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Hypothesis testing utilized logistic and linear regression models with self-reported data on CSA independent variable and indicators of the following syndemic factors: HIV risk, substance misuse, and IPV. More than one-fourth Citation: Wu E Childhood sexual abuse among Black men who have sex with men: A cornerstone of a syndemic? This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Data Availability: All relevant data are within the paper and its Supporting Information files.
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‘One woman told me sex with a black man was on her bucket list’

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Black Men who Have Sex with Men and the HIV Epidemic: Next Steps for Public Health

Enter your mobile number or email address below and we'll send you a link to download the free Kindle App. Then you can start reading Kindle books on your smartphone, tablet, or computer - no Kindle device required. To get the free app, enter your mobile phone number. Martha Hodes tells a series of stories about such liaisons in the years before the Civil War, explores the complex ways in which white Southerners tolerated them in the slave South, and shows how and why these responses changed with emancipation. Hodes provides details of the wedding of a white servant-woman and a slave man in , an antebellum rape accusation that uncovered a relationship between an unmarried white woman and a slave, and a divorce plea from a white farmer based on an adulterous affair between his wife and a neighborhood slave. Only with the advent of black freedom did the issue move beyond neighborhood dramas and into the arena of politics, becoming a much more serious taboo than it had ever been before.
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White Women, Black Men: Illicit Sex in the Nineteenth-Century South / Edition 1

A history of sex between white women and black men in the nineteenth-century American South is also the history of a powerful category of illicit sex in the United States. When in the U. Supreme Court ruled that laws prohibiting marriage between people of different races were unconstitutional, sixteen states had such laws. Decades later, the legacy of this history remains evident, notably in the modern-day annals of white violence, in both North and South. Researching this book, I never found whole stories in the archives.
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There are 4 possible explanations, which are not mutually exclusive: 1 bias in assessment of risk behaviors, 2 increased prevalence of HIV among sexual contacts, 3 increased infectiousness among sexual partners, and 4 increased physiological susceptibility to HIV. By exploring these possibilities more deeply, we can increase our understanding of the apparent disparity between behavioral risks and outcomes while at the same time improving the design and implementation of prevention programs that address the specific needs of BMSM. Methodological problems that may lead to underreporting of risk behaviors may also explain why behavioral messages fail to translate into safer sex among BMSM: Measures, surveys, and instruments may be culturally inappropriate for BMSM; interviewers may not be race- and gender-concordant with or may not be properly trained to interview BMSM; instruments may use language or terminology that does not resonate with BMSM; research settings may not be comfortable environments for open discussion with and responses by BMSM.

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