A community-based rapid assessment of HIV behavioural risk disparities within a large sample of gay men in southeastern USA: A comparison of African American, Latino and white men

Authors: Rhodes, S. D.1; Yee, L. J.2; Hergenrather, K. C.3

Source: AIDS Care, Volume 18, Number 8, November 2006 , pp. 1018-1024(7)

Publisher: Routledge, part of the Taylor & Francis Group

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Abstract:

Because the southeastern USA is experiencing a disproportionate HIV infection rate compared to other regions of the country, we explored HIV behavioural risk disparities by race/ethnicity among self-identifying gay men. Conceived and implemented as a community-based participatory research (CBPR) study, this rapid assessment collected demographic and HIV risk-behaviour data from men in five gay bars in the northwestern part of the state of North Carolina, using an assessment available in English and Spanish. Of 719 participants, 34.8% reported inconsistent condom use during anal intercourse in the past three months, 11.4% reported ever having had a sexually transmitted disease (STD), 3.6% reported being HIV-seropositive and 26% reported illicit drug use during the past 30 days. Compared to white participants, African American/black and Hispanic/Latino participants were more likely to report inconsistent condom use during anal intercourse with multiple partners during the past three months. African American/black participants were more likely to report illicit drug use during the past 30 days. Hispanic/Latino participants were more likely to have never been tested for HIV. Rates of HIV risk behaviours among gay men remain high and racial/ethnic differences indicate the need for targeted and tailored prevention strategies.

Document Type: Research article

DOI: 10.1080/09540120600568731

Affiliations: 1: Department of Social Sciences and Health Policy, Division of Public Health Sciences and the Maya Angelou Research Center on Minority Health, Wake Forest University School of Medicine 2: Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh 3: Department of Counseling/Human and Organizational Studies, Graduate School of Education and Human Development, The George Washington University, USA

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