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Sexual Orientation, HIV Vulnerability-Enhancing Behaviors and HIV Status Neutral Care Among Black Cisgender Sexual Minority Men in the Deep South: The N2 Cohort Study

Redd Driver Orcid Logo, John A. Schneider, DeMarc A. Hickson, Liadh Timmins Orcid Logo, Russell A. Brewer, William C. Goedel, Dustin T. Duncan

AIDS and Behavior, Volume: 27, Issue: 8, Pages: 2592 - 2605

Swansea University Author: Liadh Timmins Orcid Logo

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DOI (Published version): 10.1007/s10461-023-03984-7

Abstract

Black sexual minority men (SMM) in the Deep South are heavily impacted by HIV; yet studies fail to consider discordance across aspects of sexual orientation (i.e., identity, attraction, behavior) or how a lack of concordance enhances vulnerability to HIV. We sought to explore the overlap across aspe...

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Published in: AIDS and Behavior
ISSN: 1090-7165 1573-3254
Published: Springer Science and Business Media LLC 2023
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URI: https://cronfa.swan.ac.uk/Record/cronfa64168
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first_indexed 2023-09-26T11:41:21Z
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spelling v2 64168 2023-08-30 Sexual Orientation, HIV Vulnerability-Enhancing Behaviors and HIV Status Neutral Care Among Black Cisgender Sexual Minority Men in the Deep South: The N2 Cohort Study 7f227f6f0fc0400bae2893d252d2f5ec 0000-0001-7984-4748 Liadh Timmins Liadh Timmins true false 2023-08-30 HPS Black sexual minority men (SMM) in the Deep South are heavily impacted by HIV; yet studies fail to consider discordance across aspects of sexual orientation (i.e., identity, attraction, behavior) or how a lack of concordance enhances vulnerability to HIV. We sought to explore the overlap across aspects of sexual orientation and examine associations between each aspect and the number of sexual partners who engaged in HIV vulnerability-enhancing behaviors, and HIV prevention and care outcomes. A total of 204 Black SMM completed surveys, reporting their sexual identity, attraction, and behavior (i.e., sex with men only vs. sex with men and women), number of condomless sex or transactional sex (e.g., buyers vs. sellers) partners in the past 6 months, and adherence to pre-exposure prophylaxis (PrEP) or antiretroviral therapy (ART) among users. Less than one in four participants (22.5%) reported overlap in same-sex sexual orientations, while 17.1% of bisexual men reported overlap across aspects. In multivariable models, differences were found in how aspects of sexual orientation were associated with the number of partners who bought or sold sex; as well as how often participants tested for HIV in the past 12 months. Results suggest different aspects of sexual orientation have implications for addressing HIV among Black SMM in the Deep South. Journal Article AIDS and Behavior 27 8 2592 2605 Springer Science and Business Media LLC 1090-7165 1573-3254 Sexual orientation, Black sexual minority men, HIV, Sexual health, Status neutral care 31 8 2023 2023-08-31 10.1007/s10461-023-03984-7 http://dx.doi.org/10.1007/s10461-023-03984-7 COLLEGE NANME Psychology COLLEGE CODE HPS Swansea University 2023-12-08T13:34:02.4537423 2023-08-30T12:56:32.0779765 Faculty of Medicine, Health and Life Sciences School of Psychology Redd Driver 0000-0002-7699-6321 1 John A. Schneider 2 DeMarc A. Hickson 3 Liadh Timmins 0000-0001-7984-4748 4 Russell A. Brewer 5 William C. Goedel 6 Dustin T. Duncan 7
title Sexual Orientation, HIV Vulnerability-Enhancing Behaviors and HIV Status Neutral Care Among Black Cisgender Sexual Minority Men in the Deep South: The N2 Cohort Study
spellingShingle Sexual Orientation, HIV Vulnerability-Enhancing Behaviors and HIV Status Neutral Care Among Black Cisgender Sexual Minority Men in the Deep South: The N2 Cohort Study
Liadh Timmins
title_short Sexual Orientation, HIV Vulnerability-Enhancing Behaviors and HIV Status Neutral Care Among Black Cisgender Sexual Minority Men in the Deep South: The N2 Cohort Study
title_full Sexual Orientation, HIV Vulnerability-Enhancing Behaviors and HIV Status Neutral Care Among Black Cisgender Sexual Minority Men in the Deep South: The N2 Cohort Study
title_fullStr Sexual Orientation, HIV Vulnerability-Enhancing Behaviors and HIV Status Neutral Care Among Black Cisgender Sexual Minority Men in the Deep South: The N2 Cohort Study
title_full_unstemmed Sexual Orientation, HIV Vulnerability-Enhancing Behaviors and HIV Status Neutral Care Among Black Cisgender Sexual Minority Men in the Deep South: The N2 Cohort Study
title_sort Sexual Orientation, HIV Vulnerability-Enhancing Behaviors and HIV Status Neutral Care Among Black Cisgender Sexual Minority Men in the Deep South: The N2 Cohort Study
author_id_str_mv 7f227f6f0fc0400bae2893d252d2f5ec
author_id_fullname_str_mv 7f227f6f0fc0400bae2893d252d2f5ec_***_Liadh Timmins
author Liadh Timmins
author2 Redd Driver
John A. Schneider
DeMarc A. Hickson
Liadh Timmins
Russell A. Brewer
William C. Goedel
Dustin T. Duncan
format Journal article
container_title AIDS and Behavior
container_volume 27
container_issue 8
container_start_page 2592
publishDate 2023
institution Swansea University
issn 1090-7165
1573-3254
doi_str_mv 10.1007/s10461-023-03984-7
publisher Springer Science and Business Media LLC
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
url http://dx.doi.org/10.1007/s10461-023-03984-7
document_store_str 0
active_str 0
description Black sexual minority men (SMM) in the Deep South are heavily impacted by HIV; yet studies fail to consider discordance across aspects of sexual orientation (i.e., identity, attraction, behavior) or how a lack of concordance enhances vulnerability to HIV. We sought to explore the overlap across aspects of sexual orientation and examine associations between each aspect and the number of sexual partners who engaged in HIV vulnerability-enhancing behaviors, and HIV prevention and care outcomes. A total of 204 Black SMM completed surveys, reporting their sexual identity, attraction, and behavior (i.e., sex with men only vs. sex with men and women), number of condomless sex or transactional sex (e.g., buyers vs. sellers) partners in the past 6 months, and adherence to pre-exposure prophylaxis (PrEP) or antiretroviral therapy (ART) among users. Less than one in four participants (22.5%) reported overlap in same-sex sexual orientations, while 17.1% of bisexual men reported overlap across aspects. In multivariable models, differences were found in how aspects of sexual orientation were associated with the number of partners who bought or sold sex; as well as how often participants tested for HIV in the past 12 months. Results suggest different aspects of sexual orientation have implications for addressing HIV among Black SMM in the Deep South.
published_date 2023-08-31T13:34:02Z
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