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M94A2073.TXT
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1994-10-24
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Document 2073
DOCN M94A2073
TI Male bisexuality and HIV risk: synthesis of research and implications
for HIV/AIDS interventions.
DT 9412
AU Doll LS; Beeker C; Centers for Disease Control and Prevention, Atlanta,
GA.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):387 (abstract no. PD0157). Unique
Identifier : AIDSLINE ICA10/94370502
AB OBJECTIVE. To identify social contexts and other behavioral factors
associated with HIV risk to bisexual men and their female partners.
METHODS. We synthesized data from U.S. AIDS case reports and HIV
behavioral studies to assess and compare risks among subgroups of
bisexual men. Factors examined were: 1) sociocultural context, 2)
recency/frequency of sex with men, 3) physical setting of sex, and 4)
relationship between sexual identity and sexual behavior. RESULTS.
Across studies, bisexual men had moderate to high recent sexual risk
with male partners (20%-60%: unprotected anal sex) and high sexual risk
with female partners (40%-75%: unprotected vaginal sex) with infrequent
disclosure of bisexuality to female partners (30%-40%). Four
sociocultural contexts were associated with high rates of bisexual
behavior and HIV sexual risk: male prostitution, injecting drug use,
race/ethnic cultural patterns, and sexual identity crises, with these
contexts associated with frequent sexual contacts, sex in settings
restricting negotiation or access to condoms, and discordant sexual
identity/behavior. CONCLUSIONS. HIV/AIDS prevention activities for
bisexual men and their female partners must occur on multiple levels
(policy, community, institutional and individual). Specific
interventions must facilitate and reinforce attitudinal and behavioral
change through contextually-relevant programs that reduce homosexual
stigma, promote condom use with male and female partners, and provide
drug treatment, skills training, and peer and youth support.
DE Bisexuality/*PSYCHOLOGY Condoms Female Gender Identity Human HIV
Infections/PREVENTION & CONTROL/PSYCHOLOGY/*TRANSMISSION Knowledge,
Attitudes, Practice Male Risk Factors *Sex Behavior Sex Education
Social Environment MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).