Relationship status's impact on sexual risk behavior and knowledge obtained in an effective intervention in Mississippi

Background: African American men who have sex with men (AAMSM) represented 74% of the MSM population infected with HIV/AIDS. Studies have shown that increased social support reduces risk of contracting HIV, yet the rate of infection is steadily increasing. Methods: During 2007-2011, self-reported assessments were obtained from participants to determine whether current partnership impacts risk behaviors and knowledge obtained from the Population Opinion Leader (POL) Intervention. Chi-square tests were used to determine if there was an association between knowledge and high risk behaviors among those currently in a relationship versus those not in a relationship. Results: A total of 217 AA MSM (age: 18-35 years) residing in the Jackson, MS participated in 20 waves of the POL Intervention. 32% of the AAMSM participants self-reported being in a monogamous relationship and 47% reported being single. Of those who reported being partnered, 50% indicated ever not using a condom while under the influence of drugs or alcohol. 60% reported ever meeting guys from off the internet, and 17% reported ever cruising the parks. Compared to those who were single, those who reported partnership were less likely to worry about contracting HIV or an STD and had a lower knowledge that having an STD increases the chances of contracting HIV or transmitting it to their partner. Conclusions: Given the high prevalence of HIV/AIDS in the AAMSM community, HIV prevention programs should increase their efforts on partnered relationship intervention and education material as well as underpinning the importance of participating in a monogamous relationship.