Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Dec;19(12):2333-46.
doi: 10.1007/s10461-015-1190-z.

Correlates of Seroadaptation Strategies Among Black Men Who have Sex with Men (MSM) in 4 US Cities

Leo Wilton  1   2 , Beryl Koblin  3 , Vijay Nandi  3 , Guozhen Xu  3 , Carl Latkin  4 , David Seal  5 , Stephen A Flores  6 , Pilgrim Spikes  6
Affiliations

Correlates of Seroadaptation Strategies Among Black Men Who have Sex with Men (MSM) in 4 US Cities

Leo Wilton et al. AIDS Behav. 2015 Dec.

Abstract

We assessed associations of demographic, psychosocial, and substance use factors with seroadaptation strategies among 835 BMSM in four US cities. Seroadaptation strategies were practiced by 59.8 % of men, with 10.5 % practicing 100 % condom use, 26.5 % serosorting, 7.2 % condom serosorting, and 15.6 % seropositioning. In multivariable analyses, compared to men who used no seroadaptation strategies, serosorters were older, were less likely to be HIV infected, had fewer male sex partners, and had higher levels of social support and sexual self-efficacy. Condom serosorters had less psychological distress, were more likely to use methamphetamine, and had higher levels of sexual self-efficacy. Seropositioners were older, were less likely to be HIV infected, to have a main partner, and report alcohol/drug use with sex, while having higher levels of sexual self-efficacy. Seroadaptation practices among BMSM need to be considered to address perceived safer sex strategies and strengthen access to a broader reach of culturally-relevant prevention efforts.

Keywords: Black MSM; Mental health; Serosorting; Strategic positioning; Substance use.

PubMed Disclaimer

Conflict of interest statement

Compliance with Ethical Standards

Conflicts of Interest No conflicts were declared.

References

    1. Centers for Disease Control and Prevention. Diagnoses of HIV infection in the United States and dependent areas. [Accessed 1 June 2015];HIV Surveillance Supplemental Report 2015. 2013 25(4):1–82. http://www.cdc.gov/hiv/pdf/gl/hiv_surveillance_report_vol_25.pdf.
    1. Koblin BA, Mayer KH, Eshleman SH, et al. Correlates of HIV acquisition in a cohort of black men who have sex with men in the United States: HIV prevention trials network (HPTN) 061. PLoS One. 2013;8:e70413. doi: 10.1371/journal.pone.0070413. - DOI - PMC - PubMed
    1. Levy ME, Wilton L, Phillips G, 2nd, et al. Understanding structural barriers to accessing HIV testing and HIV prevention services among black men who have sex with men (BMSM) in the United States. AIDS Behav. 2014;18:972–96. - PMC - PubMed
    1. Maulsby C, Millett G, Lindsey K, et al. HIV among black men who have sex with men (MSM) in the United States: a review of the literature. AIDS Behav. 2014;18:10–25. - PubMed
    1. Millett GA, Peterson JL, Flores SA, et al. Comparisons of disparities and risks of HIV infection in black and other men who have sex with men in Canada, UK, and USA: a meta-analysis. Lancet. 2012;380:341–8. - PubMed

Publication types

LinkOut - more resources