View research View latest news Sign up for updates. The semi-structured interviews addressed sexual behavior and identity, alcohol use, and safer sex. Pain during RAI was brought up by many participants without specific prompting from the interviewer.
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There are 4 possible explanations, which are not mutually exclusive: 1 bias in assessment of risk behaviors, 2 increased prevalence of HIV among sexual contacts, 3 increased infectiousness among sexual partners, and 4 increased physiological susceptibility to HIV. By exploring these possibilities more deeply, we can increase our understanding of the apparent disparity between behavioral risks and outcomes while at the same time improving the design and implementation of prevention programs that address the specific needs of BMSM. Methodological problems that may lead to underreporting of risk behaviors may also explain why behavioral messages fail to translate into safer sex among BMSM: Measures, surveys, and instruments may be culturally inappropriate for BMSM; interviewers may not be race- and gender-concordant with or may not be properly trained to interview BMSM; instruments may use language or terminology that does not resonate with BMSM; research settings may not be comfortable environments for open discussion with and responses by BMSM.
Bond initiated and completed analyses of all data and led the writing of the article. Wheeler contributed to conceptualizing the article, interpreting the findings, and editing the article. Millett contributed to conceptualizing the article, interpreting the findings, and editing the article. LaPollo contributed to analyzing the data, interpreting the findings, and editing the article. Carson assisted with collecting data and editing the article. Liau assisted with interpreting the findings and editing the article.
Furthermore, it is possible that RHT will be or is currently being used as a means of learning one's own and one's partner's HIV status prior to engaging in condomless intercourse. Data regarding knowledge and willingness to use RHT, however, is very limited. We used generalized linear modeling to assess factors associated with their willingness to use RHT. Although familiarity with the availability of RHT was somewhat limited among these men, a substantial portion of BMSM did report an interest in using RHT, including with their sex partners.