Background Limited research has targeted HIV risk among heterosexual African-American men in the rural south-eastern United States.
Methods: A cross-sectional survey was administered to 538 men to assess HIV knowledge, attitudes towards HIV testing and sexual risk behaviour.
Results: Fifty-one percent reported consistent condom use in the past 3 months. Monogamous men reported more consistent condom use (t=3.47, d.f.=536, P<0.001). In concurrent partnerships, condom use was inversely related to age (adjusted odds ratio (AOR)=0.98, 95% confidence interval (CI)=0.95-0.998, P=0.03) and increased with the number of female partners (AOR=1.49, 95% CI=1.26-1.76, P<0.001).
Conclusions: African-American HIV prevention outreach should include focus on concurrent partnering in rural settings.