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Differences in substance use, psychosocial characteristics and hiv-related sexual risk behavior between black men who have sex with men only (BMSMO) and black men who have sex with men and women (BMSMW) in six US cities

  • Author(s): Dyer, TP
  • Regan, R
  • Wilton, L
  • Harawa, NT
  • Ou, SS
  • Wang, L
  • Shoptaw, S
  • et al.

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We assessed associations in substance use, psychosocial characteristics, andHIVrelated sexual risk behaviors, comparing characteristics of Black men who only have sex with other men only (BMSMO; n=839) to Black men who have sex with men and women (BMSMW; n=590). The study analyzed baseline data from the HIV Prevention Trials Network Brothers Study (HPTN061), a feasibility study of amulti-component intervention for Black MSM in six US cities. Bivariate analyses compared BMSMO to BMSMWalong demographics, substance use, psychosocial characteristics, and HIV-related sexual risk behaviors. Logistic regression models then assessed multivariable associations between being BMSMWand the odds of engaging in HIV-related sexual risk behaviors. Adjusted analyses revealed that BMSMWremained more likely to have unprotected anal intercourse while under the influence of alcohol (AOR: 1.45; 95%CI:1.111.90) and were more likely to receive money/drugs for sex (AOR: 2.11; 95 % CI:1.483.03), compared to BMSMO. Substance use is an important factor to be considered when developing risk-reduction interventions forBMSMW. Structural interventions that address factors thatmay contribute to exchange sex among these men are also warranted. © 2013 The New York Academy of Medicine.

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