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The Black community shoulders the heaviest HIV/AIDS burden of any racial or ethnic group in the United States, with Black men who have sex with men being the most impacted subpopulation (CDC, 2011). Health determinants (i.e., behavior, social environment, physical environment, and healthcare) of Black men who have sex with men are examined for consideration in the creation of innovative HIV prevention programs specific to the community. The only two intervention strategies targeting this population approved by the Centers for Disease Control and Prevention, the 3MV and d-up:Defend Yourself programs, are scrutinized, and the theoretical underpinnings of these evidence-based programs (i.e., social cognitive theory, diffusion of innovations) will be examined in order to recommend strategies for future interventions to reach greater numbers within the community.

The Disproportionality of HIV Transmission Among Black Men Who Have Sex with Men (BMSM): Recommendations for an Effective Prevention Model