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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. Methodological problems that may lead to underreporting of risk behaviors may also explain why behavioral messages fail to translate into safer sex among BMSM: Measures, surveys, and instruments may be culturally inappropriate for BMSM; interviewers may not be race- and gender-concordant with or may not be properly trained to interview BMSM; instruments may use language or terminology that does not resonate with BMSM; research settings may not be comfortable environments for open discussion with and responses by BMSM. Meanwhile, BMSM research participants may 1 be unwilling to use certain sexual orientation labels on surveys for fear of discrimination, 2 distrust or fear researchers, 3 fear that confidential information about their sexual behavior will be disclosed, or 4 report what they think researchers want to hear.
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Black Men who Have Sex with Men and the HIV Epidemic: Next Steps for Public Health

To identify STI testing preferences in this population to improve testing delivery and utilization. A trained qualitative researcher coded transcripts after each FG and added questions to explore emerging themes. Median age was Participants did not prefer testing by non-physician staff or home self-testing. A variety of options, including varied locations, personnel, and methods self-collected and provider collected are needed to make patient-preferred STI testing a reality among YB MSM in the Deep South.
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Black Men who Have Sex with Men and the HIV Epidemic: Next Steps for Public Health

Find out more. Getting here. Except where otherwise noted, content on this site is licensed under a Creative Commons Attribution 4. Wellcome Collection.
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