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).