Exploring the preferences of a culturally congruent, peer-based HIV prevention intervention for black men who have sex with men
Derek T. Dangerfield
+ Author Affiliations
- Author Affiliations
A The REACH Initiative, Johns Hopkins School of Nursing, 525 N. Wolfe St, Baltimore, MD 21205, USA.
B David Geffen School of Medicine, University of California Los Angeles, 10833 Le Conte Ave, Los Angeles, CA 90095, USA.
C Charles R. Drew University School of Medicine & Science, 1731 E. 120th St, Los Angeles, CA 90059, USA.
D Los Angeles Centers for Alcohol and Drug Abuse, 470 E. 3rd St, Los Angeles, CA 90013, USA.
E Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 N. Soto St, Los Angeles, CA 90005, USA.
F Corresponding author. Email: ddanger2@jhu.edu
Sexual Health 15(5) 424-430 https://doi.org/10.1071/SH18057
Submitted: 29 March 2018 Accepted: 31 May 2018 Published: 6 September 2018
Abstract
Background: HIV testing, treatment initiation and treatment adherence have been emphasised for Black men who have sex with men (BMSM). However, many BMSM do not get tested, obtain HIV treatment or adhere to treatment. It is essential to highlight barriers to HIV testing, treatment adherence and the ideal components for an intervention: peer mentors, socioeconomic resources and participant incentives. Methods: Five focus groups (n = 24) were conducted among HIV-negative and HIV-positive BMSM aged ≥18 years in Los Angeles, California, USA to explore motivations and barriers to testing and treatment and the components of an ideal, culturally competent HIV testing intervention for BMSM. Results: Barriers to HIV testing included fear and stigma associated with discovering a HIV-positive status and drug use. Motivations for testing included experiencing symptoms, beginning new relationships, perceptions of risk and peer mentors. Conclusions: Future HIV prevention and treatment efforts should consider these components to improve health outcomes among BMSM.
Additional keywords: Black men who have sex with men, culture, intervention, preferences.
References
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