Homophobia is associated with sexual behavior that increases risk of acquiring and transmitting HIV infection among black men who have sex with men

AIDS and Behavior
William L JeffriesGregorio A Millett

Abstract

We investigated whether the experience of homophobic events increases the odds of engaging in unprotected anal intercourse (UAI) among black men who have sex with men (MSM) and whether social integration level buffered the association. Participants (N = 1,154) reported homophobic events experienced in the past 12 months. Social integration measures included social support, closeness with family members and friends, attachment to the black gay community, openness about sexuality within religious communities, and MSM social network size. Logistic regression analyses indicated that experiencing homophobia was associated with (1) UAI among men not previously diagnosed with HIV and (2) sexual HIV transmission risk behavior among men who knew they were HIV-infected. None of the social integration measures buffered these associations. Homophobia may promote acquisition and transmission of HIV infection among black MSM. Interventions are needed to reduce homophobia experienced by black MSM.

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Citations

Jun 28, 2014·American Journal of Preventive Medicine·William L Jeffries
May 27, 2016·JMIR Public Health and Surveillance·Tamar GoldenbergRob Stephenson
Feb 14, 2015·Archives of Sexual Behavior·Renata Arrington-SandersJ Dennis Fortenberry
Jan 24, 2015·Archives of Sexual Behavior·Courtney Stachowski, Rob Stephenson
Apr 15, 2015·AIDS and Behavior·Theodorus G M SandfortVasu Reddy
May 27, 2015·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Katherine QuinnMichelle Broaddus
May 12, 2015·Current Epidemiology Reports·Amanda D CastelAlan E Greenberg
Jul 6, 2014·Culture, Health & Sexuality·William L JeffriesJeanne Bertolli
Jun 1, 2016·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Terrinieka W PowellCarl A Latkin
Oct 25, 2016·AIDS and Behavior·Kirsha S GordonKendall J Bryant
Mar 13, 2016·International Journal of STD & AIDS·Sylvia ShanganiDon Operario
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May 22, 2018·American Journal of Men's Health·Erin M KahleRob Stephenson
Nov 23, 2017·American Journal of Men's Health·Ashley MurrayJose Nanin

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