title: Sociodemographic and risk behavior characteristics associated with unprotected sex with women among black men who have sex with men and women in New York City.
abstract: The objectives of this cross-sectional study were to compare sociodemographic and risk behavior characteristics between black men who have sex with both men and women (MSMW) and those who have sex with men only (MSMO) and assess factors associated with having any unprotected vaginal and/or anal intercourse (UVAI) with women in the last 3 months. Data from 326 black men who reported recent unprotected anal intercourse with a man in an HIV behavioral intervention study in New York City were analyzed. Baseline characteristics were compared between MSMW and MSMO, and factors associated with having any UVAI in the past 3 months with women among MSMW were evaluated. In total, 26.8% reported having sex with both men and women in the last 3 months. MSMW were less likely to be HIV infected, use amyl nitrates, and have unprotected receptive anal sex with most recent male partner. MSMW were more likely to be over 40 years old and use heroin. A total of 55.6% of MSMW reported having UVAI with women in the last 3 months. Compared to MSMW having only protected sex, MSMW having any UVAI with women were less likely to be HIV infected and to disclose having sex with men to female partners; they were more likely to have greater than four male sex partners in the last 3 months. In conclusion, HIV prevention interventions among black MSMW should directly address the risk of HIV transmission to both their female and male partners. Disclosure of bisexuality to female partners may be an important component of future prevention efforts.
authors.affiliation: Laboratory of Infectious Disease Prevention, Lindsley F. Kimball Research Institute, New York Blood Center, New York, NY, USA. htieu@nybloodcenter.org
authors.forename: Hong-Van
authors.initials: HV
authors.lastname: Tieu
authors.forename: Pilgrim
authors.initials: P
authors.lastname: Spikes
authors.forename: Jocelyn
authors.initials: J
authors.lastname: Patterson
authors.forename: Sebastian
authors.initials: S
authors.lastname: Bonner
authors.forename: James E
authors.initials: JE
authors.lastname: Egan
authors.forename: Krista
authors.initials: K
authors.lastname: Goodman
authors.forename: Kiwan
authors.initials: K
authors.lastname: Stewart
authors.forename: Victoria
authors.initials: V
authors.lastname: Frye
authors.forename: Guozhen
authors.initials: G
authors.lastname: Xu
authors.forename: Donald R
authors.initials: DR
authors.lastname: Hoover
authors.forename: Beryl A
authors.initials: BA
authors.lastname: Koblin
mesh_terms: D000328:Adult; D001727:Bisexuality / Q000208:ethnology / Q000706:statistics & numerical data*; D044383:Black People / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D018451:Homosexuality, Male / Q000208:ethnology / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009519:New York City / Q000453:epidemiology; D012307:Risk Factors; D012309:Risk-Taking; D012747:Sexual Partners; D012959:Socioeconomic Factors; D047568:Unsafe Sex / Q000208:ethnology / Q000706:statistics & numerical data*; D001741:Black or African American