Marseille 2007
| Abstract #534 - In search of Black men who have sex with men MaBwana Black mens study | ||||
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Session: 26.2: Posters B (Poster) on Tuesday in Chaired by Authors: Presenting Author: Dr Clemon George - St. Michael's Hospital, Canada |
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| Additional Authors: Ms Lydia Makoroka, Dr Winston Husbands, Dr Barry Adam, Dr Robert Remis, Dr Sean Rourke, Dr Joseph Beyene, | ||||
| Aim: Epidemiological evidence suggests that HIV is a serious issue for Black men who have sex with men (BMSM) in Toronto, yet research evidence that should inform programs and services for these men is lacking. Black men are particularly difficult to recruit for such studies, using traditional recruitment strategies. Therefore, a community based research study using multiple methods of recruitment was developed to improve understanding of African and Caribbean MSM communities and networks in Toronto their sociodemographic characteristics, dating and relationships, risk behaviours, determinants of risk, and other issues that may influence access to HIV prevention and support. This resume focuses on one aspect of our recruitment strategy- Key Informant (KI) interviews. The KI interviews aim to identify key issues related to BMSM that may not have been well documented, facilitate recruitment of participants, and enhance our understanding of how organizations identify and respond to the health needs of Black MSM, especially issues related to sexual behaviour and HIV. | ||||
| Method / Issue: As there is no established sampling frame for studying this hidden community, we began the study using KI from AIDS Service Organisations (ASOs), other health-related organizations, African and Caribbean community organizations, BMSM community organizations or networks, and individuals experienced and knowledgeable about BMSM communities and networks. We conducted 9 face-to-face semi-structured interviews of approximately 60 minutes in length. Interviews were conducted by 2 persons and notes were taken. The analysis involved a thematic approach to the data. | ||||
| Results / Comments: Four KI were from organizations providing HIV related services to MSM and 5 were individuals not directly associated with these organizations but knowledgeable of the BMSM community. The informants indicated that the main challenges facing BMSM communities include lack of support from mainstream black organizations; and a need for more basic information on HIV transmission including viral load, and perceptions of risks. The informants identified homophobia as being pervasive in the black community; racism as a barrier for BMSM in connecting with the broader MSM community; addiction as being a result of isolation and depression; and the need for well defined support for BMSM. The key informants also nominated non-traditional venues for recruiting BMSM. | ||||
| Discussion: Through consultations with KI serving BMSM or knowledgeable of their community, we aim to have as study that is grounded in the lives of Black MSM and sensitive to their needs. This information is being used to address gaps in the research data collection instruments, including the relevance and appropriateness of questions used in both the quantitative and qualitative phases of the study and will serve as a guide in locating and recruiting these hard to reach men. | ||||
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