title: Black men who have sex with men and the association of down-low identity with HIV risk behavior.
abstract: Black men "on the down low" have been considered prime agents of HIV transmission in the Black community despite little empirical evidence. We assessed the relationship between down-low identification and sexual risk outcomes among 1151 Black MSM. Down-low Identification was not associated with unprotected anal or vaginal sex with male or female partners. Future HIV prevention programs and research should target sexual risk behaviors of Black men, irrespective of identity, and not focus on the "down low."
authors.affiliation: Public Health Management Corporation, 260 South Broad St, Philadelphia, PA 19102-5085, USA. lisab@phmc.org
authors.forename: Lisa
authors.initials: L
authors.lastname: Bond
authors.forename: Darrell P
authors.initials: DP
authors.lastname: Wheeler
authors.forename: Gregorio A
authors.initials: GA
authors.lastname: Millett
authors.forename: Archana Bodas
authors.initials: AB
authors.lastname: LaPollo
authors.forename: Lee F
authors.initials: LF
authors.lastname: Carson
authors.forename: Adrian
authors.initials: A
authors.lastname: Liau
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000453:epidemiology* / Q000635:transmission; D018451:Homosexuality, Male / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011287:Prejudice; D018570:Risk Assessment; D012309:Risk-Taking; D012725:Sexual Behavior; D014481:United States / Q000453:epidemiology; D055815:Young Adult