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The next steps we take with regard to BMSM will shape the evolution of prevention and intervention programs and policies in the years to come. Organizations such as The Balm in Gilead and Interfaith HIV Network hold conferences, provide capacity building to churches and pastors, disseminate HIV educational materials, and create a medium by which issues of sexuality and HIV can now be discussed in the Black faith-based community. Arch Sex Behav. These findings demonstrate the need for a holistic approach to addressing increased HIV infectivity among BMSM that evaluates the complex relationship between possible biological cofactors, such as high STD prevalence and high viremia and social variables, such as racism, sexual prejudices, and poverty, that can influence access to and adherence with medial care. Additionally, interventions should be offered in familiar and empowering settings. For example, for HIV-seropositive gay men, traumatic events, such as the death of a partner, or attributions of negative experiences to self can predict faster CD4 decline and progression of disease. Robust research on and effective outreach to BMSM requires the identification of diverse recruitment venues to reach and serve a population that is equally diverse in its sexual experiences and identification. HIV prevention initiatives based on a more accurate reporting of sexual behavior will more adequately reflect the life experiences of BMSM. Twenty-two years into the HIV epidemic, we find ourselves at a watershed. Franklin C. We concluded that access to and quality of health care services received by BMSM can be influenced by both the internalization of their everyday discriminatory experiences and negative interactions with medical staff. Bush LV. Unrecognized HIV infection, risk behaviors, and perceptions of risk among young black men who have sex with men—six US cities, — Psychosom Med. Immune system changes after the death of a partner in HIV-positive gay men.
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