Sexual Positioning Practices and Sexual Risk Among Black Gay and Bisexual Men: A Life Course Perspective

AIDS and Behavior
Derek T DangerfieldRicky Bluthenthal

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.

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Citations

Jan 30, 2018·Journal of Sex Research·Derek T DangerfieldRicky N Bluthenthal
Sep 27, 2018·Annual Review of Psychology·Andrew C CortopassiSeth C Kalichman
Jun 5, 2019·Journal of Religion and Health·Derek T DangerfieldRicky N Bluthenthal
Oct 9, 2019·Culture, Health & Sexuality·Jordan J WhiteSuzanne M Grieb
Mar 22, 2020·BMC Public Health·Hülya Özkan ÖzdemirDurmuş Özdemir
Feb 6, 2020·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Chukwuemeka N OkaforSteve Shoptaw
Apr 17, 2020·International Journal of STD & AIDS·Derek T DangerfieldDustin T Duncan
Jun 3, 2021·International Journal of Environmental Research and Public Health·S Raquel RamosTrace Kershaw
Jul 27, 2021·Journal of Sex Research·David A MoskowitzKathryn Macapagal
Aug 18, 2021·Public Health Nursing·Derek T DangerfieldRicky N Bluthenthal
Aug 19, 2020·The Journal of the Association of Nurses in AIDS Care : JANAC·Derek T DangerfieldGregory M Lucas
Oct 1, 2021·Archives of Sexual Behavior·Christian GrovAdam W Carrico
Dec 24, 2021·The Journal of the Association of Nurses in AIDS Care : JANAC·Derek T DangerfieldRicky N Bluthenthal

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