TY - JOUR
T1 - Understanding HIV/AIDS prevention and care in the context of competing health and well-being priorities among Black men who have sex with men in Baltimore, MD
AU - Dayton, Lauren
AU - Tobin, Karin
AU - Latkin, Carl
N1 - Funding Information:
This work was supported by study participants and the National Institutes of Health under grants R01DA031030 & R01DA032217. We thank Roeina Love, Tonya Johnson, Denise Mitchell, Charles Moore, Marlesha Bates, and Joanne Jenkins for their assistance and support in data collection.
Publisher Copyright:
© 2020 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2021
Y1 - 2021
N2 - This study examines health and well-being priorities among Black men who have sex with men (BMSM) in Baltimore, MD and their association with condom use. Among 148 sexually active BMSM, 43% were HIV positive. The majority ranked financial stability (68%), physical health (53%), and stable housing (59%) as top priorities. Fewer participants identified top priorities as mental health (37%), HIV prevention (35%), relationships with family (25%), and romantic partners (23%). Identifying HIV prevention (aOR: 2.25; 95% CI: 1.07-4.72) and relationship with family (aOR: 2.19; 95% CI: 0.99-4.89) as top priorities were associated with increased odds of always using condoms. Reporting stable housing as a top priority (aOR: 0.47; 95% CI: 0.22-1.00) reduced the odds of always using a condom. To increase relevance, HIV/AIDS prevention programs should address BMSM’s financial, housing and physical health needs.
AB - This study examines health and well-being priorities among Black men who have sex with men (BMSM) in Baltimore, MD and their association with condom use. Among 148 sexually active BMSM, 43% were HIV positive. The majority ranked financial stability (68%), physical health (53%), and stable housing (59%) as top priorities. Fewer participants identified top priorities as mental health (37%), HIV prevention (35%), relationships with family (25%), and romantic partners (23%). Identifying HIV prevention (aOR: 2.25; 95% CI: 1.07-4.72) and relationship with family (aOR: 2.19; 95% CI: 0.99-4.89) as top priorities were associated with increased odds of always using condoms. Reporting stable housing as a top priority (aOR: 0.47; 95% CI: 0.22-1.00) reduced the odds of always using a condom. To increase relevance, HIV/AIDS prevention programs should address BMSM’s financial, housing and physical health needs.
KW - BMSM
KW - Competing Priorities
KW - HIV/AIDS
KW - Intervention
UR - http://www.scopus.com/inward/record.url?scp=85089894288&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85089894288&partnerID=8YFLogxK
U2 - 10.1080/09540121.2020.1808159
DO - 10.1080/09540121.2020.1808159
M3 - Article
C2 - 32847394
AN - SCOPUS:85089894288
SN - 0954-0121
VL - 33
SP - 1458
EP - 1463
JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
IS - 11
ER -