Understanding Differences in HIV Sexual Transmission among Latino and Black Men who have Sex with Men: The Brothers y Hermanos Study

Marks, Gary; Millett, Gregorio A.; Bingham, Trista; Bond, Lisa; Lauby, Jennifer; Liau, Adrian; Murrill, Christopher S.; Stueve, Ann

doi:10.1007/s10461-008-9380-6

Cited by 55 publications

(52 citation statements)

References 26 publications

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“…As other authors have found, 9,14,16,17,[36][37][38] patterns of MSM disclosure were differential with respect to race/ethnicity, with black MSM being less likely to disclose MSM behavior to family members, non-gay-identified friends, and health care providers. Differences in disclosure of MSM behavior even after adjustment for age may represent differing cultural norms between groups.…”

Section: Discussionmentioning

confidence: 57%

Elevated HIV Prevalence Despite Lower Rates of Sexual Risk Behaviors Among Black Men in the District of Columbia Who Have Sex with Men

Magnus

Kuo

Phillips

et al. 2010

AIDS Patient Care and STDs

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The District of Columbia (DC) has among the highest HIV/AIDS rates in the United States, with 3.2% of the population and 7.1% of black men living with HIV/AIDS. The purpose of this study was to examine HIV risk behaviors in a community-based sample of men who have sex with men (MSM) in DC. Data were from the National HIV Behavioral Surveillance system. MSM who were 18 years were recruited via venue-based sampling between July 2008 and December 2008. Behavioral surveys and rapid oral HIV screening with OraQuick ADVANCE ½ (OraSure Technologies, Inc., Bethlehem, PA) with Western blot confirmation on positives were collected. Factors associated with HIV positivity and unprotected anal intercourse were identified. Of 500 MSM, 35.6% were black. Of all men, 14.1% were confirmed HIV positive; 41.8% of these were newly identified HIV positive. Black men (26.0%) were more likely to be HIV positive than white (7.9%) or Latino/Asian/other (6.5%) men ( p < 0.001). Black men had fewer male sex partners than non-black, fewer had ever engaged in intentional unprotected anal sex, and more used condoms at last anal sex. Black men were less likely to have health insurance, have been tested for HIV, and disclose MSM status to health care providers. Despite significantly higher HIV/AIDS rates, black MSM in DC reported fewer sexual risks than non-black. These findings suggest that among black MSM, the primary risk of HIV infection results from nontraditional sexual risk factors, and may include barriers to disclosing MSM status and HIV testing. There remains a critical need for more information regarding reasons for elevated HIV among black MSM in order to inform prevention programming.

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Section: Discussionmentioning

confidence: 57%

Elevated HIV Prevalence Despite Lower Rates of Sexual Risk Behaviors Among Black Men in the District of Columbia Who Have Sex with Men

Magnus

Kuo

Phillips

et al. 2010

AIDS Patient Care and STDs

View full text Add to dashboard Cite

show abstract

“…The failure to generate a representative sample has been found in some prior studies of MSM, 21,22,34 in which the sample overrepresented poor and HIV-positive MSM. In one case, the overrepresentation of HIV-positive MSM was attributed to errors in the operationalization of eligibility criteria and a large network from an HIV/AIDS service organization; 34 the overrepresentation of poor individuals was attributed to motivation due to the incentive structure.…”

Section: Discussionmentioning

confidence: 98%

“…In one case, the overrepresentation of HIV-positive MSM was attributed to errors in the operationalization of eligibility criteria and a large network from an HIV/AIDS service organization; 34 the overrepresentation of poor individuals was attributed to motivation due to the incentive structure. 21,22,34 It is possible that, although chains were sometimes quite long in these studies, they were not long enough to offset a high degree of segmentation by race/ethnicity, poverty, and HIV status.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Respondent-Driven Sampling in a Study of Urban Young Men Who Have Sex with Men

et al. 2014

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Evidence suggests that respondent-driven sampling (RDS) is an efficient approach to sampling among varied populations of adult men who have sex with men (MSM) both in the USA and abroad, although no studies have yet evaluated its performance among younger MSM, a population with a steep rise in HIV infection in recent years. Young MSM (YMSM) may differ in terms of their connectedness to other YMSM (e.g., due to evolving sexual identity, internalization of sexual minority stigma, and lack of disclosure to others) and mobility (e.g., due to parental monitoring) which may inhibit the sampling process. The aims of this study were to evaluate the efficiency and effectiveness of RDS-based sampling among young urban MSM and to identify factors associated with recruitment success. We hypothesized that demographic, social, behavioral, and network factors, including racial/ethnic minority status, homelessness (i.e., as an indicator of socioeconomic marginalization), HIV-positive status, substance use problems, gay community connectedness, and network size would be positively related to recruitment productivity, while sexual minority stigmatization, environmental barriers (e.g., parental monitoring), and meeting sex partners on the internet (i.e., virtual venue) would be negatively related to recruitment productivity. Between December 2009 and February 2013, we used RDS to recruit a sample of 450 YMSM, ages 16-20. Findings suggest that the use of RDS for sampling among YMSM is challenging and may not be feasible based on the slow pace of recruitment and low recruitment productivity. A large number of seeds (38 % of the sample, n=172) had to be added to the sample to maintain a reasonable pace of recruitment, which makes use of the sample for RDS-based population estimates questionable. In addition, the prevalence of short recruitment chains and segmentation in patterns of recruitment by race/ethnicity further hamper the network recruitment process. Thus, RDS was not particularly efficient in terms of the rate of recruitment or effective in generating a representative sample. Hypotheses regarding factors associated with recruitment success were supported for network size and internalized stigma (but not other factors), suggesting that participants with larger network sizes or high levels of internalized stigma may have more and less success recruiting others, respectively. KEYWORDS Respondent-driven sampling, Young men who have sex with men, HIV/AIDS Kuhns, Kwon, and Garofalo are with

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“…The availability of point-of-care rapid HIV testing technologies has made HIV testing more accessible, with test results available in as few as 20 minutes. Several studies have shown that persons who are aware of their HIV infection reduce risky sexual behaviors and are more likely to prevent HIV transmission (Marks, Crepaz, Senterfitt, & Janssen, 2005;Marks et al, 2009;Weinhardt, Carey, Johnson, & Bickham, 1999).…”

mentioning

confidence: 99%

Costs And Effectiveness of Finding New HIV Diagnoses by Using Rapid Testing In Transgender Communities

Shrestha

Sansom²,

Schulden³

et al. 2011

AIDS Education and Prevention

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Understanding Differences in HIV Sexual Transmission among Latino and Black Men who have Sex with Men: The Brothers y Hermanos Study

Cited by 55 publications

References 26 publications

Elevated HIV Prevalence Despite Lower Rates of Sexual Risk Behaviors Among Black Men in the District of Columbia Who Have Sex with Men

Elevated HIV Prevalence Despite Lower Rates of Sexual Risk Behaviors Among Black Men in the District of Columbia Who Have Sex with Men

Evaluation of Respondent-Driven Sampling in a Study of Urban Young Men Who Have Sex with Men

Costs And Effectiveness of Finding New HIV Diagnoses by Using Rapid Testing In Transgender Communities

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