scholarly journals Real Talk: Developing a Computer-Delivered Sexual Health Program for Black Men Who Have Sex With Men

2016 ◽  
Vol 28 (6) ◽  
pp. 455-471 ◽  
Author(s):  
Charles Klein ◽  
Carmela Lomonaco
2020 ◽  
Author(s):  
Jacob D Gordon ◽  
Andre L Brown ◽  
Darren L Whitfield

BACKGROUND Black men who have sex with men (BMSM) continue to experience disproportionate rates of HIV/STI infection despite advances in effective prevention tools. Over the last decade the method of finding sexual partners has evolved, with BMSM increasingly using geospatial dating applications to find sexual partners. Sexual health communication between partners has been associated with safer sex practices by previous scholars, but it is unclear how sexual health communication of BMSM differs for sex partners found on or offline. OBJECTIVE The current study explored sexual health communication in relationship to how one found their last sexual partner and factors associated with poorer sexual health communication. METHODS This study used secondary data in the form of a self-administered national survey. BMSM were recruited online and in-person and answered questions about their sexual health behaviors regarding their last sexual partner. RESULTS In total, 403 individuals were included in the analysis. The majority of respondents 55.8% (225/403) were more likely to have found their last sexual partner through geospatial dating applications and online websites than offline venues 44.3% (178/225). There was not a significant difference in scores of sexual health communication between those who found their last sexual partner on or offline (P=.49). Additionally, sexual health communication was also not significantly associated (P = .25) based on the venue of their last sexual partner after controlling for covariates. Significant predictors of lower sexual health communication of BMSM were found: positive HIV status (P = .003), a casual partner type (P < .001), and endorsement of traditional masculinity ideologies (P = .01). CONCLUSIONS Findings from this study confirm high rates of sexual partner seeking via online venues among BMSM. The significant predictors of lower sexual health communication, endorsement of traditional masculinity ideologies and positive HIV status, suggest that stigma is a barrier to effective sexual health communication of BMSM.


2019 ◽  
Vol 20 (7) ◽  
pp. 1074-1088
Author(s):  
Jenita Parekh ◽  
Elizabeth Stuart ◽  
Robert Blum ◽  
Valerie Caldas ◽  
Brooke Whitfield ◽  
...  

2019 ◽  
Vol 57 (2) ◽  
pp. 145-154 ◽  
Author(s):  
Laura Widman ◽  
Kristyn Kamke ◽  
Reina Evans ◽  
J. L. Stewart ◽  
Sophia Choukas-Bradley ◽  
...  

2016 ◽  
Vol 31 (3) ◽  
pp. 295-313 ◽  
Author(s):  
A. J. Martos ◽  
P. Valera ◽  
W. O. Bockting ◽  
P. A. Wilson

2004 ◽  
Vol 22 (14_suppl) ◽  
pp. 8170-8170
Author(s):  
A. Amsterdam ◽  
M. Castiel ◽  
J. Carter ◽  
M. Krychman

2004 ◽  
Vol 22 (14_suppl) ◽  
pp. 8170-8170
Author(s):  
A. Amsterdam ◽  
M. Castiel ◽  
J. Carter ◽  
M. Krychman

Sexual Health ◽  
2019 ◽  
Vol 16 (6) ◽  
pp. 566
Author(s):  
Salenna R. Elliott ◽  
Sarah Betts ◽  
Katie Hobbs ◽  
Handan Wand ◽  
Alice R. Rumbold ◽  
...  

Background Australian Aboriginal communities experience a high burden of sexually transmissible infections (STIs). Since 2009, a comprehensive sexual health program has been implemented at nine Aboriginal Community Controlled Health Services in South Australia. This study assessed trends in STI testing and positivity using deidentified diagnostic data from this period (2008–16). Methods: Testing data for Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG) and Trichomonas vaginalis (TV) from one urban, three regional and five remote Aboriginal health services were analysed using logistic regression. Results: From 2008 to 2016, testing increased for CT (twofold), NG (threefold) and TV (sixfold). On average, 30% of testing occurred during an annual 6-week screen. Fewer males were tested (range 27–38% annually). Mean annual STI testing coverage was 28% for 16- to 30-year-old clients attending regional or remote services (2013–16). Positivity at first testing episode for all three infections declined during the study period. From 2013 to 2016, when testing was stable and changes in positivity were more likely to indicate changes in prevalence, there were significant reductions in CT positivity (adjusted odds ratio (aOR) 0.4; 95% confidence interval (CI) 0.2–0.5) and TV positivity (aOR 0.6, 95% CI 0.4–0.9), although declines were statistically significant for females only. There was no significant decrease in NG positivity (aOR 0.9; 95% CI 0.5–1.5). Conclusions: Since the sexual health program began, STI testing increased and STI positivity declined, but significant reductions observed in CT and TV positivity were confined to females. These findings suggest evidence of benefit from sustained, comprehensive sexual health programs in Aboriginal communities with a high STI prevalence, but highlight the need to increase STI testing among men in these communities.


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