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Nonsupportive Peer Norms and Incarceration as HIV Risk Correlates for Young Black Men who have Sex with Men
Authors:Kenneth T Jones  Wayne D Johnson  Darrell P Wheeler  Phyllis Gray  Evelyn Foust  Juarlyn Gaiter  The North Carolina Men’s Health Initiative Study Team
Institution:(1) Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road, (MS E-37), Atlanta, GA 30333, USA;(2) Hunter College School of Social Work, City University of New York, New York, NY, USA;(3) North Carolina Department of Health and Human Services, Division of Public Health, Raleigh, NC, USA
Abstract:Black men who have sex with men (BMSM) are at considerable risk for HIV infection. A convenience sample of BMSM (n = 252) attending nightclubs in three North Carolina cities was surveyed to investigate factors associated with unprotected anal intercourse (UAI). About 45% reported UAI in the past 2 months. BMSM who strongly agreed that their male friends used condoms for anal sex were significantly less likely to report any UAI. Recently incarcerated men were significantly more likely to report unprotected insertive anal sex. In secondary analyses, men who reported experiencing discrimination based on their race and nongay identified men reported more favorable peer norms for condom use. Men who reported that their family disapproved of their being gay were more likely to have been incarcerated in the past 2 months. HIV prevention for BMSM must promote supportive peer norms for condom use and address incarceration, racial discrimination, and family disapproval.
Keywords:HIV  African American  Homosexuality  Norms  Discrimination  Racism
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