Exploring the Use of Web-Based HIV Prevention for Injection-Drug-Using Black Men Who Have Sex with Both Men and Women: A Feasibility Study

Abstract

This study examined HIV prevention program needs from the perspective of injection-drug-using men who have sex with both men and women (IDU-MSM/W) involved in sex trade. Focus groups were conducted involving an exploratory sample (N = 105) of men who met the following parameters: African American, injection-drug-using behavior, men who have sex with men and women, and men who frequent parks and other areas for sex trade in Baltimore City and surrounding areas, ages 18 to 40 years. Data suggest that an HIV prevention program is needed that includes language acquisition specific to the IDU-MSM/W sex-trade community, comprehensive services including treatment for depression and other mental health needs, and methods for improving HIV prevention, such as safer-sex communication skills. These findings provide a better understanding of a population for which little is known, and identifies HIV prevention program needs for the IDU-MSM/W community involved in sex trade.

KEYWORDS:

• HIV prevention
• sexuality
• drug abuse
• qualitative
• IDU

Notes

^aDue to missing data, percentages may not total 100.

^bAll participants reported injection-drug-using behavior, and involvement in sex trade.