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Title

Using a "Positive Deviance" Framework to Discover Adaptive Risk Reduction Behaviors Among High-Risk HIV Negative Black Men Who Have Sex with Men.

Authors

AJ Ober, DT Dangerfield II, S Shoptaw, et al.;

Network Affiliation

Other

Organization

 

Journal Name

AIDS and Behavior

Publication Date

5/13/2017

PubMed Search

https://www.ncbi.nlm.nih.gov/pubmed/28501965

Link to full-text

 

PMID

28501965

Abstract

​Despite the high incidence of HIV among young Black MSM in the United States and engagement in high risk behaviors, many men in this group avoid infection. This suggests that some men may engage in systematic risk reduction behaviors when not always using condoms or abstaining from substances. Using a "positive deviance" framework, we conducted qualitative interviews with HIV-negative, Black MSM between 25 and 35 who reported unprotected anal sex and drug use in the past six months or current heavy drinking (N = 29) to discover behaviors that could facilitate remaining HIV-uninfected. Findings showed that MSM who remain HIV negative despite continuing to engage in high-risk behaviors may be engaging in adaptive risk reduction behaviors that, through successive decisions and advance planning along the timeline to a sexual event, could lead to increased condom use, avoidance or delay of a risky sexual event, or reduction of HIV positive partners.

Keywords

 

Topic

Behavior; Black; MSM; Substance Abuse

Attachments

Created at 5/15/2017 1:38 PM by Davis, Gregory P
Last modified at 5/15/2017 1:38 PM by Davis, Gregory P