers found:

  • 75% reported an annual income <$10,000 and selling sex was prevalent (31%).
  • Three-quarters identified as bisexual.
  • 39% were HIV-positive.
  • Among HIV-positive participants, 46% reported sex without condoms with HIV-negative or unknown male partners and 45% with HIV-negative or unknown female partners.
  • Overall, factors associated with sex without condoms included network size, education, income, sexual orientation identification, HIV status, exchange sex, homonegativity, and social support.

Citation:

Joseph HA, Pan Y, Mendoza M, et al. HIV acquisition and transmission potential among African American men who have sex with men and women in three U.S. cities. [Published online ahead of print November 9, 2017]. Arch Sex Behav. doi:10.1007/s10508-017-1052-z.

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