Sexual Positioning Practices and Sexual Risk Among Black Gay and Bisexual Men: A Life Course Perspective

Derek Dangerfield, Laramie R. Smith, Janeane N. Anderson, Omar J. Bruce, Jason Farley, Ricky Bluthenthal

Research output: Contribution to journalArticle

Abstract

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. This study examined BMSM’s life course sexual positioning practices and accompanying HIV/STI risks. Twenty-six Black gay and bisexual men ages 24–61 completed life history interviews in Los Angeles, California, between September and November 2015. Thematic analysis evaluated domains including major life events, substance use, social support, and partner selection. Varying exposure to HIV treatment and prevention options and venues to meet male partners revealed generational differences in sexual risks. Childhood sexual abuse and internalized homonegativity impacted personal development, sexual positioning, and condom negotiation. BMSM also assumed sexual positioning using masculinity stereotypes and body language. Clarifying the sexual development and HIV/STI risk contexts among BMSM could better inform current treatment and prevention needs.

Original languageEnglish (US)
Pages (from-to)1919-1931
Number of pages13
JournalAIDS and Behavior
Volume22
Issue number6
DOIs
StatePublished - Jun 1 2018

Fingerprint

Sexual Development
HIV
Sexually Transmitted Diseases
Kinesics
Masculinity
Los Angeles
Sex Offenses
Negotiating
Condoms
Social Support
Sexual Minorities
Interviews
Therapeutics

Keywords

  • Black MSM
  • Culture
  • HIV risk
  • Sexual positioning
  • STI risk

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Sexual Positioning Practices and Sexual Risk Among Black Gay and Bisexual Men : A Life Course Perspective. / Dangerfield, Derek; Smith, Laramie R.; Anderson, Janeane N.; Bruce, Omar J.; Farley, Jason; Bluthenthal, Ricky.

In: AIDS and Behavior, Vol. 22, No. 6, 01.06.2018, p. 1919-1931.

Research output: Contribution to journalArticle

Dangerfield, Derek ; Smith, Laramie R. ; Anderson, Janeane N. ; Bruce, Omar J. ; Farley, Jason ; Bluthenthal, Ricky. / Sexual Positioning Practices and Sexual Risk Among Black Gay and Bisexual Men : A Life Course Perspective. In: AIDS and Behavior. 2018 ; Vol. 22, No. 6. pp. 1919-1931.
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