title: Bisexual Behavior Among Male Injection Drug Users in New York City.
abstract: Drug using men who have sex with men and women (MSMW) may be at high risk for HIV infection and transmitting HIV to sex partners. In 2012, injection drug users (IDUs) were sampled in New York City for the National HIV Behavioral Surveillance cross-sectional study using respondent-driven sampling. Logistic regression was used to calculate crude and adjusted odds ratios (aOR) and 95 % confidence intervals (95 %CI) to determine correlates of bisexual behavior in the past 12 months. Of 333 participants, 47(14.1 %) reported MSMW. Variables independently associated (p < 0.05) with MSMW included bisexual sexual identity (vs. "straight") (adjusted odds ratio (aOR) 92.6; 95 % CI 18.9, 454.5), Bronx residence [vs. Manhattan (aOR 8.4; 95 %CI 1.6,43.7)], past 12 month behaviors of having sex with ≥3 sex partners (aOR 18.1; 95 % CI 3.3,98.4), "sold" sex (aOR 8.5; 95 % CI 2.3, 31.5), "bought" sex (aOR 0.2; 95 % CI 0.1, 0.9), and injection methamphetamine use (aOR 20.5; 95 % CI 3.0, 139.7). MSM IDUs are an important subgroup to consider for HIV interventions, as they may not be reached through HIV prevention programming aimed at MSM.
authors.affiliation: HIV Epidemiology Program, New York City Department of Health and Mental Hygiene, 42-09 28th Street, CN: 22-109, Long Island City, NY, 11101, USA. kreilly3@health.nyc.gov.
authors.forename: Kathleen H
authors.initials: KH
authors.lastname: Reilly
authors.affiliation: HIV Epidemiology Program, New York City Department of Health and Mental Hygiene, 42-09 28th Street, CN: 22-109, Long Island City, NY, 11101, USA.
authors.forename: Alan
authors.initials: A
authors.lastname: Neaigus
authors.affiliation: St. Ann's Corner of Harm Reduction, Bronx, NY, USA.
authors.forename: Travis
authors.initials: T
authors.lastname: Wendel
authors.affiliation: Center for HIV Educational Studies & Training, New York, NY, USA.
authors.forename: David M
authors.initials: DM
authors.lastname: Marshall
authors.affiliation: College of Nursing, New York University, New York, NY, USA.
authors.forename: Holly
authors.initials: H
authors.lastname: Hagan
mesh_terms: D000328:Adult; D001727:Bisexuality / Q000523:psychology / Q000706:statistics & numerical data*; D055030:Drug Users / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009519:New York City / Q000453:epidemiology; D015995:Prevalence; D012309:Risk-Taking; D012747:Sexual Partners; D012959:Socioeconomic Factors; D015819:Substance Abuse, Intravenous / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Bisexuality; Drug use; Injection drug use; Men; Sexual behavior