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Differences in HIV risk behaviors among black and white men who have sex with men

Crosby, R and Holtgrave, DR and Stall, R and Peterson, JL and Shouse, L (2007) Differences in HIV risk behaviors among black and white men who have sex with men. Sexually Transmitted Diseases, 34 (10). 744 - 748. ISSN 0148-5717

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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. © Copyright 2007 American Sexually Transmitted Diseases Association.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Crosby, R
Holtgrave, DR
Stall, Rrstall@pitt.eduRSTALL
Peterson, JL
Shouse, L
Centers: Other Centers, Institutes, Offices, or Units > Center for LGBT Health Research
Date: 1 October 2007
Date Type: Publication
Journal or Publication Title: Sexually Transmitted Diseases
Volume: 34
Number: 10
Page Range: 744 - 748
DOI or Unique Handle: 10.1097/olq.0b013e31804f81de
Schools and Programs: Graduate School of Public Health > Behavioral and Community Health Sciences
Refereed: Yes
ISSN: 0148-5717
MeSH Headings: Adolescent; Adult; African Americans; Aged; Condoms; Cross-Sectional Studies; European Continental Ancestry Group; HIV Infections--epidemiology; HIV Infections--ethnology; HIV Infections--transmission; HIV Infections--virology; Homosexuality, Male--ethnology; Humans; Male; Middle Aged; Risk-Taking; United States--epidemiology; Unsafe Sex--ethnology
PubMed ID: 17565334
Date Deposited: 15 Jul 2013 20:07
Last Modified: 02 Feb 2019 15:55


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