%0 Journal Article
%T Contemplating Co
%A Beatriz Valdes
%A Elias Provencio-Vasquez
%A Joseph P. De Santis
%A Narciso Quidley-Rodriguez
%A Steve L. Alves
%J Hispanic Health Care International
%@ 1938-8993
%D 2018
%R 10.1177/1540415318790554
%X HIV infection continues to be a serious health concern globally. Of the 1.2 million people with HIV infection in the United States, men who have sex with men (MSM) account for 57% of cases. Hispanic/Latino individuals accounted for 24% of new HIV diagnoses, with male-to-male sexual contact responsible for the majority of cases. A factor in HIV prevention is the sexual decision-making process. The purpose of this study was to describe the process by which sexual decision making occurs among Hispanic MSM. Utilizing a grounded theory approach, 19 in-depth, semistructured interviews were conducted from participants ages 25 to 65 years living in South Florida. After consent, participants completed an in-depth interview. Interviews were audio-recorded and transcribed verbatim. Data were analyzed to identify categories and subcategories. A theory grounded in the data called Contemplating Co-Occurring Cultures (Hispanic, gay, and health cultures) emerged that described the central phenomenon. These co-occurring cultures were the foundation of sexual decision making among participants. Clinicians providing care to this population should be aware of the complexity of the sexual decision-making process. Awareness of these factors may provide the opportunity for HIV risk reduction strategies developed specifically for Hispanic MSM
%K decision making
%K gay/bisexual men
%K Hispanics
%K men
%K sexual behaviors
%U https://journals.sagepub.com/doi/full/10.1177/1540415318790554