Journal of Urban Health

, Volume 86, Supplement 1, pp 93–106

Differences in Sexual Identity, Risk Practices, and Sex Partners between Bisexual Men and Other Men among a Low-Income Drug-Using Sample

  • Chyvette T. Williams
  • Mary E. Mackesy-Amiti
  • David J. McKirnan
  • Lawrence J. Ouellet
Article

DOI: 10.1007/s11524-009-9367-2

Cite this article as:
Williams, C.T., Mackesy-Amiti, M.E., McKirnan, D.J. et al. J Urban Health (2009) 86(Suppl 1): 93. doi:10.1007/s11524-009-9367-2

Abstract

Men who have sex with men and women (MSMW) represent an important target population for understanding the spread of HIV because of the inherent bridging aspect of their sexual behavior. Despite their potential to spread HIV between gender groups, relatively little recent data have been reported about this population as a subgroup distinct from men who have sex with men only. This paper analyzes data from the Chicago site of Sexual Acquisition and Transmission of HIV Cooperative Agreement Program to characterize 343 MSMW in terms of their demographics, drug use, sexual risk behavior, sexual identity, and sex partners. Results show the MSMW sample to be extremely disadvantaged; to have high rates of drug use, including injection and crack use; to report more female than male sex partners; to not differ from gay and heterosexual men in rates of condom use; and, for the most part, to report sexual identities that are consistent with their sex behavior. MSMW represent an important subpopulation in the HIV epidemic and should be targeted for risk reduction interventions.

Keywords

Men who have sex with men HIV Drug use Risky sex Anal sex Sexual identity Respondent-driven sampling 

Copyright information

© The New York Academy of Medicine 2009

Authors and Affiliations

  • Chyvette T. Williams
    • 1
  • Mary E. Mackesy-Amiti
    • 1
  • David J. McKirnan
    • 2
  • Lawrence J. Ouellet
    • 1
  1. 1.School of Public HealthUniversity of Illinois at ChicagoChicagoUSA
  2. 2.Department of PsychologyUniversity of Illinois at ChicagoChicagoUSA

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