title: Sex with bisexual men among black female students at historically black colleges and universities.
abstract: BACKGROUND
  Human immunodeficiency virus (HIV) disproportionately affects black women. Nearly two-thirds of all female HIV cases reported to the CDC are black, and HIV is the leading cause of death among black women aged 25 to 34 years. The greatest HIV transmission risk among black women is sexual intercourse with a man, although the role of bisexual men is not clear.
  
  
  METHODS
  The CDC and collaborating partners conducted behavioral surveys at 7 historically black colleges and universities from January 2005 to April 2007.
  
  
  RESULTS
  Of the 2705 black female students aged 18 to 29 years who were surveyed, 2040 (75%) reported being sexually active in the previous 12 months and, among sexually active women, 291 (14%) reported having sex with a bisexual man in the previous 12 months. Women who reported sex with a bisexual man were more likely than women who did not to report having at least 2 sex partners in the previous 12 months, having male and female sex partners, not using a condom at last intercourse, being in a committed relationship, never or infrequently attending church, and believing they were at increased risk for HIV infection.
  
  
  CONCLUSIONS
  Heterosexually active black women who have engaged in sexual intercourse with bisexual men have a different HIV risk profile than other heterosexually active black women.
authors.affiliation: National Center for HIV/AIDS, Viral Hepatitis, Sexually Transmitted Disease, and Tuberculosis Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Mailstop E46, Atlanta, GA 30333, USA. aav6@cdc.gov
authors.forename: Andrew C
authors.initials: AC
authors.lastname: Voetsch
authors.forename: Peter E
authors.initials: PE
authors.lastname: Thomas
authors.forename: Anna Satcher
authors.initials: AS
authors.lastname: Johnson
authors.forename: Gregorio A
authors.initials: GA
authors.lastname: Millett
authors.forename: Lynette
authors.initials: L
authors.lastname: Mundey
authors.forename: Carolyn
authors.initials: C
authors.lastname: Goode
authors.forename: Joanne
authors.initials: J
authors.lastname: Nobles
authors.forename: Kaye
authors.initials: K
authors.lastname: Sly
authors.forename: Michelle R
authors.initials: MR
authors.lastname: Smith
authors.forename: Mattie
authors.initials: M
authors.lastname: Shiloh
authors.forename: Binwei
authors.initials: B
authors.lastname: Song
authors.forename: Kathleen
authors.initials: K
authors.lastname: Green
authors.forename: Hazel D
authors.initials: HD
authors.lastname: Dean
authors.forename: James D
authors.initials: JD
authors.lastname: Heffelfinger
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D001727:Bisexuality / Q000706:statistics & numerical data*; D003710:Demography; D005260:Female; D015658:HIV Infections / Q000453:epidemiology* / Q000635:transmission; D006801:Humans; D008297:Male; D012307:Risk Factors; D012725:Sexual Behavior; D015229:Sexually Transmitted Diseases, Viral / Q000453:epidemiology* / Q000635:transmission; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D014495:Universities