Context of First Same-Sex Condom Use and Nonuse in Young Black Gay and Bisexual Males

摘要

Despite high HIV rates among young Black men who have sex with men (YBMSM), there is limited data about condom use during first same-sex (FSS). This study sought to understand socio-contextual factors of 50 YBMSM age 15–19 that influenced condom use during FSS. Condom use was influenced by individual, partner and community factors. Individual factors: recent illness or STI promoted use, while frequent HIV testing prompted nonuse. Partner factors: partner’s proactively encouraging condoms, while trust and condom discomfort promoted nonuse. Larger community factors - presence of females were key for use, while limited sexual health information combined with peers who discouraged condoms prompted nonuse. A multi-level approach may be useful in developing sexual health programming for these young men.