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Sociodemographic and risk behavior characteristics associated with unprotected sex with women among black men who have sex with men and women in New York City

Tieu, HV and Spikes, P and Patterson, J and Bonner, S and Egan, JE and Goodman, K and Stewart, K and Frye, V and Xu, G and Hoover, DR and Koblin, BA (2012) Sociodemographic and risk behavior characteristics associated with unprotected sex with women among black men who have sex with men and women in New York City. AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, 24 (9). 1111 - 1119. ISSN 0954-0121

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Abstract

The objectives of this cross-sectional study were to compare sociodemographic and risk behavior characteristics between black men who have sex with both men and women (MSMW) and those who have sex with men only (MSMO) and assess factors associated with having any unprotected vaginal and/or anal intercourse (UVAI) with women in the last 3 months. Data from 326 black men who reported recent unprotected anal intercourse with a man in an HIV behavioral intervention study in New York City were analyzed. Baseline characteristics were compared between MSMW and MSMO, and factors associated with having any UVAI in the past 3 months with women among MSMW were evaluated. In total, 26.8% reported having sex with both men and women in the last 3 months. MSMW were less likely to be HIV infected, use amyl nitrates, and have unprotected receptive anal sex with most recent male partner. MSMW were more likely to be over 40 years old and use heroin. A total of 55.6% of MSMW reported having UVAI with women in the last 3 months. Compared to MSMW having only protected sex, MSMW having any UVAI with women were less likely to be HIV infected and to disclose having sex with men to female partners; they were more likely to have greater than four male sex partners in the last 3 months. In conclusion, HIV prevention interventions among black MSMW should directly address the risk of HIV transmission to both their female and male partners. Disclosure of bisexuality to female partners may be an important component of future prevention efforts. © 2012 Taylor & Francis.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Tieu, HV
Spikes, P
Patterson, J
Bonner, S
Egan, JEjee48@pitt.eduJEE48
Goodman, K
Stewart, K
Frye, V
Xu, G
Hoover, DR
Koblin, BA
Centers: Other Centers, Institutes, or Units > Center for LGBT Health Research
Date: 1 September 2012
Date Type: Publication
Journal or Publication Title: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume: 24
Number: 9
Page Range: 1111 - 1119
DOI or Unique Handle: 10.1080/09540121.2012.672723
Schools and Programs: Graduate School of Public Health > Behavioral and Community Health Sciences
Refereed: Yes
ISSN: 0954-0121
Date Deposited: 12 Jun 2013 21:14
Last Modified: 02 Feb 2019 16:58
URI: http://d-scholarship.pitt.edu/id/eprint/18893

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