AIDS and Behavior

, Volume 18, Issue 8, pp 1548–1559

Types of Female Partners Reported by Black Men Who Have Sex with Men and Women (MSMW) and Associations with Intercourse Frequency, Unprotected Sex and HIV and STI Prevalence

  • N. Harawa
  • L. Wilton
  • L. Wang
  • C. Mao
  • I. Kuo
  • T. Penniman
  • S. Shoptaw
  • S. Griffith
  • J. K. Williams
  • V. Cummings
  • K. Mayer
  • B. Koblin
  • HPTN 061
Original Paper


We used baseline data from a study of Black MSM/MSMW in 6 US cities to examine the association of female partnership types with disease prevalence and sexual behaviors among the 555 MSMW participants. MSMW reported more than three times as many total and unprotected sex acts with each primary as they did with each non-primary female partner. We compared MSMW whose recent female partners were: (1) all primary (“PF only”, n = 156), (2) both primary and non-primary (“PF & NPF”, n = 186), and (3) all non-primary (“NPF only”, n = 213). HIV/STI prevalence did not differ significantly across groups but sexual behaviors did. The PF only group had the fewest male partners and was the most likely to have only primary male partners; the PF & NPF group was the most likely to have transgender partners. PF & NPF men reported the most sex acts (total and unprotected) with females; NPF only men reported the fewest. Implications for HIV risk and prevention are discussed.


Bisexual men Black/African American Sexual frequency Relationship type Condom use 


Se utilizó datos de un estudio de hombres quienes tienen sexo con hombres (MSM por las siglas en inglés) y hombres quienes tienen sexo con hombres y mujeres (MSMW por sus siglas en inglés) de raza negra, en 6 ciudades de los EEUU, para evaluar la asociación de los tipos de relaciones con mujeres con la prevalencia de enfermedades y comportamiento sexual de 555 participantes MSMW. Los MSMW reportaron tres veces más actos sexuales total y sin protección con cada pareja primaria al igual que con cada pareja no primaria femenina. Comparamos MSMW en quienes sus parejas femeninas fueron: (1) todas primarias (“solo PF”, n = 156), (2) ambos, primarias y no primarias (“PF & NPF”, n = 186), y (3) todas no primarias (“solo NP”, n = 213). No hubo mucha diferencia significativa en la prevalencia de VIH/ITS entre los grupos, pero hubo diferencia en el comportamiento sexual. El grupo “solo PF” tuvo menos parejas masculinas y fue el de mayor probabilidad de tener solo una pareja primaria masculina; el grupo PF & NPF fue el de mayor probabilidad de tener parejas transgénero. Los hombres en el grupo PF & NPF reportaron el mayor número de actos sexuales (totales y sin protección) con mujeres; el grupo de hombres “solo NPF” reportaron el menor número. Las implicaciones del riesgo y prevención de VIH son discutidas.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • N. Harawa
    • 1
    • 2
  • L. Wilton
    • 3
  • L. Wang
    • 4
  • C. Mao
    • 4
  • I. Kuo
    • 5
  • T. Penniman
    • 6
  • S. Shoptaw
    • 7
  • S. Griffith
    • 8
  • J. K. Williams
    • 9
  • V. Cummings
    • 10
  • K. Mayer
    • 11
  • B. Koblin
    • 12
  • HPTN 061
  1. 1.College of Medicine, Charles R. Drew University of Medicine and ScienceLos AngelesUSA
  2. 2.Fielding School of Public Health, University of California, Los AngelesLos AngelesUSA
  3. 3.Department of Human DevelopmentBinghamton UniversityBinghamtonUSA
  4. 4.Vaccine and Infectious Disease DivisionFred Hutchinson Cancer Research CenterSeattleUSA
  5. 5.School of Public Health, George Washington UniversityWashington, DCUSA
  6. 6.Department of Epidemiology and BiostatisticsUniversity of MarylandCollege ParkUSA
  7. 7.Department of Family MedicineUniversity of California, Los AngelesLos AngelesUSA
  8. 8.FHI 360 North CarolinaDurhamUSA
  9. 9.Department of Psychiatry & Biobehavioral SciencesUniversity of California, Los AngelesLos AngelesUSA
  10. 10.Department of PathologyJohns Hopkins University School of MedicineBaltimoreUSA
  11. 11.Fenway Institute CRS and Beth Israel Deaconess HospitalBostonUSA
  12. 12.Laboratory of Infectious Disease PreventionNew York Blood CenterNew YorkUSA

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