Title |
Using a “Positive Deviance” Framework to Discover Adaptive Risk Reduction Behaviors Among High-Risk HIV Negative Black Men Who Have Sex with Men
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Published in |
AIDS and Behavior, May 2017
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DOI | 10.1007/s10461-017-1790-x |
Pubmed ID | |
Authors |
A. J. Ober, D. T. Dangerfield, S. Shoptaw, G. Ryan, B. Stucky, S. R. Friedman |
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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 8 | 73% |
Australia | 1 | 9% |
Unknown | 2 | 18% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 7 | 64% |
Scientists | 3 | 27% |
Practitioners (doctors, other healthcare professionals) | 1 | 9% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 74 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 12 | 16% |
Researcher | 8 | 11% |
Student > Ph. D. Student | 5 | 7% |
Student > Bachelor | 4 | 5% |
Student > Doctoral Student | 3 | 4% |
Other | 13 | 18% |
Unknown | 29 | 39% |
Readers by discipline | Count | As % |
---|---|---|
Social Sciences | 12 | 16% |
Nursing and Health Professions | 8 | 11% |
Medicine and Dentistry | 7 | 9% |
Psychology | 6 | 8% |
Environmental Science | 2 | 3% |
Other | 5 | 7% |
Unknown | 34 | 46% |