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There are 4 possible explanations, which are not mutually exclusive: 1 bias in assessment of risk behaviors, 2 increased prevalence of HIV among sexual contacts, 3 increased infectiousness among sexual partners, and 4 increased physiological susceptibility to HIV. By exploring these possibilities more deeply, we can increase our understanding of the apparent disparity between behavioral risks and outcomes while at the same time improving the design and implementation of prevention programs that address the specific needs of BMSM. Methodological problems that may lead to underreporting of risk behaviors may also explain why behavioral messages fail to translate into safer sex among BMSM: Measures, surveys, and instruments may be culturally inappropriate for BMSM; interviewers may not be race- and gender-concordant with or may not be properly trained to interview BMSM; instruments may use language or terminology that does not resonate with BMSM; research settings may not be comfortable environments for open discussion with and responses by BMSM. Meanwhile, BMSM research participants may 1 be unwilling to use certain sexual orientation labels on surveys for fear of discrimination, 2 distrust or fear researchers, 3 fear that confidential information about their sexual behavior will be disclosed, or 4 report what they think researchers want to hear.
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Childhood sexual abuse among Black men who have sex with men: A cornerstone of a syndemic?

Hypothesis testing utilized logistic and linear regression models with self-reported data on CSA independent variable and indicators of the following syndemic factors: HIV risk, substance misuse, and IPV. More than one-fourth Citation: Wu E Childhood sexual abuse among Black men who have sex with men: A cornerstone of a syndemic? This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Data Availability: All relevant data are within the paper and its Supporting Information files. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Competing interests: The authors have declared that no competing interests exist.
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Black Men who Have Sex with Men and the HIV Epidemic: Next Steps for Public Health

Self-reported egocentric sexual network data from the prior six months were collected from 1, community-recruited Black MSM in HPTN , a multi-component HIV prevention intervention feasibility study. Sexual network composition, size, and density extent to which members are having sex with one another were compared by self-reported HIV serostatus and age of the men. Among HIV-positive men, not having non-primary partners was associated with having a Black partner; no sexual network characteristics were associated with having a partner with at least two age category difference and SDUI. Black MSM sexual networks were relatively small and often overlapped with the social networks.
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Furthermore, it is possible that RHT will be or is currently being used as a means of learning one's own and one's partner's HIV status prior to engaging in condomless intercourse. Data regarding knowledge and willingness to use RHT, however, is very limited. We used generalized linear modeling to assess factors associated with their willingness to use RHT.
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