Social and Behavioral Sciences Commons^™

Common Roots: A Contextual Review Of Hiv Epidemics In Black Men Who Have Sex With Men Across The African Diaspora, Gregorio A. Millett, William L. Jeffries 4h, John L. Peterson, David J. Malebranche, Tim Lane, Stephen A. Flores, Kevin A. Fenton, Patrick A. Wilson, Riley Steiner, Charles M. Heilig

David J Malebranche

Pooled estimates from across the African diaspora show that black men who have sex with men (MSM) are 15 times more likely to be HIV positive compared with general populations and 8·5 times more likely compared with black populations. Disparities in the prevalence of HIV infection are greater in African and Caribbean countries that criminalise homosexual activity than in those that do not criminalise such behaviour. With the exception of US and African epidemiological studies, most studies of black MSM mainly focus on outcomes associated with HIV behavioural risk rather than on prevalence, incidence, or undiagnosed infection. Nevertheless, black MSM …

The Relationship Between Gender Role Conflict And Condom Use Among Black Msm, David J. Malebranche, Roman Gvetadze, Gregorio A. Millett, Madeline Y. Sutton

David J Malebranche

Gender role conflict may influence condom use among black MSM. We examined relationships between the Gender Role Conflict Scale (GRCS), social/demographic variables and condom use among 456 black MSM. Higher total GRCS scores did not predict unprotected insertive anal intercourse (UIAI) or unprotected receptive anal intercourse (URAI) with men, but were associated with unprotected vaginal or anal intercourse (UVI/UAI) with women among bisexually active participants (n = 69). Higher perceived HIV risk reduced the likelihood of both UIAI and URAI with men. Internet recruitment venues, sexual discrimination experiences, higher numbers of sex partners and UVI/UAI with women all increased the …

Hiv Risk And Perceptions Of Masculinity Among Young Black Men Who Have Sex With Men, Errol L. Fields, Laura M. Bogart, Katherine C. Smith, David J. Malebranche, Jonathan Ellen, Mark A. Schuster

David J Malebranche

Purpose: Young black men who have sex with men (YBMSM) are known to have the highest rates of HIV infection in the United States. Although reported rates of unprotected anal intercourse are similar to the rates ofmen who have sex with men of other racial/ethnic backgrounds, YBMSM aged 15–22 years are five times more likely to be HIV-infected than the comparably aged white men who have sex with men. We explored contextual social-environmental factors that may influence how YBMSM assess risk, choose partners, and make decisions about condom use.

Methods: We analyzed semi-structured interviews with 35 YBMSM (age: 18–24 years) …

Masculine Socialization And Sexual Risk Behaviors Among Black Men Who Have Sex With Men: A Qualitative Exploration, David J. Malebranche, Errol L. Fields, Lawrence O. Bryant, Shaun R. Harper

David J Malebranche

Aspects of masculine socialization among Black men who have sex with men (MSM) and potential corresponding influences on high-risk sexual behaviors are explored in this study. Individual interviews were conducted with 29 Black MSM in Atlanta, Georgia. Findings included (1) formative masculine socialization experiences marked by an absence of biological fathers and Black male role models, (2) negative perceptions of “gay” identities and communities, (3) race and racial identification as intersecting influences on masculine and sexual identities, (4) the influences of masculine socialization and beliefs on partner selection and sexual behaviors, and (5) general themes of trust, control, “heat of …

Childhood Sexual Abuse In Black Men Who Have Sex With Men: Results From Three Qualitative Studies, Sheldon D. Fields, David J. Malebranche, Sonja Feist-Price

David J Malebranche

This report describes the high prevalence and context of childhood sexual abuse (CSA) among Black men who have sex with men (MSM) across 3 independent qualitative studies. Semistructured one-on-one interviews were conducted with 87 Black MSM across 3 cities (Rochester, NY, n=28; Lexington, KY/Atlanta, GA, n=30; and Atlanta, GA, n =29). A combined CSA prevalence of 32% (28/87) was found among the 3 samples, despite variation in geographic location, mean age, and sexual identification. Common themes emerging across the 3 samples included prolonged and repeated abuse by a close male relative; blaming of same-sex desire on CSA; and descriptions of …

Hiv/Aids Prevention Research Among Black Men Who Have Sex With Men: Current Progress And Future Directions, Gregorio A. Millett, David J. Malebranche, John L. Peterson

David J Malebranche

No abstract provided.

Black Men Who Have Sex With Men And The Hiv Epidemic: Next Steps For Public Health, David J. Malebranche

David J Malebranche

No abstract provided.