HIV risk among bisexually and homosexually active racially diverse young men.
OBJECTIVE
We addressed gaps in current HIV prevention research by examining the differences between 2 groups of young men: men who have sex with men only (MSM/O) and men who have sex with men and women (MSM/W). We examined patterns and correlates of sexual risk, and considered how race/ethnicity may affect these relationships.


METHODS
Cross-sectional self-report data were collected from a racially diverse sample of 10,295 young MSM from 1999 to 2002. The sample comprised data from 13 urban locations across the US.


RESULTS
MSM/W reported less unprotected anal intercourse (UAI) than MSM/O, despite reporting less exposure to HIV prevention interventions, lower social support, and less awareness of antiretroviral therapies. African American men were more likely to be MSM/W and less likely to report UAI. Ever getting an HIV test was associated with less UAI only among African American participants (MSM/W or MSM/O) in racial/ethnic group-specific analyses.


CONCLUSIONS
HIV prevention interventions for MSM should address differences between MSM/W and MSM/O. An important component of HIV prevention efforts designed for African American MSM/W and MSM/O should be HIV testing.
Flores
Stephen A
SA
Centers for Disease Control and Prevention 1600 Clifton Road, Atlanta, GA, USA. sflores@cdc.gov
Bakeman
Roger
R
Millett
Gregorio A
GA
Peterson
John L
JL
D000293:Adolescent; D000328:Adult; D044466:Asian People; D001727:Bisexuality; D044383:Black People; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000453:epidemiology* / Q000208:ethnology*; D006630:Hispanic or Latino; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D012307:Risk Factors; D012725:Sexual Behavior; D012944:Social Support; D014481:United States / Q000453:epidemiology; D047568:Unsafe Sex; D044465:White People; D001741:Black or African American