HIV Risk Among Men Who Have Sex with Men Only (MSMO) and Men Who Have Sex with Men and Women (MSMW) in Baltimore

Catherine Maulsby, Frangiscos Sifakis, Danielle German, Colin P. Flynn, David R Holtgrave

Research output: Contribution to journalArticle

Abstract

Men who have sex with men and women (MSMW) are at high risk for HIV. However, the majority of research on populations of men who have sex with men (MSM) combines MSMW and men who have sex with men only (MSMO) samples, which limits our understanding of HIV risk behaviors and factors associated with HIV risk among MSMW populations. We used the BESURE-MSM2, a venue-based cross-sectional study of HIV risk behaviors among MSM in Baltimore, MD, to examine HIV risk among MSMW. MSMW were less likely to report unprotected receptive anal intercourse than MSMO (6.8% vs. 19.6%, p = .0024). Among MSMW, 43.0% reported unprotected sex with a woman in the past year, but only 19.4% reported unprotected sex with both men and women, representing only 5.0% of the total MSM sample. In multivariate analyses, we found that among MSMW having unprotected sex with women in the past year, disclosing same sex behavior and having a main female partner were associated with unprotected anal intercourse with male partners. HIV prevention programs for MSMW are needed that address the complex partnerships of MSMW and the social contextual factors within which relationships and behaviors are embedded.

Original languageEnglish (US)
Pages (from-to)51-68
Number of pages18
JournalJournal of Homosexuality
Volume60
Issue number1
DOIs
StatePublished - Jan 2013

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Baltimore
HIV
Unsafe Sex
Risk-Taking
risk behavior
sex behavior
cross-sectional study
Sexual Behavior
Population
social factors
Multivariate Analysis
Cross-Sectional Studies
Research

Keywords

  • HIV
  • MSM
  • MSMW
  • Risk behaviors

ASJC Scopus subject areas

  • Psychology(all)
  • Gender Studies
  • Social Psychology
  • Education

Cite this

HIV Risk Among Men Who Have Sex with Men Only (MSMO) and Men Who Have Sex with Men and Women (MSMW) in Baltimore. / Maulsby, Catherine; Sifakis, Frangiscos; German, Danielle; Flynn, Colin P.; Holtgrave, David R.

In: Journal of Homosexuality, Vol. 60, No. 1, 01.2013, p. 51-68.

Research output: Contribution to journalArticle

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