title: Gender matters: condom use and nonuse among behaviorally bisexual men.
abstract: Although frequently cited as being at high risk for HIV/STI transmission, little is known about behaviorally bisexual men's patterns and experiences of condom use and nonuse with male and female sexual partners. Using a variety of recruitment techniques informed by a Community Advisory Committee, a total of 77 behaviorally bisexual men were recruited from Indianapolis, Indiana to participate in semi-structured interviews focused on sexual health. Qualitative data were collected containing detailed information on their patterns and experiences of condom use and nonuse with both male and female partners. Participants described numerous commonly reported barriers for consistent condom use, as well as distinct bisexual-specific barriers. The majority reported consistent condom use with male and female casual partners, but many who did not use condoms described doing so in the context of ongoing relationships. In addition, participants provided reasons for condom use and nonuse that varied based on the gender of the partner and the type of relationship with the partner. Future interventions focused on increasing condom use among behaviorally bisexual men should take into account the unique complexities of gender and relationship configurations in this distinct population.
authors.affiliation: Center for Sexual Health Promotion, Department of Applied Health Science, SPH 116, School of Public Health-Bloomington, Indiana University, Bloomington, IN, 47405, USA.
authors.forename: Randolph D
authors.initials: RD
authors.lastname: Hubach
authors.forename: Brian
authors.initials: B
authors.lastname: Dodge
authors.forename: Gabriel
authors.initials: G
authors.lastname: Goncalves
authors.forename: David
authors.initials: D
authors.lastname: Malebranche
authors.forename: Michael
authors.initials: M
authors.lastname: Reece
authors.forename: Barbara
authors.initials: B
authors.lastname: Van Der Pol
authors.forename: Omar
authors.initials: O
authors.lastname: Martinez
authors.forename: Phillip W
authors.initials: PW
authors.lastname: Schnarrs
authors.forename: Ryan
authors.initials: R
authors.lastname: Nix
authors.forename: J Dennis
authors.initials: JD
authors.lastname: Fortenberry
mesh_terms: D000328:Adult; D000368:Aged; D001727:Bisexuality / Q000523:psychology / Q000706:statistics & numerical data*; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control; D006801:Humans; D008297:Male; D008875:Middle Aged; D021841:Safe Sex; D012737:Sex Factors; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D012959:Socioeconomic Factors; D014481:United States; D055815:Young Adult
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