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Limited research has examined sexual victimization among U.S. college men, and particularly fraternity men. We report the prevalence of sexual assault (SA) victimization among a sample of college fraternity members and the sociodemographic variables associated with this victimization. In April 2018, we conducted a web-based survey study among a random sample of fraternity members (n = 102) from a list of all fraternity members at a large Midwestern university. We used Fisher's exact tests, Student's t -tests, and log-binomial regression models to assess associations between sociodemographic variables and any SA victimization (attempted or completed penetrative sexual assault). Over a quarter (27.5%) of respondents reported experiencing any SA victimization—penetrative sexual assault (13.7%) or attempted penetrative sexual assault (25.5%)—since entering college. Age, school year, and being on a varsity sports team were significantly associated with any SA victimization (p -values: <.01, <.01, and.02, respectively). Regression analyses showed older fraternity men had experienced significantly greater prevalence of any SA victimization compared to younger fraternity men (prevalence ratio [PR]: 2.78, 95% confidence interval (CI): 1.35–5.73). Furthermore, any SA victimization was also more common among varsity sports team members (3%) compared to nonmembers (0%). These findings indicate that college men, particularly fraternity members, may experience sexual assault victimization at high rates. Our more inclusive survey language may have captured sexually violent experiences that traditional measures have not, such as "made to penetrate" experiences. We encourage the use of queries that are sensitive to the specific characteristics of male sexual violence victimization, including experiences of nonconsensual sexual activity where the victim is either the penetrated or the penetrator. Furthermore, prevention efforts and supportive services for survivors should be expanded to better address male SA victimization on college campuses. [ABSTRACT FROM AUTHOR]

This community-based study explored the lived experiences of being in and going through the rural HIV care continuum among 15 gay and bisexual men (GBM) with HIV who live in a rural area of a Midwestern state. Our analysis adapted a six-step interpretative phenomenological analysis. Five themes emerged that reflected the five continuum stages: 1) Diagnosis means death, 2) Linkage to care means uncertainty, 3) HIV care improves the quality of life lost pre- or peri-diagnosis, 4) ART implies life, and 5) Undetectable addresses the medical but not social aspects of HIV. Participants recalled they faced and continue to face social determinants, stigma, and chronic and mental health conditions. Findings provide future research directions and practical implications to address social determinants of health, promote chronic and mental health, and reduce interpersonal stigma throughout all HIV care continuum stages. [ABSTRACT FROM AUTHOR]