Vulnerability to HIV infection in men who have sex with men

In this chapter we explore the socio-cultural factors that influence vulnerabilities associated to HIV infection for men who have sex with men (MSM) in the small Caribbean nation, Grenada. Forty-seven Grenadian MSM ages 16 to 42 years provided data regarding homophobia, stigma and discrimination, sexual behaviors, HIV/AIDS, and sexually transmitted infections (STIs). Results indicated that MSM who participated in a formal educational program were significantly more likely than non-participants to obtain HIV testing every 10-12 months. Since stigma and discrimination were found to affect both groups, successful HIV interventions within communities that seek to engage MSM need to focus on ensuring confidentiality, creating safe spaces, and enhancing cultural and linguistic competence.