“It's Crazy Out There. You Gotta Strap Up”: Black Heterosexual Men's Discursive Constructions of Sexual HIV Risk and Condom Use
Methods: Informed by Potter and Wetherell’s (1987) guidelines for discourse analysis, we analyzed data from individual interviews (n = 30) and four focus groups (n = 26) conducted with self-identified Black/African American heterosexual men, ages 18 to 44 in Philadelphia, PA.
Results: Discursive constructions about sexual HIV risk included: “gotta be safe”; and the public health HIV prevention discourse. Discursive constructions about condom use were: condom mandate for first time sex; relationship/trust/knowledge construction; condom mandate for strictly casual sex; and women’s blame for STIs/responsibility for safer sex. Analyses showed that discursive context shaped how participants talked about sexual HIV risk and condom use.
Conclusions: There is an urgent need for U.S. public health HIV prevention discourses that reflect the epidemiological reality of BHM’s HIV risk, and the real-world relationship contexts of ongoing sexual relationships with ex-wives, ex-girlfriends or “baby mamas.”
Learning Areas:Assessment of individual and community needs for health education
Diversity and culture
Social and behavioral sciences
Describe the central tenets of discourse analysis Demonstrate how Black men’s discursive constructions about sexual HIV risk and condom use can be used to design HIV interventions
Keyword(s): HIV Risk Behavior, Men’s Health
Qualified on the content I am responsible for because: I am the PI of the NIH/NICHD grant that funded this study.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.