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Black men on the 'down low' and the implications of HIV transmission through the 'bisexual bridge' theory for their female partners: a critical review

Layne, Sylvonne (2013) Black men on the 'down low' and the implications of HIV transmission through the 'bisexual bridge' theory for their female partners: a critical review. Master Essay, University of Pittsburgh.

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Abstract

Purpose: There is a shortage of information on non-gay identified, non-disclosing African American men who have sex with men and women (MSMW). In 2010, African American men accounted for nearly 70% of the new cases of HIV. African American women accounted for 30% of newly acquired HIV infections in 2009 in which 85% became HIV positive through heterosexual sex. The purpose of this literature review is to examine literature on sexual behavior of non-gay identified, non-disclosing African American MSMW, the theory of a bisexual bridge as it applies to this population, and implications for their female partners and public health. Methods: The University of Pittsburgh Health Sciences Library System and PittCAT were used to search for literature on non-gay identified, non-disclosing African American MSMW. EBSCO and PUBMed databases were used to search key terms including African American men, Black men, MSMW, “down low”, non-disclosure, non-gay identified, bisexual bridge, and HIV transmission. The CDC website was searched for HIV statistics on African Americans, and the White House website was searched for details of the National HIV Strategy and its implementation plan. Results: The literature reviewed revealed differences in sexual behavior of Black MSMW with their male versus female partners. Black MSMW were more often found to engage in risky behavior with their female partners. They were more likely to disclose sexual behavior and HIV status to their male partners, but disclosure was on a continuum ranging from full disclosure to non-disclosure. Literature on the bisexual bridge theory was ambiguous. Some studies concluded significant evidence for the bisexual bridge while other studies did not identify significant evidence. Studies widely suggested different intervention strategies, and further research. Conclusion: Based on the literature reviewed, it is clear that there is a need for research on effective intervention strategies that focus on HIV and sexual behavior disclosure skill-building. In addition, there needs to be increased emphasis on safer sexual practice education to reach Black MSMW. This includes national and local grassroots campaigns in accordance with the National AIDS Strategy. Women should also be educated about controlling of their own sexual health and the issues related to HIV transmission and MSMW. Although the validity of the bisexual bridge theory is unclear, Black MSMW and their female partners should be educated to prevent HIV transmission regardless of the route.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Layne, Sylvonne
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairFrank, Lindafrankie@pitt.eduFRANKIEUNSPECIFIED
Committee MemberTerry, Marthamaterry@pitt.eduMATERRYUNSPECIFIED
Date: April 2013
Date Type: Submission
Defense Date: April 2013
Submission Date: 3 April 2013
Access Restriction: 1 year -- Restrict access to University of Pittsburgh for a period of 1 year.
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Infectious Diseases and Microbiology
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Uncontrolled Keywords: HIV, HIV, Prevention, HIV, Transmission, African, American/Black, MSMW, Down, Low
Date Deposited: 06 May 2015 14:17
Last Modified: 01 Jul 2019 14:00
URI: http://d-scholarship.pitt.edu/id/eprint/18157

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