title: Seroprevalence of human immunodeficiency virus type 1 and sexual behaviors in bisexual African-American and Hispanic men visiting a sexually transmitted disease clinic in New York City.
abstract: A cross-sectional human immunodeficiency virus type 1 (HIV-1) serosurvey was conducted between January 1988 and January 1993 at a New York City sexually transmitted disease clinic serving predominantly African-American and Hispanic patients. Overall, 14% (415/3,069) of participating men reported having sex with men; among these, only 52 (13%) were classified as "homosexual" (having had sex with men exclusively since 1978). Most men (87%) who reported having sex with other men also reported having sex with women. These included 147 (35%) "bisexuals" (sex with more than one man and at least one woman since 1978) and 216 (52%) "heterosexuals" (sex with women since 1978 and sexual contact with men before 1978 or only once thereafter). Although HIV-1 seroprevalence was highest among "homosexual" men (70%, 95% confidence interval (CI) 55-81), it was also high among "bisexual" men (35%, 95% CI 27-43) and "heterosexual" men (17%, 95% CI 13-23), and was lowest in men who reported having no male sex partners in their lifetime (9%, 95% CI 7-10). It is possible that transmission of HIV-1 from bisexual men to female sexual partners plays a greater role in heterosexual transmission than was previously recognized.
authors.affiliation: Bureau of Disease Intervention Research, New York City Department of Health, NY, USA.
authors.forename: T
authors.initials: T
authors.lastname: Lehner
authors.forename: M A
authors.initials: MA
authors.lastname: Chiasson
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American; D001727:Bisexuality; D002648:Child; D002675:Child, Preschool; D018562:Disease Transmission, Infectious; D005260:Female; D015483:HIV Antibodies / Q000032:analysis; D015658:HIV Infections / Q000453:epidemiology* / Q000276:immunology / Q000635:transmission; D015528:HIV Seroprevalence; D015497:HIV-1 / Q000276:immunology*; D006630:Hispanic or Latino; D006764:Hospitals, Community; D006801:Humans; D008297:Male; D009519:New York City / Q000453:epidemiology; D009819:Office Visits; D012189:Retrospective Studies; D012307:Risk Factors; D016036:Seroepidemiologic Studies; D012725:Sexual Behavior; D011795:Surveys and Questionnaires
chemical_list: D015483:HIV Antibodies