Can we keep talking?: Interviewing young Black MSM about sex, Black culture, and HIV prevention

Background: Among men who have sex with men (MSM) ages 13-29 in the United States, the largest increase of HIV incidence (48%) is in Black men who have sex with men (CDC, 2011). In order to develop new, and enhance existing, HIV prevention efforts for the group greatest at risk, the life experiences and perspectives of young Black MSM who are HIV-negative must be examined.

Methods:

A qualitative descriptive study was conducted to describe the behavioral practices, perceptions, and influencing factors that contribute to the maintenance of an HIV-negative status. 31 young Black MSM from two cities in Western New York were surveyed. Data were generated through semi-structured individual interviews (n=24) and one focus group (n=7), field notes, and process notes.

 

Results: Two core themes, 1) aspiring towards self-preservation and 2) working to alter the image of black MSM, were developed from the larger study. Additionally young Black MSM, revealed that this was a first ever opportunity to talk meaningfully about the evolution of their sexuality, desires, and past sexual experiences. Sexual trauma victims described new found able to process the effects of their trauma. Young Black MSM were disappointed that the study only provided one opportunity to engage in discussion about their lives.

 

Conclusions:  Young Black MSM want and need to engage in ongoing dialogue about their sexual histories and life experiences to help better understand their current actions and emotions. Dialogue appears to be enhanced when the listener is seen as reflective, shockproof, non-threatening, and non-judgmental.