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This Article Full Text Full Text (PDF) All Versions of this Article: AJPH.2008.140681v1 99/6/1013    most recent Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Google Scholar Articles by Wilson, P. A. Articles by Moore, T. E. PubMed PubMed Citation Articles by Wilson, P. A. Articles by Moore, T. E. Related Collections Gender Health Promotion HIV/AIDS Public Health Practice African Americans/Blacks Men's Health

Patrick A. Wilson, PhD, MA and Terrance E. Moore, BA

Patrick A. Wilson is with the Mailman School of Public Health, Columbia University, New York, NY. Terrance E. Moore is with the National Alliance of State and Territorial AIDS Directors (NASTAD), Washington, DC.

Correspondence: Requests for reprints should be sent to Patrick A. Wilson, Mailman School of Public Health, Department of Sociomedical Sciences, 722 W. 168th St., New York, NY 10032 (e-mail: pw2219{at}columbia.edu).

In the United States, Black men who have sex with men (MSM) are disproportionately affected by HIV/AIDS. Thus, there is a need to understand the challenges facing health departments and community-based organizations responding to the HIV epidemic among this population. We interviewed 71 AIDS program directors, health department staff, and leaders of community-based organizations in 9 states and the District of Columbia. Participants identified psychosocial factors, a lack of capacity-building efforts, and stigma as barriers to HIV prevention responses targeting Black MSM. Participants identified culturally competent staff and culturally sensitive interventions as facilitating prevention responses. To ensure that HIV/AIDS interventions targeting Black MSM are effective, it is imperative to solicit the perceptions of frontline workers in health departments and community-based organizations.