Abstract
Twenty years is a long time in the life of a preventable epidemic. In 1990 when HIV was infecting and AIDS was killing white gay and bisexual men and threatening the general public, there was public concern about the disease and federal research and prevention dollars flowed. It was well established that HIV was spread primarily through sexual intercourse without barrier protection such as condoms. “Risky sex” occurred between men and between men and women. By 2000, HIV infection rates and deaths due to AIDS were in decline among White men in AIDS epi-centers, but continued among African Americans. The HIV/AIDS epidemic has not only continued its course among Blacks but also concentrated among black men and in black communities and has become yet another affliction among Blacks. At the very same time, public attention and urgency to the AIDS epidemic has waned and prevention dollars have been largely replaced by funding of clinical trials of new drugs. If you are Black and poor, there are now, in fact, more incentives to get infected with HIV to get social support through a clinical trial then to avoid getting infected in the first place. Public and government indifference to disease among Blacks but a willingness at the same time to use them in research are precisely the same reactions to disproportionate rates of yellow fever, typhus, syphilis, and tuberculosis among Blacks during Jim Crow segregation in the early twentieth century (McBride, 1991).
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References
Bakeman, R., & Peterson, J. L. (2007). Do beliefs about HIV treatments affect peer norms and risky sexual behaviour among African American men who have sex with men? International Journal of STD & AIDS, 18(2), 105–108.
Bartlett, R., Buck, R., & Shattell, M. M. (2008). Risk and protection for HIV/AIDS in African American, Hispanic, and White adolescents. Journal of National Black Nurses’ Association, 19(1), 19–25.
Bowser, B. P., Mishra, S., Reback, C., & Lemp, G. (Eds.). (2004). Preventing AIDS: Community–science collaboration. Binghamton, NY: Haworth.
Bowser, B. P., Quimby, E., & Singer, M. (Eds.). (2007). When communities assess their AIDS epidemics: Results of rapid assessment of HIV/AIDS in eleven U.S. cities. Lanham: Lexington Books.
Browne, D. C., Clubb, P. A., Wang, Y., & Wagner, F. (2009). Drug use and high-risk sexual behaviors among African American men who have sex with men and men who have sex with women. American Journal of Public Health, 99(6), 1062–1066.
Bryan, A. (2006). Effectiveness of an HIV prevention intervention in prison among African Americans, Hispanics, and Caucasians. Health Education & Behavior, 33(2), 154–177.
Caetano, R., & Hines, A. M. (1995). Alcohol, sexual practices, and risk of AIDS among Blacks, Hispanics, and Whites. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 10(5), 554–561.
Cavazos-Rehg, P. A., Spitznagel, E. L., Schootman, M., Strickland, J. R., Afful, S. E., Cottler, L. B., et al. (2009). Risky sexual behaviors and sexually transmitted diseases: A comparison study of cocaine-dependent individuals in treatment versus a community-matched sample. AIDS Patient Care and STDs, 23(9), 727–734.
Daniels, J., Crum, M., Ramaswamy, M., & Freudenberg, N. (2009). Creating REAL MEN: Description of an intervention to reduce drug use, HIV risk, and rearrest among young men returning to urban communities from jail. Health Promotion Practice, 12(1), 44–54.
Darbes, L. A., Kennedy, G. E., Zohrabyan, G. P. L., & Rutherford, G. W. (2002). Systematic review of HIV behavioral prevention research in African Americans. HIV insite knowledge base chapter. Retrieved January 5, 2010, from http://hivinsite.ucsf.edu/InSite?page=kb-07-04-09.
DiIorio, C., Hartwell, T., & Hansen, N. (2002). Childhood sexual abuse and risk behaviors among men at high risk for HIV infection. American Journal of Public Health, 92(2), 214–219.
Do, A. N., Hanson, D. L., Dworkin, M. S., & Jones, J. L. (2001). Risk factors for and trends in gonorrhea incidence among persons infected with HIV in the United States. AIDS, 15(9), 1149–1155.
Edlin, B., Irwin, K., Faruque, S., McCoy, C., Word, C., Serrano, Y., et al. (1994). Intersecting epidemics – crack cocaine use and HIV infection among inner-city young adults. The New England Journal of Medicine, 331, 1422–1427.
Feist-Price, S., Logan, T. K., Leukefeld, C., Moore, C. L., & Ebreo, A. (2003). Targeting HIV prevention on African American crack and injection drug users. Substance Use & Misuse, 38(9), 1259–1284.
Fields, S. D., Malebranche, D., & Feist-Price, S. (2008). Childhood sexual abuse in black men who have sex with men: Results from three qualitative studies. Cultural Diversity & Ethnic Minority Psychology, 14(4), 385–390.
Fisher, J., & Fisher, W. (2000). Theoretical approaches to individual-level change in HIV risk behavior. In J. L. Peterson & R. DiClemente (Eds.), Handbook of HIV prevention (pp. 3–55). New York: Plenum.
Flores, S. A., Bakeman, R., Millett, G. A., & Peterson, J. L. (2009). HIV risk among bisexually and homosexually active racially diverse young men. Sexually Transmitted Diseases, 36(5), 325–329.
Garofalo, R., Deleon, J., Osmer, E., Doll, M., & Harper, G. W. (2006). Overlooked, misunderstood and at-risk: Exploring the lives and HIV risk of ethnic minority male-to-female transgender youth. The Journal of Adolescent Health, 38(3), 230–236.
Griffin, J. P. (2005). Building resiliency and vocational excellence (BRAVE) program: A violence-prevention and role model program for young, African American males. Journal of Health Care for the Poor and Underserved, 16(4), 78–88.
Harawa, N. T., Greenland, S., Bingham, T. A., Johnson, D. F., Cochran, S. D., Cunningham, W. E., et al. (2004). Associations of race/ethnicity with HIV prevalence and HIV-related behaviors among young men who have sex with men in 7 urban centers in the United States. Journal of Acquired Immune Deficiency Syndromes, 35(5), 526–536.
Hart, T., & Peterson, J. L. (2004). Predictors of risky sexual behavior among young African American men who have sex with men. American Journal of Public Health, 94(7), 1122–1123.
Holmes, W. C. (2008). Men’s self-definitions of abusive childhood sexual experiences, and potentially related risky behavioral and psychiatric outcomes. Child Abuse & Neglect, 32(1), 83–97.
Inciardi, J., Surratt, H., Martin, S., O’Connell, D., Salandy, A., & Beard, R. (2007). Developing a multimedia HIV and hepatitis intervention for drug-involved offenders reentering the community. The Prison Journal, 87(1), 111–142.
Jackson, F., Early, K., Schim, S. M., & Penprase, B. (2005). HIV knowledge, perceived seriousness and susceptibility, and risk behaviors of older African Americans. Journal of Multicultural Nursing & Health, 11(1), 56–62.
Johnson, E. H., Hinkle, Y., Gilbert, D., & Gant, L. M. (1992). Black males who always use condoms: Their attitudes, knowledge about AIDS, and sexual behavior. Journal of the National Medical Association, 84(4), 341–352.
Kalichman, S., & Cherry, C. (1999). Male polyurethane condoms do not enhance brief HIV-STD risk reduction interventions for heterosexually active men: Results from a randomized test of concept. International Journal of STD & AIDS, 10(8), 548–553.
Kalichman, S., Cherry, C., & Browne-Sperling, F. (1999). Effectiveness of a video-based motivational skills-building HIV risk-reduction intervention for inner-city African American men. Journal of Consulting and Clinical Psychology, 67(6), 959–966.
Khan, M. R., Wohl, D. A., Weir, S. S., Adimora, A. A., Moseley, C., Norcott, K., et al. (2008). Incarceration and risky sexual partnerships in a southern US city. Journal of Urban Health, 85(1), 100–113.
Klein, H. (2008). HIV risk practices sought by men who have sex with other men, and who use internet websites to identify potential sexual partners. Sexual Health, 5(3), 243–250.
Koblin, B. A., Murrill, C., Camacho, M., Xu, G., Liu, K.-I., Raj-Singh, S., et al. (2007). Amphetamine use and sexual risk among men who have sex with men: Results from the National HIV Behavioral Surveillance Study – New York City. Substance Use & Misuse, 42(10), 1613–1628.
Kogan, S., Brody, G., Gibbons, F., Murry, V., Cutrona, C., Simons, R., et al. (2008). The influence of role status on risky sexual behavior among African Americans during the transition to adulthood. Journal of Black Psychology, 34(3), 399–420.
Lichtenstein, B. (2009). Drugs, incarceration, and HIV/AIDS among African American men: A critical literature review and call to action. American Journal of Men’s Health, 3(3), 252–264.
Malow, R., West, J., Corrigan, S., Pena, J., & Cunningham, S. (1994). Outcome of psychoeducation for HIV risk reduction. AIDS Education and Prevention, 6(2), 113–125.
Martin, J. (2006). Transcendence among gay men: Implications for HIV prevention. Sexualities, 9(2), 214–235.
McBride, D. (1991). From TB to AIDS: Epidemics among urban Blacks since 1900. Albany: State University of New York Press.
Millett, G., Malebranche, D., Mason, B., & Spikes, P. (2005). Focusing “down low”: Bisexual black men, HIV risk and heterosexual transmission. Journal of the National Medical Association, 97(7 Suppl), 52S–59S.
Millett, G. A., Flores, S. A., Peterson, J. L., & Bakeman, R. (2007). Explaining disparities in HIV infection among black and white men who have sex with men: A meta-analysis of HIV risk behaviors. AIDS, 21, 2083–2091.
Millett, G. A., & Peterson, J. L. (2007). The known hidden epidemic: HIV/AIDS among black men who have sex with men in the United States. American Journal of Preventive Medicine, 32(4S), S31–S33.
Millett, G. A., Wolitski, R. J., Stall, R., & Peterson, J. L. (2006). Greater risk for HIV infection of Black men who have sex with men: A critical literature review. American Journal of Public Health, 96(6), 1007–1019.
Mimiaga, M. J., Reisner, S. L., Cranston, K., Isenberg, D., Bright, D., Daffin, G., et al. (2009). Sexual mixing patterns and partner characteristics of Black MSM in Massachusetts at increased risk for HIV infection and transmission. Journal of Urban Health, 86(4), 602–623.
Myers, H. (2003). Psychosocial predictors of risky sexual behaviors in African American men: Implications for prevention. Sage Family Studies Abstracts, 25(4).
Peterson, J. L., Bakeman, R., Blackshear, J. H., & Stokes, J. P. (2003). Perceptions of condom use among African American men who have sex with men. Culture, Health & Sexuality, 5(5), 409–424.
Peterson, J. L., Coates, T. J., Catania, J. A., Hauck, W., Acree, M., Daigle, D., et al. (1996). Evaluation of an HIV risk reduction intervention among African American homosexual and bisexual men. AIDS, 10, 319–325.
Peterson, J. L., Coates, T. J., Catania, J. A., Middleton, L., Hilliard, B., & Hearst, N. (1992). High-risk sexual behavior and condom use among gay and bisexual African American men. American Journal of Public Health, 82(11), 1490–1494.
Peterson, J. L., & Jones, K. (2009). HIV prevention for black men who have sex with men in the United States. American Journal of Public Health, 99(6), 976–980.
Phillips, L. L. (2005). Deconstructing “Down Low” discourse: The politics of sexuality, gender, race, AIDS, and anxiety source. Journal of African American Men, 9(2), 3–15.
Raj, A., Reed, E., Welles, S. L., Santana, M. C., & Silverman, J. G. (2008). Intimate partner violence perpetration, risky sexual behavior, and STI/HIV diagnosis among heterosexual African American men. American Journal of Men’s Health, 2(3), 291–295.
Ross, M., & Kelly, J. (2000). Interventions to reduce HIV transmission in homosexual men. In J. L. Peterson & R. DiClemente (Eds.), Handbook of HIV prevention (pp. 201–216). New York: Plenum.
Thompson-Robinson, M., Weaver, M., Shegog, M., Richter, D., Usdan, S., & Saunders, R. (2007). Perceptions of heterosexual African American males’ high-risk sex behaviors. International Journal of Men’s Health, 6(2), 156–166.
Valdiserri, R. (2000). Technology transfer: Achieving the promise of HIV prevention. In J. L. Peterson & R. DiClemente (Eds.), Handbook of HIV Prevention (pp. 267–285). New York: Plenum.
Walker, E. A., & Bragg, R. (2005). Racial disparities in health outcomes: Research and intervention perspectives. Journal of Health Care for the Poor and Underserved, 16(4, Suppl A), v–xii.
Welles, S. L., Baker, A. C., Miner, M. H., Brennan, D. J., Jacoby, S., & Rosser, B. R. (2009). History of childhood sexual abuse and unsafe anal intercourse in a 6-city study of HIV-positive men who have sex with men. American Journal of Public Health, 99(6), 1079–1086.
Wikipedia. (2009). Demographics of sexual orientation. Retrieved January 7, 2010, from http://en.wikipedia.org/w/index.php?title=Demographics_of_sexual_orientation&oldid=333830570.
Wilson, P. (2008). A dynamic-ecological model of identity formation and conflict among bisexually-behaving African American men. Archives of Sexual Behaviors, 37(5), 794–809.
Wilton, L. (2008). Correlates of substance use in relation to sexual behavior in Black gay and bisexual men: Implications for HIV prevention. Journal of Black Psychology, 34(1), 70–93.
Winfield, E., & Whaley, A. (2005). Relationship status, psychological orientation, and sexual risk taking in a heterosexual African American college sample. Journal of Black Psychology, 31(2), 189–204.
Xia, Q., Osmond, D. H., Tholandi, M., Pollack, L. M., Zhou, W., Ruiz, J. D., et al. (2006). HIV prevalence and sexual risk behaviors among men who have sex with men results from a statewide population-based survey in California. Journal of Acquired Immune Deficiency Syndromes, 41(2), 238–245.
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I would like to acknowledge the substantive assistance of John Peterson and Anthony Lemelle.
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Bowser, B.P. (2011). Prevention of Risky Sexual Behaviors Among African American Men. In: Lemelle, A., Reed, W., Taylor, S. (eds) Handbook of African American Health. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-9616-9_12
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