• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of jnmaLink to Publisher's site
J Natl Med Assoc. Feb 1999; 91(2): 92–100.
PMCID: PMC2608406

HIV risk differences between African-American and white men who have sex with men.

Abstract

African-American men who have sex with men remain at disproportionately greater risk for contracting human immunodeficiency virus (HIV) infection. While high HIV seroincidence has been documented among homosexual African-American men, behavioral research has rarely studied the HIV risk issues confronting these men. This study assessed a sample of 253 men who have sex with men to determine if African-American (n = 79) and white (n = 174) men report different rates of HIV risk behaviors and differ in characteristics indicative of risk. African-American men who have sex with men were more likely to be HIV-seropositive, to report past treatment for gonorrhea and syphilis, and to have a recent unprotected sex partner known or believed to be HIV-seropositive. Multivariate analyses of covariance, controlling for group differences in age, education, and income, revealed that African-American men who have sex with men were less open about their sexual orientation, scored lower in HIV risk behavior knowledge, had more female sexual partners, and more frequently used cocaine in association with sex relative to white men who have sex with men. Human immunodeficiency virus prevention programs tailored to the needs and risk issues of African-American men who have sex with men are needed.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1.4M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Sullivan PS, Chu SY, Fleming PL, Ward JW. Changes in AIDS incidence for men who have sex with men, United States 1990-1995. AIDS. 1997 Nov;11(13):1641–1646. [PubMed]
  • Lemp GF, Hirozawa AM, Givertz D, Nieri GN, Anderson L, Lindegren ML, Janssen RS, Katz M. Seroprevalence of HIV and risk behaviors among young homosexual and bisexual men. The San Francisco/Berkeley Young Men's Survey. JAMA. 1994 Aug 10;272(6):449–454. [PubMed]
  • Peterson JL, Coates TJ, Catania JA, Middleton L, Hilliard B, Hearst N. High-risk sexual behavior and condom use among gay and bisexual African-American men. Am J Public Health. 1992 Nov;82(11):1490–1494. [PMC free article] [PubMed]
  • Ekstrand ML, Coates TJ. Maintenance of safer sexual behaviors and predictors of risky sex: the San Francisco Men's Health Study. Am J Public Health. 1990 Aug;80(8):973–977. [PMC free article] [PubMed]
  • Mays VM, Cochran SD. Acquired immunodeficiency syndrome and black Americans: special psychosocial issues. Public Health Rep. 1987 Mar-Apr;102(2):224–231. [PMC free article] [PubMed]
  • Stein MD, Freedberg KA, Sullivan LM, Savetsky J, Levenson SM, Hingson R, Samet JH. Sexual ethics. Disclosure of HIV-positive status to partners. Arch Intern Med. 1998 Feb 9;158(3):253–257. [PubMed]
  • Doll LS, Beeker C. Male bisexual behavior and HIV risk in the United States: synthesis of research with implications for behavioral interventions. AIDS Educ Prev. 1996 Jun;8(3):205–225. [PubMed]
  • Johnson EH, Jackson LA, Hinkle Y, Gilbert D, Hoopwood T, Lollis CM, Willis C, Gant L. What is the significance of black-white differences in risky sexual behavior? J Natl Med Assoc. 1994 Oct;86(10):745–759. [PMC free article] [PubMed]
  • Peterson JL, Marín G. Issues in the prevention of AIDS among black and Hispanic men. Am Psychol. 1988 Nov;43(11):871–877. [PubMed]
  • Des Jarlais DC, Abdul-Quader A, Minkoff H, Hoegsberg B, Landesman S, Tross S. Crack use and multiple AIDS risk behaviors. J Acquir Immune Defic Syndr. 1991;4(4):446–447. [PubMed]
  • el-Bassel N, Schilling RF. Drug use and sexual behavior of indigent African American men. Public Health Rep. 1991 Sep-Oct;106(5):586–590. [PMC free article] [PubMed]
  • Catania JA, Kegeles SM, Coates TJ. Towards an understanding of risk behavior: an AIDS risk reduction model (ARRM). Health Educ Q. 1990 Spring;17(1):53–72. [PubMed]
  • Fisher JD, Fisher WA. Changing AIDS-risk behavior. Psychol Bull. 1992 May;111(3):455–474. [PubMed]
  • Kauth MR, St Lawrence JS, Kelly JA. Reliability of retrospective assessments of sexual HIV risk behavior: a comparison of biweekly, three-month, and twelve-month self-reports. AIDS Educ Prev. 1991 Fall;3(3):207–214. [PubMed]
  • Leigh BC, Stall R. Substance use and risky sexual behavior for exposure to HIV. Issues in methodology, interpretation, and prevention. Am Psychol. 1993 Oct;48(10):1035–1045. [PMC free article] [PubMed]
  • Kelly JA, Sikkema KJ, Winett RA, Solomon LJ, Roffman RA, Heckman TG, Stevenson LY, Perry MJ, Norman AD, Desiderato LJ. Factors predicting continued high-risk behavior among gay men in small cities: psychological, behavioral, and demographic characteristics related to unsafe sex. J Consult Clin Psychol. 1995 Feb;63(1):101–107. [PubMed]
  • Kalichman SC, Kelly JA, Rompa D. Continued high-risk sex among HIV seropositive gay and bisexual men seeking HIV prevention services. Health Psychol. 1997 Jul;16(4):369–373. [PubMed]
  • Heckman TG, Kelly JA, Sikkema KJ, Roffman RR, Solomon LJ, Winett RA, Stevenson LY, Perry MJ, Norman AD, Desiderato LJ. Differences in HIV risk characteristics between bisexual and exclusively gay men. AIDS Educ Prev. 1995 Dec;7(6):504–512. [PubMed]

Articles from Journal of the National Medical Association are provided here courtesy of National Medical Association

Formats:

Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...

Links

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...