title: Bisexually active Black men in the United States and HIV: acknowledging more than the "Down Low".
abstract: HIV is disproportionately impacting Black men who have sex with men and heterosexual women in the United States. Current speculation posits a "bisexual bridge" of HIV transmission connecting these two subpopulations of the Black community. Specifically, bisexually active Black men who identify as heterosexual but do not disclose their same-sex behavior, or "down low" (DL) men, have received the most attention and blame as the primary group fueling this epidemic. This essay explores the current knowledge and limitations of public health research on bisexually active Black men. Implications for future research initiatives are discussed.
authors.affiliation: Division of General Medicine, Emory University School of Medicine, 49 Jesse Hill Jr. Drive, Suite 413, Atlanta, GA 30303, USA. dmalebr@emory.edu
authors.forename: David J
authors.initials: DJ
authors.lastname: Malebranche
mesh_terms: D001727:Bisexuality / Q000706:statistics & numerical data*; D044383:Black People / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000453:epidemiology*; D006801:Humans; D008297:Male; D014342:Truth Disclosure; D014481:United States / Q000453:epidemiology; D001741:Black or African American