Demographic, psychosocial, and logistical factors related to HIV antibody testing among Black MSM in New York City: An exploratory study

Gay Men of African Descent (GMAD) and the Center for HIV Educational Studies and Training (CHEST), affiliated with the City University of New York, collaborated on a study to explore barriers and facilitators to HIV testing among a sample of Black men who have sex with men (MSM) in New York City. Between January 2006 and June 2006, data were gathered using surveys from 98 men and focus groups with 29 men from the survey sample. In addition to sociodemographic items, survey respondents were asked about communication around HIV and HIV testing, antibody testing history and experience, testing perceptions and preferences, and HIV personalized stigma. Over 95% of the sample has been tested for HIV. Fifty-six percent were tested via oral methods. In addition, about 2/3 of the sample preferred HIV testing at a clinic or private doctor. Number of risk behaviors (e.g., unprotected oral, anal, or vaginal sex; unprotected sex with HIV+; unprotected sex while high; shared needles or works; tattoo or piercing by unlicensed person) and personalized stigma about gay/bisexual identity were marginally related. Focus group discussions revealed concerns around stigma, gay identity/sexuality, fear of disclosure and breach of privacy, fear of having HIV and AIDS, emphasizing responsibility, among others. Study data and recommendations were submitted to the NYC HIV Prevention Planning Group to inform HIV testing and prevention efforts for Black MSM in New York City.