AIDS and Behavior

, Volume 12, Issue 3, pp 483–491 | Cite as

High Rates of Sex with Men among High-Risk, Heterosexually-Identified Men in Low-Income, Coastal Peru

  • Kelika Anne KondaEmail author
  • Andres G. Lescano
  • Elli Leontsini
  • Percy Fernandez
  • Jeffrey D. Klausner
  • Thomas J. Coates
  • Carlos F. Cáceres
  • NIMH Collaborative STD/HIV Prevention Trial
Original Paper


In this paper we describe sex with men, including the frequency of sex and unprotected sex, among high-risk, heterosexually-identified men in urban, low-income, coastal Peru. During 2001–2002, a random community-based sample of these men was administered an epidemiologic survey collecting sexual risk behavior data. Among the 924 high-risk heterosexually-identified men, 131 (14.2%) reported at least one male partner in the past 6 months. Of these, 113 (86.3%) reported male and female partners and among those with partners of both sexes, 84.2% and 57.0% of sex acts with female and male partners, respectively, were unprotected, (RR 1.48, 95% CI = 1.31–1.68). We observed a high rate of recent bisexual behavior compared to past studies showing frequent, unprotected sex with male and female partners. This population has substantial potential to act as a bridge population between and their male and female partners and should be addressed by prevention programs.


Bisexual behavior HIV bridge populations MSM condom use Peru 



This study was funded by NIH/NIMH grant number U10 MH61536 which is a 5-country Cooperative Agreement being conducted in China, India, Peru, Russia, and Zimbabwe. Each site has selected a different venue and population with which to implement the prevention program entitled Community Public Opinion Leader (C-POL) Intervention. This article is based on a pre-baseline study conducted in all the sites to prepare for initiation of the intervention. This study was partially supported by LP-CRADA NM-04-1787. Disclaimer: The views expressed in this article are those of the author and do not necessarily reflect the official policy or position or the Department of the Navy, Department of Defense, nor the U.S. Government. Mr. Andres Lescano is a civilian employee of the U.S. Government working at the US Navy Medical Research Center Detachment in Lima, Peru. This work was prepared as part of his official duties. Title 17 U.S.C. § 105 provides that ‘Copyright protection under this title is not available for any work of the United States Government’. Title 17 U.S.C. § 101 defines a U.S. Government work as a work prepared by a military service member or employee of the U.S. Government as part of that person’s official duties.


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Kelika Anne Konda
    • 1
    • 8
    Email author
  • Andres G. Lescano
    • 2
    • 3
  • Elli Leontsini
    • 4
  • Percy Fernandez
    • 3
  • Jeffrey D. Klausner
    • 5
    • 6
  • Thomas J. Coates
    • 1
  • Carlos F. Cáceres
    • 3
  • NIMH Collaborative STD/HIV Prevention Trial
    • 7
  1. 1.Division of Infectious DiseasesDavid Geffen School of Medicine at UCLALos AngelesUSA
  2. 2.US Naval Medical Research Center DetachmentLimaPeru
  3. 3.Universidad Peruana Cayetano HerediaLimaPeru
  4. 4.Department of International HealthJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  5. 5.San Francisco Department of Public HealthSan FranciscoUSA
  6. 6.University of CaliforniaSan FranciscoUSA
  7. 7.NIMH Multisite International GroupBethesdaUSA
  8. 8.LimaPeru

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