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- Title
Situational, Partner, and Contextual Factors Associated with Level of Risk at Most Recent Intercourse Among Black Men Who Have Sex with Men.
- Authors
Kelly, Jeffrey; DiFranceisco, Wayne; St. Lawrence, Janet; Amirkhanian, Yuri; Anderson-Lamb, Michelle
- 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.
- Subjects
UNITED States; HIV infection risk factors; BLACK people; CONFIDENCE intervals; EPIDEMIOLOGY; GAY men; RESEARCH funding; RISK-taking behavior; DATA analysis; ANAL sex; MULTIPLE regression analysis; UNSAFE sex; DESCRIPTIVE statistics
- Publication
AIDS & Behavior, 2014, Vol 18, Issue 1, p26
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-013-0532-y