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Context of First Same‐Sex Condom Use and Nonuse in Young Black Gay and Bisexual Males
Author(s) -
ArringtonSanders Renata,
Morgan Anthony,
Oidtman Jessica,
Gomez Miguel C.,
Ogunbajo Adedotun,
Trent Maria,
Fortenberry J. Dennis
Publication year - 2016
Publication title -
journal of research on adolescence
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.342
H-Index - 95
eISSN - 1532-7795
pISSN - 1050-8392
DOI - 10.1111/jora.12255
Subject(s) - condom , context (archaeology) , psychology , human immunodeficiency virus (hiv) , demography , sexual behavior , medicine , social psychology , family medicine , paleontology , syphilis , sociology , biology
Despite high human immunodeficiency virus (HIV) rates among young Black men who have sex with men ( YBMSM ), there are limited data about condom use during first same‐sex ( FSS ). This study sought to understand socio‐contextual factors of 50 YBMSM aged 15–19 years that influenced condom use during FSS . Condom use was influenced by individual, partner, and community factors. Individual factors—recent illness or sexually transmitted infections (STI)—prompted condom use, while frequent HIV testing prompted nonuse. Partner factors—proactive encouragement from partners—prompted condom use, while trust and condom discomfort prompted nonuse. Larger community factors—such as presence of females—were key for use, while limited sexual health information combined with peers who discouraged condoms prompted nonuse. A multilevel approach may be useful in developing sexual health programming for these young men.