The Interaction of Sexual Identity With Sexual Behavior and Its Influence on HIV Risk Among Latino Men: Results of a Community Survey in Northern San Diego County, California

Zellner, Jennifer; Martínez-Donate, Ana P.; Sañudo, Fernando; Fernández-Cerdeño, Araceli; Sipan, Carol L.; Hovell, Melbourne F.; Carrillo, Héctor

doi:10.2105/ajph.2007.129809

Cited by 50 publications

(41 citation statements)

References 27 publications

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“…Other studies have noted this discrepancy between self-reported sexual orientation and sexual behaviour among Hispanic men. Zellner and colleagues 25 reported that among the 80 participants in their sample of Hispanic men who reported lifetime history of anal intercourse with a male partner, 38% identified as heterosexual, 18% identified as bisexual, and 40% identified as gay MSM. Furthermore, Zellner reported that Hispanic heterosexual men who reported sex with both men and women were more likely to report a history of STIs.…”

Section: Discussionmentioning

confidence: 99%

Sexually transmitted infection diagnoses among Hispanic immigrant and migrant men who have sex with men in the United States

et al. 2016

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Background: Hispanic immigrant/migrant men who have sex with men should be at higher risk for sexually transmitted disease/human immunodeficiency virus (STD/HIV) infections given individual-level factors associated with the migration process that have been theorised to increase susceptibility to STD/HIV infections among migrant populations, yet relatively little is known if these individual level factors are actually associated with a sexually transmitted disease infection among this population. Methods: During 2005-2007, 2576 men and women foreign-born Hispanics were surveyed at three community-based organisations offering services to immigrant/migrant communities. We analysed demographic characteristics, sexual risk behaviours, migration patterns, and factors associated with a sexually transmitted disease diagnoses (syphilis, chlamydia, and gonorrhea) in the past 12 months among Hispanic immigrant/migrant men who have sex with men. Results: Of 1482 Hispanic immigrant/migrant men surveyed who reported having sex in the past 12 months, 353 (24%) reported sex with a man, and of these, 302 answered questions regarding whether or not they had been diagnosed with a bacterial sexually transmitted disease in the past year. Of these 302 men, 25% reported being married; 42% self-identified as being heterosexual and 20% as bisexual. Twenty-nine (9.6%) men reported that they received a sexually transmitted disease diagnosis in the past year. In the multivariate logistic regression model, men who reported receiving money or goods for sex had increased odds of a self-reported sexually transmitted disease diagnosis. Conclusions: The prevalence of bacterial sexually transmitted diseases among Hispanic immigrant/migrant men who have sex with men is lower than the prevalence of bacterial sexually transmitted diseases among other men who have sex with men in the United States. Nevertheless, receiving money or goods for sex was significantly associated with a selfreported sexually transmitted disease diagnosis among Hispanic immigrant/migrant men who have sex with men. It is important to understand factors contributing to participation in exchange sex among this population. Human immunodeficiency virus/sexually transmitted disease prevention interventions tailored to non-gay identifying men who have sex with men are important for Hispanic immigrant/migrant men who have sex with men.

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Section: Discussionmentioning

confidence: 99%

Sexually transmitted infection diagnoses among Hispanic immigrant and migrant men who have sex with men in the United States

et al. 2016

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“…Numbers of self-identified bisexual men in these samples are often smaller. The relationship between sexual behavior and identity is complex (Muñoz-Laboy & Dodge, 2007;Wilson, 2008;Zellner et al, 2009). In general, self-identified bisexual individuals also report high rates of bisexual behaviors (Dodge, Jeffries, & Sandfort, 2008;Stokes, McKirnan, & Burzette, 1993;Stokes, Vanable, & McKirnan, 1997).…”

Section: Little Public Health Research Has Explored Male Bisexuality mentioning

confidence: 99%

Beyond “Risk”: Exploring Sexuality among Diverse Typologies of Bisexual Men in the United States

Dodge

Rosenberger

Schick

et al. 2012

Journal of Bisexuality

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Little public health research has explored male bisexuality and the wide range of behaviors experienced by bisexual men beyond disease transmission and other negative consequences. There is a general lack of information on diverse expressions of sexuality among diverse groups of bisexual men in the United States. Researchers collected data on a wide range of variables related to sexual behavior from a sample of 26,042 participants, recruited via a large social and sexual networking Website. Four distinct typologies of male bisexuality were constructed: self-identified bisexual, bisexual dating, bisexual with current sexual partners and bisexual by behavior. These categories were examined individually as well as compared and contrasted with one another. Demographic characteristics varied among men depending on bisexual categorization. Although participants that identified as bisexual within each typology often met criteria for other categories for other typologies, there was no absolute overlap between categories. The recency and frequency of sexual behaviors significantly varied based upon the participant's bisexual typology. Findings suggest that previous research 13 14 Journal of Bisexuality on bisexual men's sexual behaviors and sexual risk behaviors may be misleading if bisexuality is restricted to a single typology. Further research should examine the potential subjective meanings and health implications of diverse typologies of male bisexuality, beyond sexual risk. Comprehensive and insightful research on aspects of life other than disease infection and transmission among bisexual men will help to ensure a more accurate understanding of male bisexuality in a comprehensive sexual health framework. KEYWORDS bisexuality, bisexual men, men who have sex with both men and women (MSMW), sexual behavior, sexual experience, typologies

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“…Self-identified sexual orientation frequently does not correspond to sexual behavior (Millett, Malebranche, Mason, & Spikes, 2005;Montgomery, Mokotoff, Gentry, & Blair, 2003;Wolitski, Jones, Wasserman, & Smith, 2006;Zellner et al, 2009). Research suggests that Latino men are more likely than White men to engage in bisexual behavior (Chu, Peterman, Doll, Buehler, & Curran, 1992;Doll et al, 1992;Montgomery et al, 2003), but are less likely to disclose their sexual orientation to others (Mason, Marks, Simoni, Ruiz, & Richardson, 1995;Zea, 1999;Zea, Reisen, & Diaz, 2003).…”

Section: Introductionmentioning

confidence: 99%

“…Recent research suggests that men who have sex with men and women (MSMW) are at greater risk for HIV than men who exclusively have sex with men (MSM) and men who exclusively have sex with women (MSW) (Brooks, Rotheram-Borus, Bing, Ayala, & Henry, 2003;Los Angeles County Department of Health Services, 2000;Munoz-Laboy & Dodge, 2007;Prabhu, Owen, Folger, & McFarland, 2004;Zellner et al, 2009). Men's nondisclosure of same-gender sexual practices also has implications for the health of their female sex partners (Chu et al, 1992;Montgomery et al, 2003;Siegel, Scrimshaw, Lekas, & Parsons, 2008).…”

Section: Introductionmentioning

confidence: 99%

Hombres Sanos: Exposure and Response to a Social Marketing HIV Prevention Campaign Targeting Heterosexually Identified Latino Men Who Have Sex with Men and Women

Martínez-Donate

Zellner²,

Fernández-Cerdeño³

et al. 2009

AIDS Education and Prevention

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This study examined the reach and impact of a social marketing intervention to reduce HIV risk among heterosexually identified (HI) Latino men who have sex with men and women (MSMW). Repeated cross-sectional intercept surveys were conducted in selected community venues during and after the campaign with 1,137 HI Latino men. Of them, 6% were classified as HI Latino MSMW. On average, 85.9% of the heterosexual respondents and 86.8% of the HI MSMW subsample reported exposure to the campaign. Responses to the campaign included having made an appointment for a male health exam that included HIV testing and using condoms. Campaign exposure was significantly associated with HIV testing behavior and intentions and with knowledge of where to get tested. The campaign reached its underserved target audience and stimulated preventive behaviors. Social marketing represents a promising approach for HIV prevention among HI Latinos, in general, and HI Latino MSMW, in particular. HOMBRES SANOS CAMPAGN EXPOSURE 125 BACKGROUND

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The Interaction of Sexual Identity With Sexual Behavior and Its Influence on HIV Risk Among Latino Men: Results of a Community Survey in Northern San Diego County, California

Abstract: Latino men who have a heterosexual identity and bisexual practices are at greater risk of HIV infection, and efforts to reduce HIV risk among Latinos should target this group.

Cited by 50 publications

References 27 publications

Sexually transmitted infection diagnoses among Hispanic immigrant and migrant men who have sex with men in the United States

Sexually transmitted infection diagnoses among Hispanic immigrant and migrant men who have sex with men in the United States

Beyond “Risk”: Exploring Sexuality among Diverse Typologies of Bisexual Men in the United States

Hombres Sanos: Exposure and Response to a Social Marketing HIV Prevention Campaign Targeting Heterosexually Identified Latino Men Who Have Sex with Men and Women

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