Mind the Gap: HIV Prevention Among Young Black Men Who Have Sex with Men

Curr HIV/AIDS Rep. 2020 Dec;17(6):632-642. doi: 10.1007/s11904-020-00532-z.

Abstract

Purpose of review: Young Black men who have sex with men (YBMSM) suffer profound health inequities in new HIV diagnoses and clinical outcomes. While the evolution of HIV prevention options has become increasingly biomedical, inequities in access and uptake of these modalities persist.

Recent findings: Studies suggest that while YBMSM display interest and acceptability of varied HIV prevention options, uptake lags due to the lingering effects of intersectional oppression from racism and sexual prejudice, HIV stigma, institutional and provider bias, and unresolved health policy barriers. Promising avenues to address these barriers have yet to be fully explored. We have the tools to effectively prevent HIV transmission and acquisition among YBMSM, but we have not yet effectively implemented these tools for this priority population. To end the epidemic, we must tailor and adapt HIV prevention strategies to meet the unique intersecting needs, identities, and social contexts of YBMSM.

Keywords: Adolescent and young adult; HIV prevention; LGBTQ health; Sexual minority men; Sexual minority youth; Young Black MSM.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Anti-Retroviral Agents / therapeutic use
  • Black or African American / statistics & numerical data*
  • HIV Infections / drug therapy
  • HIV Infections / prevention & control*
  • Homosexuality, Male
  • Humans
  • Male
  • Primary Prevention / methods*
  • Safe Sex / statistics & numerical data
  • Sexual Behavior*
  • Sexual and Gender Minorities / statistics & numerical data*
  • Social Stigma
  • Unsafe Sex / statistics & numerical data
  • Young Adult

Substances

  • Anti-Retroviral Agents