"To Me, Everybody Is infected": Understanding Narratives about HIV Risk among HIV-negative Black Men Who Have Sex with Men in the Deep South

被引:7
作者
Denson, Damian J. [1 ]
Gelaude, Deborah [1 ]
Saul, Heather [2 ]
Schoua-Glusberg, Alisu [3 ]
Randall, Laura A. [4 ]
Kenward, Katherine [3 ]
Gall, Elizabeth [5 ]
Hickson, DeMarc [6 ]
Schamel, Jay [4 ]
Frew, Paula M. [4 ,7 ,8 ,9 ]
机构
[1] Ctr Dis Control & Prevent, Natl Ctr HIV AIDS Viral Hepatitis STD & TB Preven, Div HIV AIDS Prevent, Atlanta, GA 30333 USA
[2] ICF Int Inc, Dept Hlth Sci & Human Serv, Atlanta, GA USA
[3] Res Support Serv Inc, Evanston, IL USA
[4] Emory Univ, Sch Med, Dept Med, Div Infect Dis, Atlanta, GA USA
[5] IMPAQ Int LLC, Div Hlth, Columbia, MD USA
[6] My Bros Keeper Inc, Ridgeland, MO USA
[7] Emory Rollins Sch Publ Hlth, Hubert Dept Global Hlth, Atlanta, GA USA
[8] Emory Rollins Sch Publ Hlth, Dept Behav Sci & Hlth Educ, Atlanta, GA USA
[9] Emory Ctr AIDS Res, Atlanta, GA USA
关键词
HIV; AIDS; African-American; black; MSM; risk reduction; resiliency; protective factors; BISEXUAL MEN; GAY; DISPARITIES; MSM; DETERMINANTS; ASSOCIATIONS; STRESS; HEALTH; STATES;
D O I
10.1080/00918369.2019.1694338
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
For black MSM living in the Deep South, the intersection of sexuality, race, and geography impacts HIV risk substantially. Between July and September 2016, we conducted a qualitative study among HIV-negative black MSM in five southern cities in the US with elevated HIV prevalence. Analysis included assessment of interrater reliability, cluster analysis, and descriptive statistics. We enrolled 99 black MSM (mean age: 33.6; SD = 12.8; range: 17-68 years). Four overarching themes emerged: harboring fear of HIV and the internalization of HIV stigma; scrutinizing potential partners to assess riskiness and HIV status; embracing distance and isolation from those perceived as a threat to HIV status; and exhibiting self-efficacy toward HIV prevention and utilizing risk reduction strategies. Future HIV prevention efforts may benefit by balancing risk and deficit based strategies with those that emphasize resilience, address disenfranchisement via structural interventions, and assess and treat inherent trauma(s).
引用
收藏
页码:973 / 992
页数:20
相关论文
共 50 条
[41]   Past year and prior incarceration and HIV transmission risk among HIV-positive men who have sex with men in the US* [J].
Khan, Maria R. ;
McGinnis, Kathleen A. ;
Grov, Christian ;
Scheidell, Joy D. ;
Hawks, Laura ;
Edelman, E. Jennifer ;
Fiellin, David A. ;
McInnes, D. Keith ;
Braithwaite, R. Scott ;
Justice, Amy C. ;
Wang, Emily A. .
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2019, 31 (03) :349-356
[42]   Sexual risk behaviors of HIV-positive, HIV-negative, and serostatus-unknown Black men who have sex with men and women [J].
Lauby, Jennifer L. ;
Millett, Gregorio A. ;
LaPollo, Archana Bodas ;
Bond, Lisa ;
Murrill, Christopher S. ;
Marks, Gary .
ARCHIVES OF SEXUAL BEHAVIOR, 2008, 37 (05) :708-719
[43]   Sexual Risk Behaviors of HIV-Positive, HIV-Negative, and Serostatus-Unknown Black Men Who Have Sex with Men and Women [J].
Jennifer L. Lauby ;
Gregorio A. Millett ;
Archana Bodas LaPollo ;
Lisa Bond ;
Christopher S. Murrill ;
Gary Marks .
Archives of Sexual Behavior, 2008, 37 :708-719
[44]   Anal cancer incidence in men with HIV who have sex with men: are black men at higher risk? [J].
McNeil, Candice J. ;
Lee, Jennifer S. ;
Cole, Stephen R. ;
Patel, Shivani A. ;
Martin, Jeffrey ;
Mathews, William C. ;
Moore, Richard D. ;
Mayer, Kenneth H. ;
Eron, Joseph J. ;
Saag, Michael S. ;
Kitahata, Mari M. ;
Achenbach, Chad J. .
AIDS, 2022, 36 (05) :657-664
[45]   Alcohol Use and Risk of HIV infection among Men Who Have Sex with Men [J].
Woolf, Sarah E. ;
Maisto, Stephen A. .
AIDS AND BEHAVIOR, 2009, 13 (04) :757-782
[46]   Annual HIV screening rates for HIV-negative men who have sex with men in primary care [J].
Spensley, Courtney B. ;
Plegue, Melissa ;
Seda, Robinson ;
Harper, Diane M. .
PLOS ONE, 2022, 17 (07)
[47]   HIV treatment optimism and crystal methamphetamine use and initiation among HIV-negative men who have sex with men in Vancouver, Canada: A longitudinal analysis [J].
Colyer, Sean P. ;
Lachowsky, Nathan J. ;
Cui, Zishan ;
Zhu, Julia ;
Armstrong, Heather L. ;
Taylor, Matthew ;
Edward, Joshua ;
Olarewaju, Gbolahan ;
Hogg, Robert S. ;
Roth, Eric A. ;
Moore, David M. .
DRUG AND ALCOHOL DEPENDENCE, 2018, 185 :67-74
[48]   Increase in recreational drug use between 2008 and 2018: results from a prospective cohort study among HIV-negative men who have sex with men [J].
Coyer, Liza ;
Boyd, Anders ;
Davidovich, Udi ;
van Bilsen, Ward P. H. ;
Prins, Maria ;
Matser, Amy .
ADDICTION, 2022, 117 (03) :656-665
[49]   Gender Expression and Risk of HIV Infection Among Black South African Men Who Have Sex with Men [J].
Sandfort, Theodorus G. M. ;
Lane, Tim ;
Dolezal, Curtis ;
Reddy, Vasu .
AIDS AND BEHAVIOR, 2015, 19 (12) :2270-2279
[50]   Gender Expression and Risk of HIV Infection Among Black South African Men Who Have Sex with Men [J].
Theodorus G. M. Sandfort ;
Tim Lane ;
Curtis Dolezal ;
Vasu Reddy .
AIDS and Behavior, 2015, 19 :2270-2279