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The need to focus on efforts to protect young BMSM from HIV has been widely acknowledged. Despite having comparable or greater proportions of prevention behaviors-condom use, HIV testing, fewer sex partners-and less drug use before or during sex, Black MSM (BMSM) are still more likely to become HIV-positive and report a history of sexually transmitted infections (STIs) than other U.S. who have sex with men (MSM) have a 50% lifetime risk of HIV infection. Clarifying the sexual development and HIV/STI risk contexts among BMSM could better inform current treatment and prevention needs.Īccording to a 2016 report from the Centers for Disease Control and Prevention (CDC), Black gay, bisexual, and other men in the U.S. BMSM also assumed sexual positioning using masculinity stereotypes and body language. Childhood sexual abuse and internalized homonegativity impacted personal development, sexual positioning, and condom negotiation. Varying exposure to HIV treatment and prevention options and venues to meet male partners revealed generational differences in sexual risks. Thematic analysis evaluated domains including major life events, substance use, social support, and partner selection.
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Twenty-six Black gay and bisexual men ages 24–61 completed life history interviews in Los Angeles, California, between September and November 2015. This study examined BMSM’s life course sexual positioning practices and accompanying HIV/STI risks. Increased attention has highlighted the role of age and sexual development on HIV risk among Black MSM (BMSM) limited focus has been given to the relationship of sexual positioning to HIV risk along the life course.