Archives of Sexual Behavior

, Volume 35, Issue 1, pp 67–74

The Relationship Between Self-Reported Sexual Orientation and Behavior in a Sample of Middle-Aged Male Injection Drug Users

  • Thomas Alex Washington
  • Noya Galai
  • Sylvia Cohn
  • David D. Celentano
  • David Vlahov
  • Steffanie A. Strathdee
Articles

DOI: 10.1007/s10508-006-8995-9

Cite this article as:
Washington, T.A., Galai, N., Cohn, S. et al. Arch Sex Behav (2006) 35: 67. doi:10.1007/s10508-006-8995-9

Data are sparse on injection drug using (IDU) men who have sex with men (MSM). Previous literature suggests perceived taboos can result in an underreporting of atypical sexual orientation (i.e., bisexuality, homosexuality). As a result, HIV prevention programs have been difficult to mount, particularly programs for IDU-MSM. The association between self-reported sexual orientation and sexual behavior at semi-annual study visits was longitudinally assessed in a population of 1300 male IDUs in Baltimore during the period 1993 to 1998. Overall, a small minority (5%) of the male IDUs inconsistently reported their sexual orientation over time. Logistic regression analyses were performed, which yielded five significant predictors. These men tended to be older, to have been incarcerated, to have attended shooting galleries during follow-up, and were more than twice as likely to be HIV-seropositive (OR, 2.66; 95% CI, 1.62–4.36) compared with those who consistently reported their sexual orientation. Furthermore, men reporting inconsistent sexual orientation tended to engage in higher risk behaviors, suggesting that these men should be especially targeted for interventions.

KEY WORDS

sexual orientation injection drug users human immunodeficiency virus substance abuse sex behavior 

Copyright information

© Springer Science + Business Media, Inc. 2006

Authors and Affiliations

  • Thomas Alex Washington
    • 1
    • 5
  • Noya Galai
    • 2
  • Sylvia Cohn
    • 2
  • David D. Celentano
    • 2
    • 3
  • David Vlahov
    • 2
  • Steffanie A. Strathdee
    • 2
    • 4
  1. 1.Drug Abuse Research ProgramMorgan State UniversityBaltimore
  2. 2.Department of EpidemiologyJohns Hopkins School of Public HealthBaltimore
  3. 3.Center for Urban Epidemiologic StudiesNew York Academy of Medicine, New YorkNew York
  4. 4.Division of International Health and Cross Cultural MedicineUniversity of California, San DiegoSan Diego
  5. 5.Drug Abuse Research Program, Jenkins Behavioral Health Science Center, Room 428Morgan State UniversityBaltimore

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