Sociocultural Factors Influencing HIV Risk Among Black/African American Gay and Bisexual Men

Abstract Background: Black/African American gay and bisexual men (BAAGBM) experience disproportionate rates of HIV infection when compared to other racial/ethnic groups in the United States. Purpose: This study explored the sociocultural factors affecting HIV risk BAAGBM.Methods: Eighteen BAAGBM South Florida residents participated in individual, semi-structured, in-depth interviews.Results: Social networks—including friends, acquaintances, sexual partners, and family—are critical factors impacting HIV risk behaviors. Openness about sexuality positively influenced participants' agency in sexual encounters, while cultural proximity or familiarity often determined preferences for partner selection and the likelihood of using protection. Stigma associated with being a BAAGBM also adversely impacted HIV risk and prevention behaviors.Conclusion: Social networks, gender norms, and cultural and familial expectations shape HIV risk among BAAGBM. This study offers a unique contribution by centering the voices of BAAGBM through in-depth qualitative narratives that reveal culturally specific mechanisms of risk often overlooked in broader HIV research.