The field of HIV/STI prevention has primarily focused on gay men (or “men who have sex with men” [MSM] as a broad category) with limited attention to bisexual men in particular. Although bisexual men are also at increased risk for HIV and other STI, they are less likely to utilize HIV/STI prevention services than gay men, and very few interventions have been developed to address their unique needs. Further, while biomedical advances are changing the field of HIV prevention, bisexual men are also less likely to use biomedical HIV prevention strategies (e.g., pre-exposure prophylaxis [PrEP]) than gay men. In an effort to advance research on bisexual men and their sexual health needs, the goals of this commentary are: (1) to review the empirical literature on the prevalence of HIV/STI among bisexual men, the few existing HIV/STI prevention interventions developed for bisexual men, and the use of biomedical HIV prevention among bisexual men; (2) to describe the ways in which the field of HIV/STI prevention has largely overlooked bisexual men as a population in need of targeted services; and (3) to discuss how researchers can better address the sexual health needs of bisexual men in the age of biomedical HIV prevention.
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The percentage of HIV-positive MSMW differed in comparison with MSWE and MSMO because different studies were included in each comparison depending on the data provided in the studies.
Similar to the findings for HIV, the percentage of MSMW with an STI other than HIV differed in comparison with MSWE and MSMO because different studies were included in each comparison depending on the data provided in the studies.
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We would like to thank Abigail Wang for her assistance with Table 1.
Brian Feinstein’s time was supported by a grant from the National Institute on Drug Abuse (K08DA045575). The content is solely the responsibility of the authors and does not necessarily represent the official views of the funding agency.
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All the authors declare that they have no conflict of interest.
This article does not contain any studies with human participants or animals performed by the authors.
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Feinstein, B.A., Dodge, B. Meeting the Sexual Health Needs of Bisexual Men in the Age of Biomedical HIV Prevention: Gaps and Priorities. Arch Sex Behav 49, 217–232 (2020). https://doi.org/10.1007/s10508-019-01468-1
- Sexual health
- Biomedical prevention
- Pregnancy prevention
- Sexual orientation