Exploring HIV Prevention Needs for Nongay-Identified Black and African American Men Who Have Sex With Men: A Qualitative Exploration

Abstract
Objectives: The objectives of this study were to describe ways in which black men who have sex with men (MSM) identify their sexual identities, explore their views of HIV prevention interventions, and assess barriers to recruiting men for future study participation. Study Design: Focus groups were conducted with 25 black MSM who have sex with women. Thematic analyses were conducted. Results: Factors influencing HIV/AIDS prevention perceptions included men's responses and reactions to homosexual labels and vies, sexual behaviors, contextual factors, and self-worth. Men also expressed a need to discuss ambivalent feelings about same-sex sexual encounters. Conclusion: The qualitative study provided insights into the significance of sexual identity and sexual labeling for black MSMs' HIV prevention needs.