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

AbstractDespite 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. Findi ngs 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.
Source: AIDS and Behavior - Category: Infectious Diseases Source Type: research

Related Links:

[Premium Times] A non-governmental organisation says it has reached a milestone in its history after providing medical care to over one million persons living with HIV/AIDS worldwide.
Source: AllAfrica News: HIV-Aids and STDs - Category: Infectious Diseases Source Type: news
AbstractThe effectiveness of HIV pre-exposure prophylaxis (PrEP) depends on adherence, which requires retention in PrEP care. We sought to examine factors associated with six-month retention in PrEP care among individuals prescribed PrEP between 2011 and 2015 in a large, academic health system in the Bronx, New York. We used multivariable logistic regression to identify factors independently associated with six-month retention. Among 107 patients, retention at 6  months was 42%. In the multivariable analysis, heterosexual individuals were less likely to be retained in PrEP care at 6 months, but individuals who re...
Source: AIDS and Behavior - Category: Infectious Diseases Source Type: research
This article examines the effects of a multi-level, community-based HIV prevention intervention for crack users residing in low-income neighborhoods in San Salvador, El Salvador conducted between August 2011 and June 2016. The intervention consisted of three components introduced sequentially: (1) rapid HIV testing in community settings; (2) a social network HIV testing intervention; and (3) small group interventions with crack users who were members of the same social network. The intervention was evaluated with an interrupted time series design in which we used respondent-driven sampling to conduct 7 cross-sectional surv...
Source: AIDS and Behavior - Category: Infectious Diseases Source Type: research
Conclusions: seroconversion rates among neonates in Southern Region of Santa Catarina were similar to the national average. Seroconversion was associated with non-use of antiretroviral therapy during pregnancy and breastfeeding.Resumo Objetivos: investigar a frequ ência e analisar os fatores de risco para soroconversão entre nascidos vivos de mães soropositivas ao HIV. Métodos: foi realizado estudo de coorte, com crianças residentes na Região Sul de Santa Catarina. Foram usados dados secundários referentes a ficha de notificação e acompanhamento de crianç...
Source: Revista Brasileira de Saude Materno Infantil - Category: Midwifery Source Type: research
Read clinically focused news coverage of key developments from HIV Glasgow 2018.Medscape HIV/AIDS
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Conference Coverage Source Type: news
Resumo Diante do papel hist órico da sociedade civil organizada nas respostas sociais à aids e na governança global em saúde, o artigo analisa a biografia de mulheres com HIV/aids, integrantes do Movimento Nacional das Cidadãs Posithivas (MNCP), uma rede nacional de mulheres soropositivas. Utilizou-se abordagem qualitativ a, com observações das ações do MNCP no Rio de Janeiro e entrevistas individuais com oito integrantes do MNCP, sobre suas motivações e experiências no movimento. A maioria das entrevistadas tinha mais de 50 anos e foi diagn...
Source: Ciencia e Saude Coletiva - Category: Occupational Health Source Type: research
Steps outlined for health systems to establish comprehensive, ongoing procurement strategies
Source: The Doctors Lounge - Psychiatry - Category: Psychiatry Tags: Cardiology, Dermatology, Endocrinology, Family Medicine, Geriatrics, Gastroenterology, Gynecology, Infections, AIDS, Internal Medicine, Allergy, Critical Care, Emergency Medicine, Nephrology, Neurology, Nursing, Oncology, Ophthalmology, Orthopedics, ENT, Source Type: news
Conditions:   Substance Use;   HIV/AIDS Interventions:   Behavioral: TIPS app;   Behavioral: Trauma Focused-Cognitive Behavioral Therapy Sponsors:   Medical University of South Carolina;   National Institute on Drug Abuse (NIDA) Not yet recruiting
Source: - Category: Research Source Type: clinical trials
THURSDAY, Oct. 18, 2018 -- Giving antiviral medications to gay men without HIV led to a 25 percent reduction in new infections of the AIDS-causing virus, a new study shows. Researchers followed 3,700 gay men who were given what's known as...
Source: - Daily MedNews - Category: General Medicine Source Type: news
THURSDAY, Oct. 18, 2018 -- Integration of plasma next-generation sequencing (NGS) into the routine management of metastatic non-small cell lung cancer (NSCLC) results in an increase in the detection of therapeutically targetable mutations, according...
Source: - Pharma News - Category: Pharmaceuticals Source Type: news
More News: HIV AIDS | Infectious Diseases | USA Health