This study applied an 8-item index of recent sexual-risk behaviors to young Black men who have sex with men (YBMSM) and evaluated the distribution for normality. The distribution was tested for associations with possible antecedents of sexual risk. YBMSM (N = 600), aged 16–29 years, were recruited from a sexually transmitted infection clinic, located in the southern US. Men completed an extensive audio computer-assisted self-interview. Thirteen possible antecedents of sexual risk, as assessed by the index, were selected for analyses. The 8-item index formed a normal distribution with a mean of 4.77 (SD = 1.77). In adjusted analyses, not having completed education beyond high school was associated with less risk, as was having sex with females. Conversely, meeting sex partners online was associated with greater risk, as was reporting that sex partners were drunk during sex. The obtained normal distribution of sexual-risk behaviors suggests a corresponding need to “target and tailor” clinic-based counseling and prevention services for YBMSM. Avoiding sex when partners are intoxicated may be an especially valuable goal of counseling sessions.

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Published in AIDS Care, v. 29, issue 6, p. 718-723.

© 2016 Informa UK Limited, trading as Taylor & Francis Group

The copyright holder has granted the permission for posting the article here.

This is an Accepted Manuscript of an article published by Taylor & Francis in AIDS Care on 22 Nov 2016, available online: http://www.tandfonline.com/10.1080/09540121.2016.1259449.

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This work was supported by National Institute of Mental Health [grant number 5RO1MH092226].