Sexual partner concurrency of urban male and female STD clinic patients: a qualitative study.

Partner concurrency (i.e., overlapping sexual partnerships) facilitates the spread of STDs, including HIV. The present study explored the context of and motivations for partner concurrency among patients recruited from an urban STD clinic. Eight focus groups were conducted with 59 patients (47% women; 77% African American). Qualitative analyses revealed five motivational themes related to the occurrence of concurrent partnerships for men and women. Participants reported these partnerships tend to occur: when people believe that sexual partners are unfaithful or cannot be trusted; when sexual satisfaction is low; when patients report the need for different partners to fulfill multiple needs; in retaliation for a partner's concurrency; and when people wish to maintain a sexual relationship with an ex-partner who is the parent of a shared child. Four additional themes unique to men were identified. Men reported that they had multiple partners because this practice supports their sense of masculinity and is consistent with familial modeling and community norms, and because having multiple partners is "in a man's nature." Men also mentioned that the imbalance in the number of women-to-men in their sexual network facilitates partner concurrency. These findings can help prevention practitioners and researchers to develop interventions to reduce risk associated with partner concurrency.

Building holistic HIV/AIDS responses in African American urban faith communities: a qualitative, multiple case study analysis.

Holistic prevention strategies are increasingly more effective in eradicating the national human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) health crisis, which disproportionately affects African Americans. Faith communities have been integral in advancing African American community welfare; however, little is understood about their evolving role in HIV prevention. This article reports the findings from a study conducted in Washington, DC, that identifies the factors that shape the holistic development of HIV/AIDS-prevention programs within African American faith communities. By providing policy recommendations, the research illuminated a useful theoretic framework and opportunities to more holistically address current social and structural challenges in prevention efforts among faith-health leaders in similar environments.