"The skill is using your big head over your little head": what black heterosexual men say they know, want, and need to prevent HIV

Am J Mens Health. 2013 Jul;7(4 Suppl):31S-42S. doi: 10.1177/1557988313483305. Epub 2013 Apr 1.

Abstract

Although the disproportionate toll of HIV/AIDS among Black heterosexuals, particularly in low-income U.S. urban areas is well documented, Black heterosexual men are rarely the explicit focus of HIV prevention messages, research, and interventions. We conducted 4 focus groups with 28 Black men, aged 19 to 51 years, who were enrolled in the workforce and fatherhood development program of a local community-based organization to examine (a) the priority and role of HIV/AIDS in their lives and (b) their HIV prevention needs. Although none articulated HIV as a top life priority, respondents nonetheless prioritized educating their children about HIV prevention and protecting their main partners from HIV if they had other sexual partners. Analyses demonstrated that participants said they wanted and needed: to learn how to talk to partners about HIV testing and use condoms when tempted not to do so, and more discussion-oriented educational opportunities to learn and exchange prevention strategies.

Keywords: Black heterosexual men; HIV prevention; HIV risk; condom use; incarceration.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acquired Immunodeficiency Syndrome / ethnology
  • Acquired Immunodeficiency Syndrome / prevention & control
  • Adult
  • Black or African American*
  • Focus Groups
  • HIV Infections / ethnology
  • HIV Infections / prevention & control*
  • Health Behavior / ethnology*
  • Health Education*
  • Health Knowledge, Attitudes, Practice
  • Heterosexuality / ethnology
  • Humans
  • Male
  • Middle Aged
  • Needs Assessment
  • Primary Prevention / methods
  • Risk Assessment
  • Risk-Taking
  • Safe Sex*
  • Sexual Behavior
  • Sexually Transmitted Diseases / ethnology
  • Sexually Transmitted Diseases / prevention & control
  • Socioeconomic Factors
  • United States
  • Young Adult