This article has been peer reviewed and accepted for publication. It is in production and has not been edited, so may differ from the final published form.
Relationship power and HIV risk among young Black MSM in the Southern United States
Background: The purpose of this study was to examine the impact of relationship power on HIV risk behavior among young Black MSM in the Southern US. Methods: Data from 425 Black/African American males 18-29 years who reported recent anal intercourse with a male partner were analyzed. Five selected measures of relationship power were tested for correlation and association with protected receptive anal intercourse using contingency tables and logistic regression analysis. Results: Acts of 100% protected receptive anal intercourse were common (n=277, 65.2%). Men who reported low barriers to condom negotiation were significantly more likely to report protected acts (p<.001). Men who reported 100% protected acts were less likely to report financial dependence on male sexual partners and serosorting behavior (12.0% v. 20.7%, p = 0.02; 31.5% v. 49.8%, p<.001). Conclusion: Future efforts should further examine the role of relationship power in HIV risk among young Black MSM, including the intersection of individual, dyadic and social-structure risks.
SH17084 Accepted 16 December 2017
© CSIRO 2017