nach oben

AIDS and Behavior

Erschienen in:

02.04.2020 | Original Paper

Perceived HIV Risk Among Black MSM Who Maintain HIV-Negativity in New York City

verfasst von: Jagadisa-devasri Dacus, Theo G. M. Sandfort

Erschienen in: AIDS and Behavior | Ausgabe 11/2020

Einloggen, um Zugang zu erhalten

Abstract

Black men who have sex with men (MSM) are disproportionately burdened by the HIV epidemic. Although there has been an increased focus on reducing HIV prevalence in Black MSM, little attention has been given to how and why Black MSM are able to remain HIV-negative, beyond believing that they are lucky. The purpose of this qualitative study was to explore how Black MSM try to stay HIV-negative. Guided by constructivist grounded theory and a strengths-based approach, we conducted in-depth interviews to explicate how Black MSM demonstrate resilience by staying seronegative amidst high seroprevalence. Results from this study suggest that it is their perceptions of HIV risk that translate into protective strategies that enable them to prevent infection. Our study offers insight into their reasoning processes that guide their efforts to stay HIV-negative.

Centers for disease control and prevention. HIV among gay and bisexual men [Internet]. 2017. Available from: https://www.cdc.gov/hiv/group/msm/index.html

Centers for Disease Control and Prevention. CDC Fact Sheet: HIV among African Americans [Internet]. 2017. (Morbidity and Mortality Weekly Report). Available from: https://www.cdc.gov/nchhstp/newsroom/docs/factsheets/cdc-hiv-aa-508.pdf

National Alliance of State and Territorial AIDS Directors. HIV/AIDS: Crisis among young Black and Latino gay men and other men who have sex with men (MSM) [Internet]. 2009 p. 1–12. (Youth Issue Brief). Report No.: 2. Available from: https://www.nastad.org/Docs/highlight/2009130_Youth%20Issue%20Brief%20No%201.pdf

New York City department of health and mental hygiene. HIV surveillance annual report, 2015. [Internet]. 2017. Available from: https://www1.nyc.gov/assets/doh/downloads/pdf/dires/hiv-surveillance-annualreport-2015.pdf

Millett, G. “Stuck”: Contextualizing the US HIV epidemic among Black MSM [Internet]. Webinar [PowerPoint slides] presented at; 2015 Apr 13. Available from: https://www.hanc.info/cp/resources/Pages/Legacy-Project-Webinars.aspx

Millett GA, Peterson JL, Flores SA, Hart TA, Jeffries WL, Wilson PA, et al. Comparisons of disparities and risks of HIV infection in Black and other men who have sex with men in Canada, UK, and USA: a meta-analysis. The Lancet. 2012;380(9839):341–8.CrossRef

Millett GA, Peterson JL, Wolitski RJ, Stall R. Greater risk for HIV infection of Black men who have sex with men: a critical literature review. Am J Public Health. 2006;96(6):1007–199.CrossRef

Eaton LA, Kalichman SC, Cherry C. Sexual partner selection and HIV risk reduction among black and white men who have sex with men. Am J Public Health. 2010;100(3):503–9.CrossRef

Hussen SA, Stephenson R, del Rio C, Wilton L, Wallace J, Wheeler D. HIV testing patterns among Black men who have sex with men: A qualitative typology. Kumar A, for the HPTN 061 Protocol Team, editors. PLoS ONE [Internet]. 2013 Sep 19 [cited 2015 Mar 23];8(9):e75382. Available from: https://dx.plos.org/10.1371/journal.pone.0075382

10.

Millett GA, Flores SA, Peterson JL, Bakeman R. Explaining disparities in HIV infection among black and white men who have sex with men: A meta-analysis of HIV risk behaviors. AIDS. 2007;21(15):2083–91.CrossRef

11.

Bohl D, Raymond H, Arnold M, McFarland W. Concurrent sexual partnerships and racial disparities in HIV infection among men who have sex with men. Sex Transm Infect. 2009;85(5):367–9.CrossRef

12.

Millett GA, Peterson JL. The known hidden epidemic: HIV/AIDS among Black men who have sex with men in the United States. Am J Prev Med. 2007;32(4):31–3.CrossRef

13.

Ellis K. HIV more prevalent among Black MSM despite fewer risk behaviors. Helio Infect Dis News [Internet]. 2008 Jan [cited 2015 Apr 12]; Available from: https://www.healio.com/infectious-disease/hiv-aids/news/print/infectious-disease-news/%7Bd8aa870f-9596-4574-9342-beadfb911b21%7D/hiv-more-prevalent-among-black-msm-despite-fewer-risk-behaviors

14.

Mimiaga MJ, Reisner SL, Cranston K, Isenberg D, Bright D, Daffin G, et al. Sexual mixing patterns and partner characteristics of Black MSM in Massachusetts at increased risk for HIV infection and transmission. J Urban Health. 2009;86(4):602–23.CrossRef

15.

Sullivan P, Peterson J, Rosenberg ES, Kelley CF, Cooper H, Vaughan A, et al. Understanding racial HIV/STI disparities in Black and White men who have sex with men: A multilevel approach. Okulicz JF, editor. PLoS ONE [Internet]. 2014 Mar 7 [cited 2015 Apr 12];9(3):e90514. Available from: https://dx.plos.org/10.1371/journal.pone.0090514

16.

Centers for Disease Control and Prevention. Syndemics prevention network. Spotlight on syndemics. 2010;

17.

Singer MC, Erickson PI, Badiane L, Diaz R, Ortiz D, Abraham T, et al. Syndemics, sex and the city: understanding sexually transmitted diseases in social and cultural context. Soc Sci Med. 2006;63(8):2010–21.CrossRef

18.

Singer M, Clair S. Syndemics and public health: Reconceptualizing disease in bio-social context. Med Anthropol Q. 2003;17(4):423–41.CrossRef

19.

Singer M. Introduction to syndemics: A critical systems approach to public and community health. San Francisco, CA: John Wiley & Sons; 2009.

20.

Safren SA, Reisner SL, Herrick A, Mimiaga MJ, Stall R. Mental health and HIV risk in men who have sex with men. J Acquir Immune Defic Syndr 1999 [Internet]. 2010 [cited 2015 Mar 25];55(Suppl 2):S74. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3074520/

21.

Mustanski BS, Newcomb ME, Du Bois SN, Garcia SC, Grov C. HIV in young men who have sex with men: A review of epidemiology, risk and protective factors, and interventions. J Sex Res [Internet]. 2011 Feb 28 [cited 2015 Mar 23];48(2–3):218–53. Available from: https://www.tandfonline.com/doi/abs/10.1080/00224499.2011.558645

22.

Stall R, Mills TC, Williamson J, Hart T, Greenwood G, Paul J, et al. Association of co-occurring psychosocial health problems and increased vulnerability to HIV/AIDS among urban men who have sex with men. Am J Public Health [Internet]. 2003 Jun;93(6):939–42. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1447874/

23.

Effective Interventions. 2019. Available from: https://effectiveinterventions.cdc.gov/en/HighImpactPrevention/Interventions.aspx

24.

Charmaz K. Constructing grounded theory. Sage; 2014.

25.

Herrick AL, Lim SH, Wei C, Smith H, Guadamuz T, Friedman MS, et al. Resilience as an untapped resource in behavioral intervention design for gay men. AIDS Behav [Internet]. 2011 Apr [cited 2015 Apr 7];15(S1):25–9. Available from: https://link.springer.com/10.1007/s10461-011-9895-0

26.

Herrick AL, Stall R, Goldhammer H, Egan JE, Mayer KH. Resilience as a research framework and as a cornerstone of prevention research for gay and bisexual men: Theory and evidence. AIDS Behav [Internet]. 2014 Jan [cited 2015 Mar 23];18(1):1–9. Available from: https://link.springer.com/10.1007/s10461-012-0384-x

27.

Matthews DD, Herrick A, Coulter RW, Friedman MR, Mills TC, Eaton LA, et al. Running backwards: consequences of current HIV incidence rates for the next generation of black MSM in the United States. AIDS Behav. 2016;20(1):7–16.CrossRef

28.

Dacus J, Voisin DR, Barker J. “Proud I am negative” Maintaining HIV-seronegativity among Black MSM in New York City. Men Masculinities. 2018;1097184X17696174.

29.

Charmaz K. Experiencing chronic illness. Handb Soc Stud Health Med. 2000;277–92.

30.

Mills J, Bonner A, Francis K. The development of constructivist grounded theory. Int J Qual Methods. 2006;5(1):25–35.CrossRef

31.

Hall WA, Callery P. Enhancing the rigor of grounded theory: Incorporating reflexivity and relationality. Qual Health Res. 2001;11(2):257–72.CrossRef

32.

NVIVO [Internet]. QSR International; 2014. Available from: https://www.qsrinternational.com/product/nvivo-mac

33.

NVIVO [Internet]. QSR International; 2015. Available from: https://www.qsrinternational.com/product/nvivo-mac

34.

Creswell JW. Research design: Qualitative, quantitative, and mixed methods approaches. Los Angeles, CA: Sage publications; 2013.

35.

Centers for Disease Control and Prevention. Anal sex and HIV risk. 2018 Jan 21; Available from: https://www.cdc.gov/hiv/risk/analsex.html

36.

Hickson DA, Truong NL, Smith-Bankhead N, Sturdevant N, Duncan DT, Schnorr J, et al. Rationale, design and methods of the ecological study of sexual behaviors and HIV/STI among African American men who have sex with men in the Southeastern United States (The MARI Study). PLoS ONE. 2015;10(12):e0143823.CrossRef

37.

McNair OS, Gipson JA, Denson D, Thompson DV, Sutton MY, Hickson DA. The associations of resilience and HIV risk behaviors among Black gay, bisexual, other men who have sex with men (MSM) in the Deep South: The MARI Study. AIDS Behav. 2018;22(5):1679–87.CrossRef

38.

Persson A, Eliard J. Bridging the sero-divide: The de-stigmatising potential of serodiscordant stories. In Melbourne, Australia; 2012. Available from: https://pag.aids2014.org/Abstracts.aspx?AID=3408

39.

Grace D, Chown SA, Jollimore J, Parry R, Kwag M, Steinberg M, et al. HIV-negative gay men’s accounts of using context-dependent sero-adaptive strategies. Cult Health Sex. 2014;16(3):316–30.CrossRef

40.

Khosropour CM, Dombrowski JC, Hughes JP, Manhart LE, Simoni JM, Golden MR. Operationalizing the measurement of seroadaptive behaviors: a comparison of reported sexual behaviors and purposely-adopted behaviors among men who have sex with men (MSM) in Seattle. AIDS Behav. 2017;21(10):2935–44.CrossRef

41.

Ober A, Dangerfield D, Shoptaw S, Ryan G, Stucky B, Friedman S. Using a “positive deviance” framework to discover adaptive risk reduction behaviors among high-risk HIV-negative Black men who have sex with men. AIDS Behav. 2017;22(5):1–14.

42.

Bowleg L, del Río-González AM, Holt SL, Pérez C, Massie JS, Mandell JE, et al. Intersectional epistemologies of ignorance: how behavioral and social science research shapes what we know, think we know, and don’t know about US Black men’s sexualities. J Sex Res. 2017;54(4–5):577–603.CrossRef

43.

Calabrese SK, Earnshaw VA, Magnus M, Hansen NB, Krakower DS, Underhill K, et al. Sexual stereotypes ascribed to Black men who have sex with men: An intersectional analysis. Arch Sex Behav. 2018;47(1):143–56.CrossRef

44.

Lichtenstein B, Kay ES, Klinger I, Mutchler MG. Ricky and Lucy: gender stereotyping among young Black men who have sex with men in the US Deep South and the implications for HIV risk in a severely affected population. Cult Health Sex. 2018;20(3):351–65.CrossRef

Titel: Perceived HIV Risk Among Black MSM Who Maintain HIV-Negativity in New York City
verfasst von: Jagadisa-devasri Dacus
Theo G. M. Sandfort
Publikationsdatum: 02.04.2020
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 11/2020
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-020-02852-y

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

Umsetzung der POMGAT-Leitlinie läuft

03.05.2024 DCK 2024 Kongressbericht

Seit November 2023 gibt es evidenzbasierte Empfehlungen zum perioperativen Management bei gastrointestinalen Tumoren (POMGAT) auf S3-Niveau. Vieles wird schon entsprechend der Empfehlungen durchgeführt. Wo es im Alltag noch hapert, zeigt eine Umfrage in einem Klinikverbund.

Proximale Humerusfraktur: Auch 100-Jährige operieren?

01.05.2024 DCK 2024 Kongressbericht

Mit dem demographischen Wandel versorgt auch die Chirurgie immer mehr betagte Menschen. Von Entwicklungen wie Fast-Track können auch ältere Menschen profitieren und bei proximaler Humerusfraktur können selbst manche 100-Jährige noch sicher operiert werden.

Die „Zehn Gebote“ des Endokarditis-Managements

30.04.2024 Endokarditis Leitlinie kompakt

Worauf kommt es beim Management von Personen mit infektiöser Endokarditis an? Eine Kardiologin und ein Kardiologe fassen die zehn wichtigsten Punkte der neuen ESC-Leitlinie zusammen.

Strenge Blutdruckeinstellung lohnt auch im Alter noch

30.04.2024 Arterielle Hypertonie Nachrichten

Ältere Frauen, die von chronischen Erkrankungen weitgehend verschont sind, haben offenbar die besten Chancen, ihren 90. Geburtstag zu erleben, wenn ihr systolischer Blutdruck < 130 mmHg liegt. Das scheint selbst für 80-Jährige noch zu gelten.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 11/2020

Psychometric Data Linking Across HIV and Substance Use Cohorts

A Structural-Environmental Model of Alcohol and Substance-Related Sexual HIV Risk in Latino Migrant Day Laborers

Modified Antiretroviral Treatment Access Study (MARTAS): A Randomized Controlled Trial of the Efficacy of a Linkage‐to‐Care Intervention Among HIV-Positive Patients in Ukraine

Personalized Cognitive Counseling Reduces Drinking Expectancy Among Men Who Have Sex with Men and Transgender Women in Lima, Peru: A Pilot Randomized Controlled Trial

“Everything is a Mess”: How COVID-19 is Impacting Engagement with HIV Testing Services in Rural Southwestern Uganda

Double Jeopardy: Methamphetamine Use and HIV as Risk Factors for COVID-19