Drugs, Sex, and Condoms: Identification and Interpretation of Race-Specific Cultural Messages Influencing Black Gay and Bisexual Young Men Living with HIV.

TitleDrugs, Sex, and Condoms: Identification and Interpretation of Race-Specific Cultural Messages Influencing Black Gay and Bisexual Young Men Living with HIV.
Publication TypePublication
Year of Publication2016
AuthorsHarper GW, Tyler ATimmons, Bruce D, Graham L, Wade RM
Corporate AuthorsAdolescent Trials Network for HIV/AIDS Interventions
JournalAm J Community Psychol
Volume58
Issue3-4
Pagination463-476
Date Published2016 12
ISSN1573-2770
KeywordsAdolescent, African Americans, Alcoholism, Bisexuality, Condoms, Cross-Sectional Studies, Culture, HIV Seropositivity, Homosexuality, Male, Humans, Interview, Psychological, Male, Social Environment, Social Facilitation, Street Drugs, Substance-Related Disorders, United States, Unsafe Sex, Young Adult
Abstract

<p>Black gay and bisexual young men carry a disproportionate burden of HIV in the United States. This study explored Black gay and bisexual young men living with HIV's identification and interpretation of race-specific cultural messages regarding substance use, sexual activity, and condom use. A total of 36 Black gay and bisexual young men living with HIV (ages 16-24, mean = 20.6 years) from four geographically diverse regions of the United States participated in qualitative in-depth interviews. Results from this study elucidate the ways in which these young men interpret various forms of race-specific cultural messages and experiences regarding substance use, sexual activity, and condom use. Participants discussed cultural messages and experiences promoting and discouraging condoms and substance use. Regarding sexual activity, only messages and experiences promoting sex were reported. Across all three categories, messages and experiences promoting risk were predominant. Data further revealed that socially transmitted cultural messages received by young men emanated from multiple sources, such as family, peers, sexual partners, community/neighborhood, and the broader society. Race-specific cultural messages and experiences should be addressed in interventions for this population, and programs should assist young men in developing a critical consciousness regarding these messages and experiences in order to promote health and well-being.</p>

DOI10.1002/ajcp.12109
Alternate JournalAm J Community Psychol
PubMed ID27883219
PubMed Central IDPMC5161543
Grant ListU01 HD040476 / HD / NICHD NIH HHS / United States
U01 HD040463 / HD / NICHD NIH HHS / United States
U01 HD040533 / HD / NICHD NIH HHS / United States
U01 HD040474 / HD / NICHD NIH HHS / United States
U01 HD040497 / HD / NICHD NIH HHS / United States
U01 HD040562 / HD / NICHD NIH HHS / United States
U01 HD040505 / HD / NICHD NIH HHS / United States
R25 HD045810 / HD / NICHD NIH HHS / United States
U01 HD040515 / HD / NICHD NIH HHS / United States
U01 HD040494 / HD / NICHD NIH HHS / United States