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Do Masculinity and Perceived Condom Barriers Predict Heterosexual HIV Risk Behaviors Among Black Substance Abusing Men?

Journal of Health Disparities Research and Practice 2014;7(6):54-71.

Jerika Wilson, MA (University of Cincinnati, OV Node), Ann Kathleen Burlew, PhD (University of Cincinnati, OV Node), LaTrice Montgomery, PhD (University of Cincinnati, OV Node), Bridgette Peteet, PhD (University of Cincinnati, OV Node), Candace Johnson, PhD (University of Cincinnati, OV Node), Mary A. Hatch-Maillette, PhD (University of Washington, PN Node).

Although HIV prevention during substance abuse treatment is ideal, existing HIV risk-reduction interventions are less effective among Black and other ethnic minority substance abusers. The Sexual Health Model (SHM) and Person, Extended Family and Neighborhood-3 model (PEN-3) both highlight the importance of increasing our understanding of the relationship of sociocultural factors to sexual decision-making as a step towards developing more HIV prevention interventions for ethnic minorities. However, few studies examine sociocultural factors in the sexual decision-making process of Black substance abusing men. This secondary analysis of data collected in an evaluation of Real Men Are Safe (REMAS), an HIV prevention intervention, in the NIDA Clinical Trials Network (CTN) addressed this gap by examining the relation of two specific sociocultural factors (i.e., masculinity and perceived barriers to condom use) to the self-reported sexual behaviors of Black substance abusing men with their main and casual female partners.

Analyses of the baseline data of 126 Black men entering substance abuse treatment revealed that the endorsement of both personal and social masculinity predicted more unprotected sexual occasions (USO) with casual partners. The perception that condoms decreased sexual pleasure also predicted higher USO rates with casual partners. However, fewer partner barriers was not associated with USO among casual partners as expected. Neither the endorsement of social or personal masculinity or perceived condom barriers predicted USO with main partners.

Conclusions: These findings suggest that interventions that depict condom use as both pleasurable and congruent with Black male perceptions of masculinity may be more effective with Black substance abusing men than interventions focusing solely on health beliefs or education. Future research should continue to investigate the influence of other sociocultural factors, especially those that influence the sexual decision-making process, on sexual risk behaviors among Black men, as well as other groups. (Article (Peer-Reviewed), PDF, English, 2016)

Keywords: African Americans | Condom use | CTN platform/ancillary study | Gender-specific interventions | Minority groups | Real Men Are Safe (REMAS) | Sexual risk behavior | Sexually transmitted diseases | Journal of Health Disparities Research and Practice (journal)

Document No: 1190.

Submitted by CTN Dissemination Librarians, 3/7/2016.

Burlew, Ann Kathleen mail
Hatch-Maillette, Mary A. mail
Johnson, Candace
Montgomery, LaTrice mail
Peteet, Bridgette
Wilson, Jerika
NIDA-CTN-0018 www

Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
The materials on this site have neither been created nor reviewed by NIDA.
Updated 3/2016 --