Greater Risk for HIV Infection of Black Men Who Have Sex With Men: A Critical Literature Review

Background The first purpose of the present study was to determine whether young Black men who have sex with men (YBMSM) disclose their newly diagnosed HIV infection to a male or female partner, and to determine whether this disclosure is related to condom use; the second was to identify correlates of disclosing newly diagnosed HIV infection to male sex partners, including a measure of partner-related barriers to condom use. Methods: A sample of 125 HIV-infected YBMSM (age 15–29 years) provided cross-sectional data used for both study purposes. Recruitment occurred in a mid-size city in the southern US experiencing inordinately high prevalence and incidence rates of HIV among YBMSM. Significance was defined by an α level of <0.05. Results: Eighty-eight YBMSM (70.4%) indicated disclosing their newly diagnosed HIV status to the first male partner they had sex with after being diagnosed. Of these, nine (9.1%) reported that condoms were not used during ensuing sex with that partner. However, of the men not disclosing, 27.0% reported not using condoms for ensuing sex (P = 0.009). Similar findings were observed relative to sex with females (P = 0.057). Regarding the second study purpose, in addition to a protective effect of advancing age, men scoring at or above the median on a measure of partner-related barriers to condom use were 2.4-fold more likely to not disclose compared with men scoring below the median (P = 0.04). Conclusion: For YBMSM, a beneficial counselling objective relative to disclosing newly diagnosed HIV may be to help men resolve perceptions of partner-related barriers to condom use.

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UNRECOGNIZED HIV INFECTION, RISK BEHAVIORS, AND PERCEPTIONS OF RISK AMONG YOUNG BLACK MEN WHO HAVE SEX WITH MEN???SIX U.S. CITIES, 1994???1998

Infectious Diseases in Clinical Practice ◽

10.1097/00019048-200206000-00037 ◽

2002 ◽

Vol 11 (5) ◽

pp. 324-325

Author(s):

&NA;

Keyword(s):

Hiv Infection ◽

Black Men ◽

Risk Behaviors ◽

Infection Risk ◽

Perceptions Of Risk ◽

Sex With Men ◽

Hiv Infection Risk

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Homophobia is Associated with Sexual Behavior that Increases Risk of Acquiring and Transmitting HIV Infection Among Black Men Who Have Sex with Men

AIDS and Behavior ◽

10.1007/s10461-012-0189-y ◽

2012 ◽

Vol 17 (4) ◽

pp. 1442-1453 ◽

Cited By ~ 103

Author(s):

William L. Jeffries ◽

Gary Marks ◽

Jennifer Lauby ◽

Christopher S. Murrill ◽

Gregorio A. Millett

Keyword(s):

Sexual Behavior ◽

Hiv Infection ◽

Black Men ◽

Sex With Men

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863. Increasing PrEP Uptake: A Diffusion-Based Network Intervention for HIV Prevention Among Young Black Men Who Have Sex With Men

Open Forum Infectious Diseases ◽

10.1093/ofid/ofy209.048 ◽

2018 ◽

Vol 5 (suppl_1) ◽

pp. S21-S22

Author(s):

Matthew Ferreira ◽

Lindsay Young ◽

John Schneider

Keyword(s):

Hiv Prevention ◽

Hiv Infection ◽

Black Men ◽

Controlled Trial ◽

Biomedical Intervention ◽

Network Intervention ◽

Sex With Men ◽

Hiv Negative ◽

Peer Leader

Abstract Background Advances in biomedical prevention strategies provide new opportunities for reducing HIV incidence among young black men who have sex with men (YBMSM). Pre-exposure prophylaxis (PrEP) is for HIV-negative individuals and has been shown to be up to 99% effective in preventing HIV infection when taken as prescribed by CDC clinical practice guidelines. Several studies, however, have documented low rates of PrEP uptake among YBMSM. Methods PrEP Chicago is a randomized controlled trial peer leader intervention designed to promote uptake of PrEP for HIV prevention among YBMSM. Participants (n = 423) were recruited using respondent-driven sampling (RDS) and randomized to either an intervention (n = 209) or control (n = 214) condition. Eligibility criteria included: aged 18–35, identifies as a person of color, assigned male sex at birth, had sex with a man in the past 12 months, had an active Facebook profile, and resided in Chicago. The intervention includes a half-day, small group PrEP, and peer leader training workshop followed by monthly check-in booster calls. Approximately 12 months after their initial baseline visit, participants return to complete follow-up data collection and switch conditions, giving year 1 control participants the opportunity to learn about PrEP. Results The number of HIV-negative intervention participants on PrEP at baseline vs. 12-month follow-up (PrEP Chicago Study, Chicago, 2016–2018). A total of 341 participants (80.6%) returned at 12 months. Of 209 intervention participants at baseline, 176 (84.2%) completed a follow-up survey at 12 months. At baseline, 13 (13.3%) of 98 HIV-negative intervention participants indicated that they were currently taking PrEP. At 12 months, this number grew to 25 (32.5%) of 77 HIV-negative intervention participants, indicating that they were currently taking PrEP. A total of 21 participants reported initiating PrEP during their time in the intervention. Conclusion PrEP is a valuable biomedical intervention for preventing HIV infection in those at risk. PrEP Chicago, a network intervention designed to promote uptake of PrEP among YBMSM, shows promising results for PrEP adoption among this community. Disclosures All authors: No reported disclosures.

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