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Differences in HIV risk behaviors among black and white men who have sex with men.
Sex Transm Dis. 2007 Oct; 34(10):744-8.ST

Abstract

OBJECTIVES

Surveillance findings consistently indicate that black men who have sex with men (MSM) experience a disproportionate burden of HIV/AIDS compared with white MSM. This study tested the hypothesis that black MSM engage in greater levels of HIV risk behaviors than white MSM and sought to determine if self-reported HIV serostatus moderated any of the observed differences.

METHODS

A cross-sectional study of MSM was conducted by recruiting men from gay-identified venues in a large metropolitan area of the southern United States. Data were collected by face-to-face interview.

RESULTS

The hypothesis was only supported for one measure of HIV risk behavior: The average number of main (steady) sex partners in the past year was significantly greater among black men (P < 0.0001). However, black and white MSM did not significantly differ in unprotected sex with serodiscordant partners. Racial differences in sexual risk behavior were found only for HIV-negative men and indicated greater protective behavior for black men.

DISCUSSION

These findings suggest that fewer black MSM, compared with white MSM, engage in HIV sexual risk behaviors but only among HIV-negative men. Identifying the epidemiologic dynamics driving HIV infection among black MSM that go beyond individual-level risk behaviors may be warranted.

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    Authors+Show Affiliations

    Crosby R
    College of Public Health, University of Kentucky, Kentucky 40506-0003, USA. Crosby@uky.edu
    Holtgrave DR
    No affiliation info available
    Stall R
    No affiliation info available
    Peterson JL
    No affiliation info available
    Shouse L
    No affiliation info available

    MeSH

    AdolescentAdultAfrican AmericansAgedCondomsCross-Sectional StudiesEuropean Continental Ancestry GroupHIV InfectionsHomosexuality, MaleHumansMaleMiddle AgedRisk-TakingUnited StatesUnsafe Sex

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    17565334

    Citation

    Crosby, Richard, et al. "Differences in HIV Risk Behaviors Among Black and White Men Who Have Sex With Men." Sexually Transmitted Diseases, vol. 34, no. 10, 2007, pp. 744-8.
    Crosby R, Holtgrave DR, Stall R, et al. Differences in HIV risk behaviors among black and white men who have sex with men. Sex Transm Dis. 2007;34(10):744-8.
    Crosby, R., Holtgrave, D. R., Stall, R., Peterson, J. L., & Shouse, L. (2007). Differences in HIV risk behaviors among black and white men who have sex with men. Sexually Transmitted Diseases, 34(10), 744-8.
    Crosby R, et al. Differences in HIV Risk Behaviors Among Black and White Men Who Have Sex With Men. Sex Transm Dis. 2007;34(10):744-8. PubMed PMID: 17565334.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Differences in HIV risk behaviors among black and white men who have sex with men. AU - Crosby,Richard, AU - Holtgrave,David R, AU - Stall,Ron, AU - Peterson,John L, AU - Shouse,Luke, PY - 2007/6/15/pubmed PY - 2008/1/18/medline PY - 2007/6/15/entrez SP - 744 EP - 8 JF - Sexually transmitted diseases JO - Sex Transm Dis VL - 34 IS - 10 N2 - OBJECTIVES: Surveillance findings consistently indicate that black men who have sex with men (MSM) experience a disproportionate burden of HIV/AIDS compared with white MSM. This study tested the hypothesis that black MSM engage in greater levels of HIV risk behaviors than white MSM and sought to determine if self-reported HIV serostatus moderated any of the observed differences. METHODS: A cross-sectional study of MSM was conducted by recruiting men from gay-identified venues in a large metropolitan area of the southern United States. Data were collected by face-to-face interview. RESULTS: The hypothesis was only supported for one measure of HIV risk behavior: The average number of main (steady) sex partners in the past year was significantly greater among black men (P < 0.0001). However, black and white MSM did not significantly differ in unprotected sex with serodiscordant partners. Racial differences in sexual risk behavior were found only for HIV-negative men and indicated greater protective behavior for black men. DISCUSSION: These findings suggest that fewer black MSM, compared with white MSM, engage in HIV sexual risk behaviors but only among HIV-negative men. Identifying the epidemiologic dynamics driving HIV infection among black MSM that go beyond individual-level risk behaviors may be warranted. SN - 0148-5717 UR - https://www.unboundmedicine.com/medline/citation/17565334/Differences_in_HIV_risk_behaviors_among_black_and_white_men_who_have_sex_with_men_ L2 - http://dx.doi.org/10.1097/OLQ.0b013e31804f81de DB - PRIME DP - Unbound Medicine ER -