Are HIV-positive young black MSM having safer sex than those who are HIV-negative?

Richard A. Crosby, Leandro Mena, Angelica Geter

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


In the United States, young Black men who have sex with men (YBMSM) bear the single largest burden of the HIV/AIDS epidemic. Whether HIV-positive men in this population practice relatively safer sex than their HIV negative counterparts has not been recently investigated. The purpose of this study was to compare selected sexual risk behaviors between YBMSM who are HIV-positive to their HIV-negative counterparts of the same geographic location in the southern US. A convenience sample of 600 YBMSM completed a computer-assisted self-interview in a private area of a clinic dedicated to sexual health. Frequency/prevalence of 16 sexual risk behaviors was compared between men who were HIV-positive and those who were HIV-negative at the time. Bivariate associations were tested in regression models adjusted for age and having a main male sex partner. One-quarter of the sample (25.5%) was HIV-positive at study enrollment. Remarkably few differences in sexual risk behaviors were observed. HIV-positive men were less likely to report recent sex with a woman (P =.003), and they were more likely to report recent sex with persons known to be HIV-positive (P <.001). Of 16 assessed outcome measures, these two significant findings represented the only significant differences in the adjusted analyses. YBMSM residing in the southern US may experience high levels of HIV exposure risk or risk of exposing others to HIV. A particularly urgent need exists to improve post-diagnostic HIV prevention efforts for HIV-positive YBMSM.

Original languageEnglish
Pages (from-to)441-446
Number of pages6
JournalInternational Journal of STD and AIDS
Issue number5
StatePublished - Apr 1 2017

Bibliographical note

Publisher Copyright:
© 2016, © The Author(s) 2016.


  • AIDS
  • condoms
  • homosexual
  • man
  • sexual behavior
  • viral disease

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Pharmacology (medical)
  • Infectious Diseases


Dive into the research topics of 'Are HIV-positive young black MSM having safer sex than those who are HIV-negative?'. Together they form a unique fingerprint.

Cite this