Drug use and high-risk sexual behaviors among african american men who have sex with men and men who have sex with women.
OBJECTIVE
We investigated covariates related to risky sexual behaviors among young African American men enrolled at historically Black colleges and universities (HBCUs).


METHODS
Analyses were based on data gathered from 1837 male freshmen enrolled at 34 HBCUs who participated in the 2001 HBCU Substance Use Survey. The covariates of risky sexual behavior assessed included condom nonuse, engaging in sexual activity with multiple partners, and history of a sexually transmitted disease.


RESULTS
Young Black men who had sex with men were more likely to engage in risky sexual behaviors than were young men who had sex with women. Two additional factors, early onset of sexual activity and consumption of alcohol or drugs before sexual activity, were independently associated with modestly higher odds of sexual risk behaviors.


CONCLUSIONS
Services focusing on prevention of sexually transmitted diseases should be provided to all male college students, regardless of the gender of their sexual partners. Such a general approach should also address drug and alcohol use before sexual activity.
Prevention Sciences Research Center, Morgan State University, Baltimore, MD, USA. dbrowne@ncat.edu
Dorothy C
DC
Browne
Patricia A
PA
Clubb
Yan
Y
Wang
Fernando
F
Wagner
D000293:Adolescent; D001741:Black or African American / Q000523:psychology*; D001727:Bisexuality / Q000208:ethnology / Q000523:psychology; D017280:Condoms; D055030:Drug Users / Q000523:psychology / Q000706:statistics & numerical data; D006306:Health Surveys; D018451:Homosexuality, Male / Q000208:ethnology* / Q000523:psychology; D006801:Humans; D008297:Male; D012067:Religion; D012725:Sexual Behavior / Q000208:ethnology* / Q000523:psychology; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000208:ethnology; D012959:Socioeconomic Factors; D014481:United States; D047568:Unsafe Sex / Q000208:ethnology / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult