title: Is Sex with Older Male Partners Associated with Higher Sexual Risk Behavior Among Young Black MSM?
abstract: Participants at a sexual health clinic completed a survey with questions regarding sexual risk behavior and partner characteristics. Of 585 participants eligible for analysis, 124 reported generally having older male partners. These participants were significantly more likely to be HIV-infected (p < 0.001), have four or more sex partners as a "bottom" (p = 0.04), have concurrent partners (p = 0.01), and have partners suspected of having an sexually transmitted infection (p = 0.05) than participants without older partners. With analysis restricted to HIV- individuals, risk behaviors did not differ significantly between the groups. HIV- individuals with older partners may be at increased risk of HIV infection due to increased HIV prevalence among older sexual partners and not due to increased risk behaviors with these partners.
authors.affiliation: Department of Medicine, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS, 39213, USA. NChamberlain2010@gmail.com.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Chamberlain
authors.affiliation: Department of Medicine, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS, 39213, USA.
authors.forename: Leandro A
authors.initials: LA
authors.lastname: Mena
authors.affiliation: The Satcher Health Leadership Institute, Morehouse School of Medicine, Atlanta, GA, USA.
authors.forename: Angelica
authors.initials: A
authors.lastname: Geter
authors.affiliation: College of Public Health, University of Kentucky, Lexington, KY, USA.
authors.forename: Richard A
authors.initials: RA
authors.lastname: Crosby
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D000367:Age Factors; D015658:HIV Infections / Q000453:epidemiology* / Q000517:prevention & control; D006801:Humans; D008297:Male; D015995:Prevalence; D012306:Risk; D012309:Risk-Taking; D012725:Sexual Behavior / Q000706:statistics & numerical data; D012747:Sexual Partners; D000072339:Sexual and Gender Minorities / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000453:epidemiology* / Q000517:prevention & control; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D047568:Unsafe Sex / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Black; HIV; MSM; Older partners