Minority Health Archive

Black Men who Have Sex with Men and the HIV Epidemic: Next Steps for Public Health (Editorial)

Malebranche, David J (2003) Black Men who Have Sex with Men and the HIV Epidemic: Next Steps for Public Health (Editorial). American Journal of Public Health, 93 (6). pp. 862-865. ISSN 0090-0036

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Abstract

Black men who have sex with men (BMSM) are disproportionately affected by HIV/AIDS in the United States. The Young Men's Survey estimates an HIV incidence rate of 14.7% among BMSM in 6 US cities, compared with 2.5% and 3.5% among White and Hispanic men who have sex with men (MSM), respectively.[1] Yet the disparity is not explained by higher rates of unprotected anal and oral sex. There are 4 possible explanations, which are not mutually exclusive: (1) bias in assessment of risk behaviors, (2) increased prevalence of HIV among sexual contacts, (3) increased infectiousness among sexual partners, and (4) increased physiological susceptibility to HIV. By exploring these possibilities more deeply, we can increase our understanding of the apparent disparity between behavioral risks and outcomes while at the same time improving the design and implementation of prevention programs that address the specific needs of BMSM.


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: black, African American, men, males, BMSM, HIV, HIV epidemic
Subjects: Health > Disparities
Health > Public Health
Health > Public Health > Chronic Illness & Diseases > HIV/Aids
Health > Public Health > Health Risk Factors
Health > Public Health > Health Risk Factors > Sexual Habits
Research
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Depositing User: Kismet Loftin-Bell
Date Deposited: 15 May 2006
Last Modified: 28 Jun 2011 12:59
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/435

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