Valleroy L, Mackellar DA, Rosen D, Secura G; International Conference on AIDS.

Int Conf AIDS. 1998; 12: 365 (abstract no. 23120).

CDC, Atlanta, Georgia 30333, USA.

OBJECTIVES: To determine HIV prevalence and predictors of unprotected receptive anal intercourse for African American young men who have sex with men (AA ymsm). DESIGN: A cross-sectional multistage probability survey. METHODS: The Young Men's Survey samples 15- to 22-year-old ymsm at public venues frequented by ymsm. Ymsm are interviewed, counseled, and HIV tested. In 1994-1997, the Young Men's Survey sampled ymsm in seven urban areas in the USA.: Baltimore, Maryland; Miami, Florida; Dallas, Texas; Oakland, Los Angeles, San Francisco, and San Jose, California. RESULTS: As of 1/98, we had compiled data on 427 AA ymsm (17% of 2543 ymsm sampled): 13% were HIV+, versus 6% of non-AA ymsm (odds ratio [OR], 2.4; confidence interval [CI], 1.8-3.4, and 22% reported unprotected receptive anal intercourse with > = 1 man in the past 6 months, versus 32% of non-AA ymsm (OR, 0.6; CI, 0.5-0.8). In preliminary analyses of unweighted data using logistic regression modeling with backward elimination, we found two predictors of unprotected receptive anal intercourse: perception of high risk for becoming HIV+ or infecting others (OR, 4.1; CI, 2.4-7.0), and finding it difficult to practice safer sex (OR, 3.2; CI, 1.5-6.5). The model of unprotected receptive anal intercourse for AA ymsm showed fewer predictors than the model for all 2543 ymsm sampled (i.e., having any steady or only male sex partners in the past 6 months, having ever had forced sexual contact, being high during sex on alcohol or amphetamines in the past 6 months, and low social support). CONCLUSION: HIV prevalence is extremely high for these AA ymsm; unprotected receptive anal intercourse prevalence is lower compared with that for non-AA ymsm. We found fewer predictors of unprotected receptive anal intercourse for AA ymsm than for all ymsm we sampled. Our findings suggest that interventions are needed for AA ymsm which promote a variety of safer sex methods and that predictors of unprotected receptive anal intercourse for AA ymsm still remain largely unknown.

Publication Types:

• Meeting Abstracts

Keywords:

• Acquired Immunodeficiency Syndrome
• Baltimore
• California
• Cities
• Cross-Sectional Studies
• Florida
• HIV Infections
• HIV Seropositivity
• Humans
• Los Angeles
• Male
• Maryland
• Prevalence
• Safe Sex
• San Francisco
• Texas

Other ID:

• 98392642

UI: 102228544

From Meeting Abstracts