Comparison of Selected Sociodemographic Characteristics and Sexual Risk Behaviors of Black/African American Men Who Have Sex with Men Only and Men Who Have Sex with Men and Women, Southeastern United States, 2013–2016

Abstract

Purpose-Compare selected sociodemographic and sexual risk characteristics of black/African American (black) men who have sex with men only (MSMO) and men who have sex with men and women (MSMW) in the southeastern United States (the South). Methods-We conducted bivariate and multivariable analyses to explore the sociodemographic characteristics and sexual risk behaviors of 584 MSMW and MSMO in the South. Results-MSMW had lesser odds of having a college or graduate degree (aOR = 0.32; 95% CI = 0.19, 0.54) and having ≥ 2 male oral sex partners (aOR = 0.20; 95% CI = 0.08, 0.48) compared to MSMO. MSMW had greater odds of being homeless (aOR = 3.11; 95% CI = 1.80, 5.38) and selecting "top" sexual position (aOR = 1.70; 95% CI = 1.07, 2.72) compared to MSMO. Conclusion-MSMW in the South experience social and structural factors that may affect their risk for HIVinfection. Strategies to address these factors should be considered in prevention and care efforts for this population.

Oral sex practices among men who have sex with men and transgender women at risk for and living with HIV in Nigeria

“…Our data expands on prior work, as it demonstrates an increased odds of oral sex with increasing number of male anal sexual partners, and decreased odds of oral sex with two or more female sexual partners independent of HIV status. Oral sex has been reported to be less common among MSMW as compared to MSM in several other settings [ 8 , 35 – 37 ]. In a study in the Southeastern United States, MSMW were 80% less likely to have 2 or more male oral sexual partners as compared to MSM-only [ 37 ].…”

“…Oral sex has been reported to be less common among MSMW as compared to MSM in several other settings [ 8 , 35 – 37 ]. In a study in the Southeastern United States, MSMW were 80% less likely to have 2 or more male oral sexual partners as compared to MSM-only [ 37 ]. At an STI clinic in the US, oral sex practices were 8-fold lower for MSMW as compared to MSM-only (10% vs. 87%, respectively) [ 8 ].…”