Using a "Positive Deviance" Framework to Discover Adaptive Risk Reduction Behaviors Among High-Risk HIV Negative Black Men Who Have Sex with Men.

AIDS and Behavior
A J OberS R Friedman

Abstract

Despite the high incidence of HIV among young Black MSM in the United States and engagement in high risk behaviors, many men in this group avoid infection. This suggests that some men may engage in systematic risk reduction behaviors when not always using condoms or abstaining from substances. Using a "positive deviance" framework, we conducted qualitative interviews with HIV-negative, Black MSM between 25 and 35 who reported unprotected anal sex and drug use in the past six months or current heavy drinking (N = 29) to discover behaviors that could facilitate remaining HIV-uninfected. Findings showed that MSM who remain HIV negative despite continuing to engage in high-risk behaviors may be engaging in adaptive risk reduction behaviors that, through successive decisions and advance planning along the timeline to a sexual event, could lead to increased condom use, avoidance or delay of a risky sexual event, or reduction of HIV positive partners.

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Citations

Jul 16, 2020·International Journal of Environmental Research and Public Health·Hodaka KosugiMasamine Jimba
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·Derek T DangerfieldDarrell P Wheeler
Dec 24, 2021·The Journal of the Association of Nurses in AIDS Care : JANAC·Derek T DangerfieldRicky N Bluthenthal

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