| Literature DB >> 29079948 |
Derek T Dangerfield1, Laramie R Smith2, Janeane N Anderson3, Omar J Bruce4, Jason Farley5,6, Ricky Bluthenthal7.
Abstract
Increased attention has highlighted the role of age and sexual development on HIV risk among Black MSM (BMSM); limited focus has been given to the relationship of sexual positioning to HIV risk along the life course. This study examined BMSM's life course sexual positioning practices and accompanying HIV/STI risks. Twenty-six Black gay and bisexual men ages 24-61 completed life history interviews in Los Angeles, California, between September and November 2015. Thematic analysis evaluated domains including major life events, substance use, social support, and partner selection. Varying exposure to HIV treatment and prevention options and venues to meet male partners revealed generational differences in sexual risks. Childhood sexual abuse and internalized homonegativity impacted personal development, sexual positioning, and condom negotiation. BMSM also assumed sexual positioning using masculinity stereotypes and body language. Clarifying the sexual development and HIV/STI risk contexts among BMSM could better inform current treatment and prevention needs.Entities:
Keywords: Black MSM; Culture; HIV risk; STI risk; Sexual positioning
Mesh:
Year: 2018 PMID: 29079948 PMCID: PMC5924576 DOI: 10.1007/s10461-017-1948-6
Source DB: PubMed Journal: AIDS Behav ISSN: 1090-7165