HIV Prevention, Care, and Treatment Among Black Men Who Have Sex with Men (MSM)

Abstract

Black men who have sex with men (MSM) have been severely affected by HIV burden in the United States. A multitude of epidemiologic, structural, and psychosocial factors has contributed to the disparate HIV incidence and prevalence rates of black MSM. The objective of this chapter is to better understand the prevention, care, and treatment considerations for black MSM. Thus, this chapter examines (1) theoretical approaches to HIV prevention with a specific focus on the role of stigma, marginalization, and structural inequalities in black MSM communities; (2) factors associated with disproportionate HIV infection rates and HIV sexual behavior in black MSM; (3) the role of primary and secondary prevention in black MSM communities; (4) culturally congruent treatment and care in black MSM communities; and (5) psychosocial support and mental health needs in black MSM communities.