J Racial Ethn Health Disparities

Purpose Compare selected sociodemographic and sexual risk characteristics of black/African American (black) men who have sex with men only (MSMO) and men who have sex with men and women (MSMW) in the southeastern United States (the South). Methods We conducted bivariate and multivariable analyses to explore the sociodemographic characteristics and sexual risk behaviors of 584 MSMW and MSMO in the South. Results MSMW had lesser odds of having a college or graduate degree (aOR = 0.32; 95% CI = 0.19, 0.54) and having ≥ 2 male oral sex partners (aOR = 0.20; 95% CI = 0.08, 0.48) compared to MSMO. MSMW had greater odds of being homeless (aOR = 3.11; 95% CI = 1.80, 5.38) and selecting “top” sexual position (aOR = 1.70; 95% CI = 1.07, 2.72) compared to MSMO. Conclusion MSMW in the South experience social and structural factors that may affect their risk for HIVinfection. Strategies to address these factors should be considered in prevention and care efforts for this population.

31502106

PMC6980258

Journal Article

U01 PS003315/PS/NCHHSTP CDC HHS/United States

Southeastern United States

CDC Public Access