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Meeting the Sexual Health Needs of Bisexual Men in the Age of Biomedical HIV Prevention: Gaps and Priorities

  • Special Section: Social and Behavioral Science with Gay and Bisexual men in the Era of Biomedical Prevention (Commentary)
  • Published:
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Abstract

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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Notes

  1. 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.

  2. 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.

References

  • Anderson, P. L., Glidden, D. V., Liu, A., Buchbinder, S., Lama, J. R., Guanira, J. V., … iPrEx Study Team. (2012). Emtricitabine-tenofovir concentrations and pre-exposure prophylaxis efficacy in men who have sex with men. Science Translational Medicine, 4, 151ra125. https://doi.org/10.1126/scitranslmed.3004006.

    Article  PubMed  PubMed Central  Google Scholar 

  • Baldwin, A., Dodge, B., Schick, V., Hubach, R. D., Bowling, J., Malebranche, D., & Fortenberry, J. D. (2015). Sexual self-identification among behaviorally bisexual men in the midwestern United States. Archives of Sexual Behavior,44, 2015–2026.

    Article  PubMed  Google Scholar 

  • Bauer, G. R., & Brennan, D. J. (2013). The problem with “behavioral bisexuality”: Assessing sexual orientation in survey research. Journal of Bisexuality,13, 148–165.

    Article  Google Scholar 

  • Bavinton, B., Grinsztejn, B., Phanuphak, N., Jin, F., Zablotska, I., Prestage, G., … The Opposites Attract Study Group. (2017). HIV treatment prevents HIV transmission in male serodiscordant couples in Australia, Thailand and Brazil. Paper presented at the International AIDS Society, Paris.

  • Beyrer, C., Baral, S. D., van Griensven, F., Goodreau, S. M., Chariyalertsak, S., Wirtz, A. L., & Brookmeyer, R. (2012). Global epidemiology of HIV infection in men who have sex with men. Lancet,380, 367–377.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bostwick, W., & Dodge, B. (2019). Introduction to the special section on bisexual health: Can you see us now? Archives of Sexual Behavior,48, 79–87.

    Article  PubMed  Google Scholar 

  • Brewster, M. E., & Moradi, B. (2010). Perceived experiences of anti-bisexual prejudice: Instrument development and evaluation. Journal of Counseling Psychology,57, 451–468.

    Article  Google Scholar 

  • Brewster, M. E., Moradi, B., Deblaere, C., & Velez, B. L. (2013). Navigating the borderlands: The roles of minority stressors, bicultural self-efficacy, and cognitive flexibility in the mental health of bisexual individuals. Journal of Counseling Psychology, 60, 543–556.

    Article  PubMed  Google Scholar 

  • Caceres, B. A., Brody, A. A., Halkitis, P. N., Dorsen, C., Yu, G., & Chyun, D. A. (2018). Sexual orientation differences in modifiable risk factors for cardiovascular disease and cardiovascular disease diagnoses in men. LGBT Health,5, 284–294.

    Article  PubMed  PubMed Central  Google Scholar 

  • Calabrese, S. K., & Underhill, K. (2015). How stigma surrounding the use of HIV preexposure prophylaxis undermines prevention and pleasure: A call to destigmatize “Truvada whores”. American Journal of Public Health,105, 1960–1964.

    Article  PubMed  PubMed Central  Google Scholar 

  • Carballo-Dieguez, A., Giguere, R., Dolezal, C., Leu, C. S., Balan, I. C., Brown, W., & Cranston, R. D. (2017). Preference of oral tenofovir disoproxil fumarate/emtricitabine versus rectal tenofovir reduced-glycerin 1% gel regimens for hiv prevention among cisgender men and transgender women who engage in receptive anal intercourse with men. AIDS and Behavior,21, 3336–3345.

    Article  PubMed  PubMed Central  Google Scholar 

  • Castel, A. D., Magnus, M., Peterson, J., Anand, K., Wu, C., Martin, M., & Greenberg, A. E. (2012). Implementing a novel citywide rapid HIV testing campaign in Washington, D.C.: Findings and lessons learned. Public Health Reports,127, 422–431.

    Article  PubMed  PubMed Central  Google Scholar 

  • CDC. (2017). Diagnoses of HIV infection in the United States and dependent areas, 2016. Retrieved from http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html.

  • CDC. (2018a). Compendium of evidence-based interventions and best practices for HIV prevention. Retrieved from https://www.cdc.gov/hiv/research/interventionresearch/compendium/index.html.

  • CDC. (2018b). Diagnoses of HIV infection among adolescents and young adults in the United States and 6 dependent areas, 2011–2016. Retrieved from https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-supplemental-report-vol-23-3.pdf.

  • CDC. (2018c). Pre-exposure prophylaxis (PrEP). Retrieved from https://www.cdc.gov/hiv/risk/prep/index.html.

  • Chaudoir, S. R., Wang, K., & Pachankis, J. E. (2017). What reduces sexual minority stress? A review of the intervention “toolkit”. Journal of Social Issues,73, 586–617.

    Article  Google Scholar 

  • Chicago PrEP Working Group. (2018). About PrEP4Love. Retrieved from http://prep4love.com/about.html.

  • Clements-Nolle, K., Marx, R., Guzman, R., & Katz, M. (2001). HIV prevalence, risk behaviors, health care use, and mental health status of transgender persons: Implications for public health intervention. American Journal of Public Health,91, 915–921.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dobinson, C., Macdonnell, J., Hampson, E., Clipsham, J., & Chow, K. (2005). Improving the access and quality of public health services for bisexuals. Journal of Bisexuality,5, 39–77.

    Article  Google Scholar 

  • Dodge, B., Herbenick, D., Friedman, M. R., Schick, V., Fu, T. J., Bostwick, W., & Sandfort, T. G. (2016). Attitudes toward bisexual men and women among a nationally representative probability sample of adults in the United States. PLoS ONE,11, e0164430. https://doi.org/10.1371/journal.pone.0164430.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dodge, B., Jeffries, W. L. T., & Sandfort, T. G. (2008). Beyond the down low: Sexual risk, protection, and disclosure among at-risk Black men who have sex with both men and women (MSMW). Archives of Sexual Behavior,37, 683–696.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dodge, B., & Sandfort, T. G. (2007). A review of mental health research on bisexual individuals when compared to homosexual and heterosexual individuals. In B. Firestein (Ed.), Becoming visible: Counseling bisexuals across the lifespan (pp. 28–51). New York: Columbia University Press.

    Google Scholar 

  • Dodge, B., Schnarrs, P. W., Goncalves, G., Malebranche, D., Martinez, O., Reece, M., & Fortenberry, J. D. (2012a). The significance of privacy and trust in providing health-related services to behaviorally bisexual men in the United States. AIDS Education and Prevention,24, 242–256.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dodge, B., Schnarrs, P. W., Reece, M., Goncalves, G., Martinez, O., Nix, R., & Fortenberry, J. D. (2012b). Community involvement among behaviourally bisexual men in the Midwestern USA: Experiences and perceptions across communities. Culture, Health & Sexuality,14, 1095–1110.

    Article  Google Scholar 

  • Dodge, B., Schnarrs, P. W., Reece, M., Martinez, O., Goncalves, G., Malebranche, D., & Fortenberry, J. D. (2013). Sexual behaviors and experiences among behaviorally bisexual men in the midwestern United States. Archives of Sexual Behavior,42, 247–256.

    Article  PubMed  Google Scholar 

  • Doll, L., Myers, T., Kennedy, M., & Allman, D. (1997). Bisexuality and HIV risk: experiences in Canada and the United States. Annual Review of Sex Research,8, 102–147.

    PubMed  Google Scholar 

  • Dyer, T. V., Khan, M. R., Regan, R., Harawa, N. T., Nelson, L. E., Wilton, L., & Shoptaw, S. (2018). Differential patterns of risk and vulnerability suggest the need for novel prevention strategies for black bisexual men in the HPTN 061 study. Journal of Acquired Immune Deficiency Syndromes,78, 491–498.

    Article  PubMed  Google Scholar 

  • Eady, A., Dobinson, C., & Ross, L. E. (2011). Bisexual people’s experiences with mental health services: a qualitative investigation. Community Mental Health Journal,47, 378–389.

    Article  PubMed  Google Scholar 

  • Eliason, M. J. (1997). The prevalence and nature of biphobia in heterosexual undergraduate students. Archives of Sexual Behavior,26, 317–326.

    Article  PubMed  Google Scholar 

  • Everett, B. G. (2013). Sexual orientation disparities in sexually transmitted infections: Examining the intersection between sexual identity and sexual behavior. Archives of Sexual Behavior,42, 225–236.

    Article  PubMed  Google Scholar 

  • Feinstein, B. A., Dodge, B., Korpak, A. K., Newcomb, M. E., & Mustanski, B. (2019a). Improving the health of cisgender men who identify as bisexual: What do they want from interventions? Sexuality Research and Social Policy, 16, 385–391.

    Article  PubMed  Google Scholar 

  • Feinstein, B. A., & Dyar, C. (2017). Bisexuality, minority stress, and health. Current Sexual Health Reports,9, 42–49.

    Article  PubMed  PubMed Central  Google Scholar 

  • Feinstein, B. A., Dyar, C., Li, D. H., Whitton, S. W., Newcomb, M. E., & Mustanski, B. (2019b). The longitudinal associations between outness and health outcomes among gay/lesbian versus bisexual emerging adults. Archives of Sexual Behavior, 48, 1111–1126.

    Article  PubMed  Google Scholar 

  • Feinstein, B. A., Dyar, C., & London, B. (2017). Are outness and community involvement risk or protective factors for alcohol and drug abuse among sexual minority women? Archives of Sexual Behavior, 46, 1411–1423.

    Article  PubMed  Google Scholar 

  • Feinstein, B. A., Moran, K. O., Newcomb, M. E., & Mustanski, B. (2019c). Differences in HIV risk behaviors between self-identified gay and bisexual young men who are HIV-negative. Archives of Sexual Behavior,48, 261–275.

    Article  PubMed  Google Scholar 

  • Fernandez Cerdeno, A., Martinez-Donate, A. P., Zellner, J. A., Sanudo, F., Carrillo, H., Engelberg, M., & Hovell, M. (2012). Marketing HIV prevention for heterosexually identified Latino men who have sex with men and women: The Hombres Sanos campaign. Journal of Health Communication,17, 641–658.

    Article  PubMed  Google Scholar 

  • Fernandez, M. I., Hosek, S. G., Hotton, A. L., Gaylord, S. E., Hernandez, N., Alfonso, S. V., & Joseph, H. (2016). A randomized controlled trial of POWER: An internet-based HIV prevention intervention for black bisexual men. AIDS and Behavior,20, 1951–1960.

    Article  PubMed  Google Scholar 

  • Flanders, C. E., Anderson, R. E., Tarasoff, L. A., & Robinson, M. (2019). Bisexual stigma, sexual violence, and sexual health among bisexual and other plurisexual women: A cross-sectional survey study. Journal of Sex Research, 56, 1115–1127.

    Article  PubMed  Google Scholar 

  • French, R. S., Bonell, C., Wellings, K., & Weatherburn, P. (2014). An exploratory review of HIV prevention mass media campaigns targeting men who have sex with men. BMC Public Health,14, 616.

    Article  PubMed  PubMed Central  Google Scholar 

  • Friedman, M. R., & Dodge, B. M. (2016). The role of syndemic in explaining health disparities among bisexual men: A blueprint for a theoretically informed perspective. In E. R. Wright & N. Carnes (Eds.), Understanding the HIV/AIDS epidemic in the United States: The role of syndemics in the production of health disparities (pp. 71–98). Cham, Switzerland.

  • Friedman, M. R., Dodge, B., Schick, V., Herbenick, D., Hubach, R. D., Bowling, J., & Reece, M. (2014a). From bias to bisexual health disparities: Attitudes toward bisexual men and women in the United States. LGBT Health,1, 309–318.

    Article  PubMed  Google Scholar 

  • Friedman, M. R., Sang, J. M., Bukowski, L. A., Matthews, D. O., Eaton, L. A., Raymond, H. F., & Stall, R. (2018). HIV care continuum disparities among Black bisexual men and the mediating effect of psychosocial comorbidities. Journal of Acquired Immune Deficiency Syndromes,77, 451–458.

    Article  PubMed  Google Scholar 

  • Friedman, M. R., Stall, R., Plankey, M., Shoptaw, S., Herrick, A. L., Surkan, P. J., & Silvestre, A. J. (2017). Stability of bisexual behavior and extent of viral bridging behavior among men who have sex with Men and women. Archives of Sexual Behavior,46, 903–912.

    Article  PubMed  Google Scholar 

  • Friedman, M. R., Stall, R., Silvestre, A. J., Mustanski, B., Shoptaw, S., Surkan, P. J., … Plankey, M. W. (2014b). Stuck in the middle: Longitudinal HIV-related health disparities among men who have sex with men and women. Journal of Acquired Immune Deficiency Syndromes,66, 213–220.

    Article  PubMed  Google Scholar 

  • Friedman, M. R., Stall, R., Silvestre, A. J., Wei, C., Shoptaw, S., Herrick, A., … Plankey, M. W. (2015). Effects of syndemics on HIV viral load and medication adherence in the multicentre AIDS cohort study. AIDS,29, 1087–1096.

    Article  PubMed  Google Scholar 

  • Friedman, M. R., Wei, C., Klem, M. L., Silvestre, A. J., Markovic, N., & Stall, R. (2014c). HIV infection and sexual risk among men who have sex with men and women (MSMW): A systematic review and meta-analysis. PLoS ONE,9, e87139. https://doi.org/10.1371/journal.pone.0087139.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gardner, E. M., McLees, M. P., Steiner, J. F., Del Rio, C., & Burman, W. J. (2011). The spectrum of engagement in HIV care and its relevance to test-and-treat strategies for prevention of HIV infection. Clinical Infectious Diseases,52, 793–800.

    Article  PubMed  PubMed Central  Google Scholar 

  • Grant, R. M., Lama, J. R., Anderson, P. L., McMahan, V., Liu, A. Y., Vargas, L.; iPrEx Study Team. (2010). Preexposure chemoprophylaxis for HIV prevention in men who have sex with men. New England Journal of Medicine, 363, 2587–2599.

  • Grov, C., Rendina, H. J., Jimenez, R., & Parsons, J. T. (2016). Using online settings to identify gay and bisexual men willing to take or with experience taking PrEP: Implications for researchers and providers. AIDS Education and Prevevention,28, 378–392.

    Article  Google Scholar 

  • Harawa, N. T., Guentzel-Frank, H., McCuller, W. J., Williams, J. K., Millet, G., Belcher, L., & Bluthenthal, R. N. (2018). Efficacy of a small-group intervention for post-incarcerated black men who have sex with men and women (MSMW). Journal of Urban Health,95, 159–170.

    Article  PubMed  PubMed Central  Google Scholar 

  • Harawa, N. T., Holloway, I. W., Leibowitz, A., Weiss, R., Gildner, J., Landovitz, R. J., & Shoptaw, S. (2017). Serious concerns regarding a meta-analysis of preexposure prophylaxis use and STI acquisition. AIDS,31, 739–740.

    Article  PubMed  Google Scholar 

  • Harawa, N. T., Williams, J. K., McCuller, W. J., Ramamurthi, H. C., Lee, M., Shapiro, M. F., & Cunningham, W. E. (2013). Efficacy of a culturally congruent HIV risk-reduction intervention for behaviorally bisexual black men: results of a randomized trial. AIDS,27, 1979–1988.

    Article  PubMed  Google Scholar 

  • Herek, G. M. (2002). Heterosexuals attitudes toward bisexual men and women in the United States. Journal of Sex Research, 39, 264–274.

    Article  PubMed  Google Scholar 

  • Holloway, I. W., Dougherty, R., Gildner, J., Beougher, S. C., Pulsipher, C., Montoya, J. A., & Leibowitz, A. (2017). Brief report: PrEP uptake, adherence, and discontinuation among California YMSM using geosocial networking applications. Journal of Acquired Immune Deficiency Syndromes,74, 15–20.

    Article  PubMed  Google Scholar 

  • Hubach, R. D., Dodge, B., Goncalves, G., Malebranche, D., Reece, M., Van Der Pol, B., & Fortenberry, J. D. (2014). Gender matters: condom use and nonuse among behaviorally bisexual men. Archives of Sexual Behavior,43, 707–717.

    Article  PubMed  Google Scholar 

  • Institute of Medicine. (2011). The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding. Washington, DC: National Academies Press.

    Google Scholar 

  • Israel, T., Choi, A. Y., Goodman, J. A., Matsuno, E., Lin, Y.-j., Kary, K. G., & Merrill, C. R. (2019). Reducing internalized binegativity: Development and efficacy of an online intervention. Psychology of Sexual Orientation and Gender Diversity, 6, 148–159.

    Article  Google Scholar 

  • James, S. E., Herman, J. L., Rankin, S., Keisling, M., Mottet, L., & Anafi, M. (2016). The report of the 2015 U.S. transgender survey. Washington, DC: National Center for Transgender Equality.

  • Jeffries, W. L. (2010). HIV testing among bisexual men in the United States. AIDS Educucation and Prevention,22, 356–370.

    Article  Google Scholar 

  • Jeffries, W. L. (2014). Beyond the bisexual bridge: Sexual health among U.S. men who have sex with men and women. American Journal of Preventive Medicine,47, 320–329.

    Article  PubMed  Google Scholar 

  • Jia, Z., Mao, Y., Zhang, F., Ruan, Y., Ma, Y., Li, J., & Shao, Y. (2013). Antiretroviral therapy to prevent HIV transmission in serodiscordant couples in China (2003–11): A national observational cohort study. Lancet,382, 1195–1203.

    Article  PubMed  Google Scholar 

  • Jin, F. Y., Prestage, G., Law, M. G., Kippax, S., Van de Ven, P., Rawsthorne, P., & Grulich, A. E. (2002). Predictors of recent HIV testing in homosexual men in Australia. HIV Medicine,3, 271–276.

    Article  PubMed  Google Scholar 

  • Kennedy, M., & Doll, L. (2001). Male bisexuality and HIV risk. Journal of Bisexuality,1, 111–135.

    Google Scholar 

  • Kojima, N., Davey, D. J., & Klausner, J. D. (2016). Pre-exposure prophylaxis for HIV infection and new sexually transmitted infections among men who have sex with men. AIDS,30, 2251–2252.

    Article  PubMed  Google Scholar 

  • Lal, L., Audsley, J., Murphy, D. A., Fairley, C. K., Stoove, M., Roth, N., … Wright, E. (2017). Medication adherence, condom use and sexually transmitted infections in Australian PrEP users: Interim results from the Victorian PrEP Demonstration Project. AIDS, 31, 1709–1714.

    Article  PubMed  Google Scholar 

  • Lauby, J., Milnamow, M., Joseph, H. A., Hitchcock, S., Carson, L., Pan, Y., & Millett, G. (2018). Evaluation of project RISE, an HIV prevention intervention for black bisexual men using an ecosystems approach. AIDS and Behavior,22, 164–177.

    Article  PubMed  Google Scholar 

  • Lever, J., Kanouse, D. E., Rogers, W. H., Carson, S., & Hertz, R. (1992). Behavior patterns and sexual identity of bisexual males. Journal of Sex Research, 29, 141–167.

    Article  Google Scholar 

  • MacLeod, M. A., Bauer, G. R., Robinson, M., MacKay, J., & Ross, L. E. (2015). Biphobia and anxiety among bisexuals in Ontario, Canada. Journal of Gay and Lesbian Mental Health, 19, 217–243.

    Article  Google Scholar 

  • Malebranche, D. J. (2008). Bisexually active Black men in the United States and HIV: Acknowledging more than the “Down Low”. Archives of Sexual Behavior,37, 810–816.

    Article  PubMed  Google Scholar 

  • Martinez, O., Dodge, B., Reece, M., Schnarrs, P. W., Rhodes, S. D., Goncalves, G., & Fortenberry, J. D. (2011). Sexual health and life experiences: Voices from behaviourally bisexual Latino men in the Midwestern USA. Culture, Health, & Sexuality,13, 1073–1089.

    Article  Google Scholar 

  • Martinez-Donate, A. P., Zellner, J. A., Fernandez-Cerdeno, A., Sanudo, F., Hovell, M. F., Sipan, C. L., & Ji, M. (2009). Hombres Sanos: Exposure and response to a social marketing HIV prevention campaign targeting heterosexually identified Latino men who have sex with men and women. AIDS Education and Prevention,21, 124–136.

    Article  PubMed  Google Scholar 

  • Martinez-Donate, A. P., Zellner, J. A., Sanudo, F., Fernandez-Cerdeno, A., Hovell, M. F., Sipan, C. L., & Carrillo, H. (2010). Hombres Sanos: evaluation of a social marketing campaign for heterosexually identified Latino men who have sex with men and women. American Journal of Public Health,100, 2532–2540.

    Article  PubMed  PubMed Central  Google Scholar 

  • Millett, G. A., Peterson, J. L., Flores, S. A., Hart, T. A., Jeffries, W. L. T., Wilson, P. A., & Remis, R. S. (2012). Comparisons of disparities and risks of HIV infection in black and other men who have sex with men in Canada, UK, and USA: A meta-analysis. Lancet,380, 341–348.

    Article  PubMed  Google Scholar 

  • Millett, G. A., Peterson, J. L., Wolitski, R. J., & Stall, R. (2006). Greater risk for HIV infection of black men who have sex with men: A critical literature review. American Journal of Public Health,96, 1007–1019.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mimiaga, M. J., Pantalone, D. W., Biello, K. B., Glynn, T. R., Santostefano, C. M., Olson, J., & Safren, S. A. (2018). A randomized controlled efficacy trial of behavioral activation for concurrent stimulant use and sexual risk for HIV acquisition among MSM: Project IMPACT study protocol. BMC Public Health,18, 914. https://doi.org/10.1186/s12889-018-5856-0.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mitchell, R. C., Davis, K. S., & Galupo, M. P. (2015). Comparing perceived experiences of prejudice among self-identified plurisexual individuals. Psychology and Sexuality, 6, 245–257.

    Article  Google Scholar 

  • Mohr, J. J., & Rochlen, A. B. (1999). Measuring attitudes regarding bisexuality in lesbian, gay male, and heterosexual populations. Journal of Counseling Psychology,46, 353–369.

    Article  Google Scholar 

  • Moreira, A. D., Halkitis, P. N., & Kapadia, F. (2015). Sexual identity development of a new generational of emerging adult men: The P18 cohort study. Psychology of Sexual Orientation and Gender Diversity,2, 159–167.

    Article  Google Scholar 

  • Movement Advancement Project. (2017). A closer look: Bisexual trangsender people. Retrieved from http://www.lgbtmap.org/policy-and-issue-analysis/bisexual-transgender.

  • Muñoz-Laboy, M. (2008). Familism and sexual regulation among bisexual Latino men. Archives of Sexual Behavior,37, 773–782.

    Article  PubMed  Google Scholar 

  • Muñoz-Laboy, M., Martinez, O., Levine, E. C., Mattera, B. T., & Isabel Fernandez, M. (2018). Syndemic conditions reinforcing disparities in HIV and Other STIs in an urban sample of behaviorally bisexual latino men. Journal of Immigrant and Minority Health,20, 497–501.

    Article  PubMed  PubMed Central  Google Scholar 

  • Muñoz-Laboy, M., Severson, N., & Bannan, S. (2014). Occupations, social vulnerability and HIV/STI risk: The case of bisexual Latino men in the New York City metropolitan area. Global Public Health,9, 1167–1183.

    Article  PubMed  PubMed Central  Google Scholar 

  • Muñoz-Laboy, M., Yon Leau, C., Sriram, X., Weinstein, H., Vásquez del Aguila, E., & Parker, R. (2009). Negotiating bisexual desire and familism: The case of Latino/a bisexual young men and women in New York City. Culture, Health & Sexuality,11, 331–344.

    Article  Google Scholar 

  • Mustanski, B., Birkett, M., Greene, G. J., Rosario, M., Bostwick, W., & Everett, B. G. (2014a). The association between sexual orientation identity and behavior across race/ethnicity, sex, and age in a probability sample of high school students. American Journal of Public Health,104, 237–244.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mustanski, B., Feinstein, B. A., Madkins, K., Sullivan, P., & Swann, G. (2017). Prevalence and risk factors for rectal and urethral sexually transmitted infections from self-collected samples among young men who have sex with men participating in the keep it up! 2.0 randomized controlled trial. Sexually Transmitted Diseases,44, 483–488.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mustanski, B., Kuper, L., & Greene, G. J. (2014). Development of sexual orientation and identity. In D. L. Tolman, L. M. Diamond, J. A. Bauermeister, W. H. George, J. G. Pfaus., & L. M. Ward (Eds.), APA handbook of sexuality and psychology, Vol. 1: Person-based approaches (pp. 597–628). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Mustanski, B. S., Newcomb, M. E., Du Bois, S. N., Garcia, S. C., & Grov, C. (2011). HIV in young men who have sex with men: a review of epidemiology, risk and protective factors, and interventions. Journal of Sex Research,48, 218–253.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mustanski, B., Ryan, D. T., Remble, T. A., D’Aquila, R. T., Newcomb, M. E., & Morgan, E. (2018). Discordance of self-report and laboratory measures of HIV viral load among young men who have sex with men and transgender women in Chicago: Implications for epidemiology, care, and prevention. AIDS and Behavior,22, 2360–2367.

    Article  PubMed  PubMed Central  Google Scholar 

  • Myers, J. E., Braunstein, S. L., Shepard, C. W., Cutler, B. H., Mantsios, A. R., Sweeney, M. M., & Tsoi, B. W. (2012). Assessing the impact of a community-wide HIV testing scale-up initiative in a major urban epidemic. Journal of Acquired Immune Deficiency Syndrome,61, 23–31.

    Article  Google Scholar 

  • Newcomb, M. E., Moran, K., Feinstein, B. A., Forscher, E., & Mustanski, B. (2018). Pre-exposure prophylaxis (PrEP) use and condomless anal sex: Evidence of risk compensation in a cohort of young men who have sex with men. Journal of Acquired Immune Deficiency Syndromes, 77, 358–364.

    Article  PubMed  Google Scholar 

  • Noar, S. M., Palmgreen, P., Chabot, M., Dobransky, N., & Zimmerman, R. S. (2009). A 10-year systematic review of HIV/AIDS mass communication campaigns: Have we made progress? Journal of Health Communicaton,14, 15–42.

    Article  Google Scholar 

  • Ochs, R. (1996). Biphobia: It goes more than two ways. In B. A. Firestein (Ed.), Bisexuality: The psychology and politics of an invisible minority (pp. 217–239). Thousand Oaks, CA: Sage Publications.

    Google Scholar 

  • Oldenburg, C. E., Nunn, A. S., Montgomery, M., Almonte, A., Mena, L., Patel, R. R., … Chan, P. A. (2018). Behavioral changes following uptake of HIV pre-exposure prophylaxis among men who have sex with men in a clinical setting. AIDS and Behavior, 22, 1075–1079.

    Article  PubMed  PubMed Central  Google Scholar 

  • Operario, D., Smith, C. D., Arnold, E., & Kegeles, S. (2010). The Bruthas Project: Evaluation of a community-based HIV prevention intervention for African American men who have sex with men and women. AIDS Prevention and Education,22, 37–48.

    Article  Google Scholar 

  • Pachankis, J. E., Hatzenbuehler, M. L., Rendina, H. J., Safren, S. A., & Parsons, J. T. (2015). LGB-affirmative cognitive-behavioral therapy for young adult gay and bisexual men: A randomized controlled trial of a transdiagnostic minority stress approach. Journal of Consulting and Clinical Psychology,83, 875–889.

    Article  PubMed  PubMed Central  Google Scholar 

  • Page, E. H. (2004). Mental health services experiences of bisexual women and men: An empirical study. Journal of Bisexuality,4, 137–160.

    Article  Google Scholar 

  • Parsons, J. T., John, S. A., Whitfield, T. H. F., Cienfuegos-Szalay, J., & Grov, C. (2018). Human immunodeficiency virus/sexually transmitted infection counseling and testing services received by gay and bisexual men using pre-exposure prophylaxis (PrEP) at their last PrEP care visit. Sexually Transmitted Diseases. 45, 798–802.

    Article  PubMed  PubMed Central  Google Scholar 

  • Parsons, J. T., Rendina, H. J., Lassiter, J. M., Whitfield, T. H., Starks, T. J., & Grov, C. (2017). Uptake of HIV pre-exposure prophylaxis (PrEP) in a national cohort of gay and bisexual men in the United States. Journal of Acquired Immune Deficiency Syndromes,74, 285–292.

    Article  PubMed  Google Scholar 

  • Pedrana, A., Hellard, M., Guy, R., El-Hayek, C., Gouillou, M., Asselin, J., & Stoove, M. (2012). Stop the drama Downunder: A social marketing campaign increases HIV/sexually transmitted infection knowledge and testing in Australian gay men. Sexually Transmitted Diseases,39, 651–658.

    Article  PubMed  Google Scholar 

  • Petroll, A. E., Walsh, J. L., Owczarzak, J. L., McAuliffe, T. L., Bogart, L. M., & Kelly, J. A. (2017). PrEP awareness, familiarity, comfort, and prescribing experience among US primary care providers and HIV specialists. AIDS and Behavior,21, 1256–1267.

    Article  PubMed  PubMed Central  Google Scholar 

  • Pew Research Center. (2017). Changing attitudes on gay marriage. Retrieved from http://www.pewforum.org/fact-sheet/changing-attitudes-on-gay-marriage/.

  • Reisner, S. L., Perkovich, B., & Mimiaga, M. J. (2010). A mixed methods study of the sexual health needs of New England transmen who have sex with nontransgender men. AIDS Patient Care and STDs,24, 1–13.

    Article  Google Scholar 

  • Rodger, A. J., Cambiano, V., Bruun, T., Vernazza, P., Collins, S., van Lunzen, J., … PARTNER Study Group. (2016). Sexual activity without condoms and risk of HIV transmission in serodifferent couples when the HIV-positive partner is using suppressive antiretroviral therapy. Journal of the American Medical Association,316, 171–181.

    Article  PubMed  Google Scholar 

  • Ross, L. E., Salway, T., Tarasoff, L. A., MacKay, J. M., Hawkins, B. W., & Fehr, C. P. (2018). Prevalence of depression and anxiety among bisexual people compared to gay, lesbian, and heterosexual individuals: A systematic review and meta-analysis. Journal of Sex Research,55, 435–456.

    Article  PubMed  Google Scholar 

  • Sandfort, T. G., & Dodge, B. (2008). “And then there was the Down Low”: introduction to Black and Latino male bisexualities. Archives of Sexual Behavior,37, 675–682.

    Article  PubMed  PubMed Central  Google Scholar 

  • Scheim, A. I., & Travers, R. (2017). Barriers and facilitators to HIV and sexually transmitted infections testing for gay, bisexual, and other transgender men who have sex with men. AIDS Care,29, 990–995.

    Article  PubMed  Google Scholar 

  • Schrimshaw, E. W., Siegel, K., Downing, M. J., & Parsons, J. T. (2013). Disclosure and concealment of sexual orientation and the mental health of non-gay-identified, behaviorally-bisexual men. Journal of Consulting and Clinical Psychology,81, 141–153.

    Article  PubMed  Google Scholar 

  • Sevelius, J. (2009). There’s no pamphlet for the kind of sex I have: HIV-related risk factors and protective behaviors among transgender men who have sex with non-transgender men. Journal of the Association of Nurses in AIDS Care,20, 398–410.

    Article  Google Scholar 

  • Singh, S., Hu, X., Wheeler, W., & Hall, H. I. (2014). HIV diagnoses among men who have sex with men and women-United States and 6 dependent areas, 2008-2011. American Journal of Public Health,104, 1700–1706.

    Article  PubMed  PubMed Central  Google Scholar 

  • Solorio, R., Norton-Shelpuk, P., Forehand, M., Montano, D., Stern, J., Aguirre, J., & Martinez, M. (2016). Tu Amigo Pepe: Evaluation of a multi-media marketing campaign that targets young latino immigrant MSM with HIV testing messages. AIDS and Behavior,20, 1973–1988.

    Article  PubMed  Google Scholar 

  • Spikes, P. S., Purcell, D. W., Williams, K. M., Chen, Y., Ding, H., & Sullivan, P. S. (2009). Sexual risk behaviors among HIV-positive black men who have sex with women, with men, or with men and women: Implications for intervention development. American Journal of Public Health,99(6), 1072–1078.

    Article  PubMed  PubMed Central  Google Scholar 

  • Starks, T. J., Doyle, K. M., Shalhav, O., John, S. A., & Parsons, J. T. (2019). An examination of gay couples’ motivations to use (or Forego) pre-exposure prophylaxis expressed during couples HIV testing and counseling (CHTC) sessions. Prevention Science, 20, 157–167.

    Article  PubMed  PubMed Central  Google Scholar 

  • Stokes, J. P., McKirnan, D. J., & Burzette, R. G. (1993). Sexual behavior, condom use, disclosure of sexuality, and stability of sexual orientation in bisexual men. Journal of Sex Research, 30, 203–213.

    Article  Google Scholar 

  • Stokes, J. P., Vanable, P., & McKirnan, D. J. (1997). Comparing gay and bisexual men on sexual behavior, condom use, and psychosocial variables related to HIV/AIDS. Archives of Sexual Behavior,26, 383–397.

    Article  PubMed  Google Scholar 

  • Strauss, B. B., Greene, G. J., Phillips, G., 2nd, Bhatia, R., Madkins, K., Parsons, J. T., & Mustanski, B. (2017). Exploring patterns of awareness and use of HIV pre-exposure prophylaxis among young men who have sex with men. AIDS and Behavior,21, 1288–1298.

    Article  PubMed  PubMed Central  Google Scholar 

  • Vidanapathirana, J., Abramson, M. J., Forbes, A., & Fairley, C. (2005). Mass media interventions for promoting HIV testing. Cochrane Database of Systematic Reviews, 3, CD004775.

  • Vizard, T. (2014). Measuring sexual identity in the United Kingdom. Journal of Bisexuality, 14, 524–543.

    Article  Google Scholar 

  • Wade, R. M., & Harper, G. W. (2015). Young black gay/bisexual and other men who have sex with men: A review and content analysis of health-focused research between 1988 and 2013. American Journal of Men’s Health,11, 1388–1405.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wakefield, M. A., Loken, B., & Hornik, R. C. (2010). Use of mass media campaigns to change health behaviour. Lancet,376, 1261–1271.

    Article  PubMed  PubMed Central  Google Scholar 

  • Watson, R. J., Allen, A., Pollitt, A. M., & Eaton, L. A. (2019). Risk and protective factors for sexual health outcomes among Black bisexual men in the U.S.: Internalized heterosexism, sexual orientation disclosure, and religiosity. Archives of Sexual Behavior, 48, 243–253.

    Article  PubMed  Google Scholar 

  • Wei, C., Herrick, A., Raymond, H. F., Anglemyer, A., Gerbase, A., & Noar, S. M. (2011). Social marketing interventions to increase HIV/STI testing uptake among men who have sex with men and male-to-female transgender women. Cochrane Database of Systematic Reviews, 9, CD009337.

  • Williams, J. K., Glover, D. A., Wyatt, G. E., Kisler, K., Liu, H., & Zhang, M. (2013). A sexual risk and stress reduction intervention designed for HIV-positive bisexual African American men with childhood sexual abuse histories. American Journal of Public Health,103, 1476–1484.

    Article  PubMed  PubMed Central  Google Scholar 

  • Williams, J. K., Ramamurthi, H. C., Manago, C., & Harawa, N. T. (2009). Learning from successful interventions: A culturally congruent HIV risk-reduction intervention for African American men who have sex with men and women. American Journal of Public Health,99, 1008–1012.

    Article  PubMed  PubMed Central  Google Scholar 

  • Young, R. M., & Meyer, I. H. (2005). The trouble with “MSM” and “WSW”: Erasure of the sexual-minority person in public health discourse. American Journal of Public Health,95, 1144–1149.

    Article  PubMed  PubMed Central  Google Scholar 

  • Zivony, A., & Lobel, T. (2014). The invisible stereotypes of bisexual men. Archives of Sexual Behavior,43, 1165–1176.

    Article  PubMed  Google Scholar 

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Acknowledgements

We would like to thank Abigail Wang for her assistance with Table 1.

Funding

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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  1. Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, 625 N. Michigan Ave., #14-047, Chicago, IL, 60611, USA

    Brian A. Feinstein

  2. Indiana University School of Public Health, Bloomington, IN, USA

    Brian Dodge

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Correspondence to Brian A. Feinstein.

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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

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