Human Immunodeficiency Virus (HIV) Risk, Prevention, and Testing Behaviors--United States, National HIV Behavioral Surveillance System: Men Who Have Sex with Men, November 2003-April 2005

Sanchez, Travis; Finlayson, Teresa; Drake, Amy; Behel, Stephanie; Cribbin, Melissa; DiNenno, Elizabeth; Hall, Tricia; Kramer, Stacy; Lansky, Amy

doi:10.1037/e614442007-001

Cited by 151 publications

(182 citation statements)

References 17 publications

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“…7 A survey of about 10,000 men who have sex with men conducted in 2003-2005 by the Centers for Disease Control and Prevention in 17 US metropolitan areas found that 14% also reported having sex with women in the previous 12 months. 8 While this study did not report on racial/ethnic differences in male bisexuality, a review of 26 studies by Millet and colleagues 5 concluded that among MSM in the USA, bisexual behavior is more prevalent among blacks than whites and Latinos.…”

Section: Introductionmentioning

confidence: 76%

Differences in Sexual Identity, Risk Practices, and Sex Partners between Bisexual Men and Other Men among a Low-Income Drug-Using Sample

et al. 2009

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Men who have sex with men and women (MSMW) represent an important target population for understanding the spread of HIV because of the inherent bridging aspect of their sexual behavior. Despite their potential to spread HIV between gender groups, relatively little recent data have been reported about this population as a subgroup distinct from men who have sex with men only. This paper analyzes data from the Chicago site of Sexual Acquisition and Transmission of HIV Cooperative Agreement Program to characterize 343 MSMW in terms of their demographics, drug use, sexual risk behavior, sexual identity, and sex partners. Results show the MSMW sample to be extremely disadvantaged; to have high rates of drug use, including injection and crack use; to report more female than male sex partners; to not differ from gay and heterosexual men in rates of condom use; and, for the most part, to report sexual identities that are consistent with their sex behavior. MSMW represent an important subpopulation in the HIV epidemic and should be targeted for risk reduction interventions.

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Section: Introductionmentioning

confidence: 76%

Differences in Sexual Identity, Risk Practices, and Sex Partners between Bisexual Men and Other Men among a Low-Income Drug-Using Sample

et al. 2009

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“…30 Demographic information included age, ethnicity, education, health insurance, housing, religious affiliation, sexual identification, and disclosure of MSM status (i.e., "outness"). Questions assessed substance use during sex in the prior 12 months, including use and frequency of nonparenteral and injection drug use (IDU).…”

Section: Quantitative Assessment and Measuresmentioning

confidence: 99%

“…30 Questions were asked about sexual partners (men, women, and transgender partners) including where participants met their sexual partners (i.e., sexual networks); demographic information about their most recent main male partner (i.e., spouse, boyfriend) and their most recent nonmain male partner (i.e., casual partner or "hook-up"), including race/ethnicity, HIV status, drug/alcohol use at last sex, and other characteristics; and specific sexual practices as well as the gender, HIV status, and type of partner.…”

Section: Quantitative Assessment and Measuresmentioning

confidence: 99%

Sexual Mixing Patterns and Partner Characteristics of Black MSM in Massachusetts at Increased Risk for HIV Infection and Transmission

et al. 2009

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Black men who have sex with men (MSM) are at increased risk for HIV infection in the United States compared to other MSM. The aim of this study was to investigate Black MSM's sexual mixing patterns and partner characteristics in relation to sexual risk taking, as a possible explanation for this observed increase in HIV incidence. Between January and July 2008, 197 Black MSM were recruited via modified respondent-driven sampling and completed optional pretest and post-test HIV serological testing, counseling, and a demographic, behavioral, and psychosocial assessment battery. Bivariate and multivariable logistic regression procedures were used to examine predictors of risky sex across partner types. Overall, 18% of the sample was HIV-infected; 50% reported unprotected intercourse with men, 30% with women, and 5% with transgender partners. Fifty-three percent identified as bisexual or straight, although all reported oral or anal sex with another man in the prior 12 months. Significant predictors of engaging in at least one episode of: (1) serodiscordant unprotected anal sex (UAS) with a male partner in the past 12 months: individuals at risk for social isolation (AOR=4.23; p=0.03), those with unstable housing (AOR=4.19; p=0.03), and those who used poppers at least weekly during sex (AOR=5.90; p=0.05); (2) UAS and/or unprotected vaginal intercourse with a female partner in the past 12 months: those with unstable housing (AOR=4.85; p=0.04), those who used cocaine at least weekly during sex (AOR=16.78; p=0.006), being HIV-infected (AOR=0.07; p=0.02), and feeling social norms favor condom use (AOR=0.60; p=0.05); (3) UAS with the participants' most recent nonmain male sex partner: use of alcohol and drugs during last sex by participant (AOR=4.04; p=0.01), having sex with a Hispanic/ Latino male (AOR=2.71; p=0.04) or a Black male (AOR=0.50; p=0.05) compared to a White male, and lower education (AOR=1.31; p=0.02). Findings suggest that sexual risk behaviors of Black MSM differ across partner type and by the characteristics of their sexual networks and that this subpopulation of MSM are at high risk for HIV acquisition and transmission. Effective prevention strategies need to address the distinct sexual and behavioral risk patterns presented by different sexual partnerships reported by Black MSM.

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“…. Several studies have indicated that this percentage may be higher among black MSM (Montgomery, Mokotoff, Gentry, & Blair, 2003;Sanchez et al, 2006). In general, MSMW are less likely to be HIV-positive than MSMO, but more likely to be HIV-positive than men who have sex with only women (Levin, Koopman, Aral, Holmes, & Foxman, 2009;Zule et al, 2009).…”

mentioning

confidence: 99%

“…Black MSMW may also be more likely than MSM of other race/ethnicities to have undiagnosed infection (Maulsby, Sifakis, German, Flynn, & Holtgrave, 2012;Young, Shoptaw, 5 It is likely that sexual behaviors differ between male, female, and transgender partners of MSMW . Some research suggests that MSMW practice more unprotected sex with their female partners than with their male partners (Dodge, Jeffries, & Sandfort, 2008;Mimiaga et al, 2009) and with primary partners compared to non-primary partners (Sanchez et al, 2006;Sullivan, Salazar, Buchbinder, & Sanchez, 2009). Harawa et al noted that Black MSMW who had only primary female partners had fewer male partners and were also more likely to have only primary partners .…”

mentioning

confidence: 99%

HIV Acquisition and Transmission Potential Among African American Men Who Have Sex with Men and Women in Three U.S. Cities

et al. 2017

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Black men who have sex with men and women (BMSMW) are at increased HIV risk, but few efficacious interventions meet their unique needs. Three HIV prevention interventions were evaluated with a common protocol. Baseline data were pooled to describe sexual behavior involving transmission risk with male, female, and male-to-female transgender partners and identify factors associated with transmission risk. BMSMW from Los Angeles, Philadelphia, and Chicago who reported sexual risk and bisexual behavior in the past year were recruited via modified chain referral sampling and community recruitment. Baseline assessments were conducted via audio computer-assisted interview and sexual behaviors assessed over the past 3 months. From

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Human Immunodeficiency Virus (HIV) Risk, Prevention, and Testing Behaviors--United States, National HIV Behavioral Surveillance System: Men Who Have Sex with Men, November 2003-April 2005

Cited by 151 publications

References 17 publications

Differences in Sexual Identity, Risk Practices, and Sex Partners between Bisexual Men and Other Men among a Low-Income Drug-Using Sample

Differences in Sexual Identity, Risk Practices, and Sex Partners between Bisexual Men and Other Men among a Low-Income Drug-Using Sample

Sexual Mixing Patterns and Partner Characteristics of Black MSM in Massachusetts at Increased Risk for HIV Infection and Transmission

HIV Acquisition and Transmission Potential Among African American Men Who Have Sex with Men and Women in Three U.S. Cities

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