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The groups identified a sexual hierarchy in men's preferences for methods of partner notification. The hierarchy consisted of main men (Cake Daddies), second men (Second Hitters), and third or fourth men (Third Players), with placement depending on age, income, and social status. Health department employees affirmed the existence of a sexual hierarchy in a separate focus group. Sexual and economic bartering formed the basis of the hierarchy, and the secrecy involved in such arrangements presented a considerable challenge for STI control. Disease intervention specialists who were responsible for contact tracing spoke of cat\u2010and\u2010mouse methods in contacting the men without understanding fully exactly how the hierarchy influenced men's responses to partner notification. The findings suggest that STI control efforts must take the sexual hierarchy and its privacy implications into account if partner notification methods are to be acceptable to African American men.<\/jats:p>","DOI":"10.1525\/maq.2005.19.4.383","type":"journal-article","created":{"date-parts":[[2005,11,28]],"date-time":"2005-11-28T19:02:06Z","timestamp":1133204526000},"page":"383-401","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Partner Notification Methods for African American Men Being Treated for Trichomoniasis: A Consideration of Main Men, Second Hitters, and Third Players"],"prefix":"10.1111","volume":"19","author":[{"given":"Bronwen","family":"Lichtenstein","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane R.","family":"Schwebke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,1,8]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1047-2797(03)00129-7"},{"key":"e_1_2_1_3_1","volume-title":"No Magic Bullet: A Social History of Venereal Disease in the United States since 1880","author":"Brandt Allan M.","year":"1987"},{"key":"e_1_2_1_4_1","unstructured":"Centers for Disease Control and Prevention (CDC)2002Healthy People 2010. 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