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Social support,psychological vulnerability,and HIV risk among African American men who have sex with men
Authors:Lena D. Saleh  Christopher S. Chambers  Don Operario
Affiliation:1. Center for HIV Educational Studies and Training (CHEST), Hunter College of the City University of New York (CUNY), New York, NY, USA;2. Department of Sociology and Anthropology, Northeastern University, Boston, MA, USA;3. School of Public Health, Brown University, Providence, RI, USA
Abstract:Previous research has suggested a need to understand the social-psychological factors contributing to HIV risk among African American men who have sex with men (MSM). We conducted individual in-depth interviews with 34 adult African American MSM to examine their personal experiences about: (i) sources of social support, (ii) psychological responses to the presence or absence of social support and (iii) influences of social support on sexual behaviours. The majority of participants described limited positive encouragement and lack of emotional support from family, as well as few meaningful personal relationships. Feelings of isolation and mistrust about personal relationships led many participants to avoid emotional intimacy and seek physical intimacy through sexual encounters. Findings highlight a need for multilevel interventions that enhance social support networks and address the social-psychological, emotional and interpersonal factors that contribute to HIV risk among African American MSM.
Keywords:African American  MSM  social support  mental health  qualitative
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