Comparison of Selected Sociodemographic Characteristics and Sexual Risk Behaviors of Black/African American Men Who Have Sex with Men Only and Men Who Have Sex with Men and Women, Southeastern United States, 2013–2016

• DOI: 10.1007/s40615-019-00636-2
• Publication Date: 2019-09-09T14:03:23Z
• Authors: Malendie T. Gaines; Donna Hubbard McCree; Zaneta Gaul; Kirk D. Henny; DeMarc A. Hickson; Madeline Y. Sutton
• Keywords: Adult; Male; Adolescent; Unsafe Sex; Southeastern United States; 3. Good health; Black or African American; Young Adult; 03 medical and health sciences; 0302 clinical medicine; Socioeconomic Factors; 5. Gender equality; Ill-Housed Persons; Bisexuality; Educational Status; Humans; Homosexuality, Male

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).We conducted bivariate and multivariable analyses to explore the sociodemographic characteristics and sexual risk behaviors of 584 MSMW and MSMO in the South.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.MSMW in the South experience social and structural factors that may affect their risk for HIV infection. Strategies to address these factors should be considered in prevention and care efforts for this population.