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Types of Female Partners Reported by Black Men Who Have Sex with Men and Women (MSMW) and Associations with Intercourse Frequency,Unprotected Sex and HIV and STI Prevalence |
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| Authors: | N. Harawa L. Wilton L. Wang C. Mao I. Kuo T. Penniman S. Shoptaw S. Griffith J. K. Williams V. Cummings K. Mayer B. Koblin |
| Affiliation: | 1. College of Medicine, Charles R. Drew University of Medicine and Science, 1731 East 120th Street, Los Angeles, CA, 90059, USA 2. Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA 3. Department of Human Development, Binghamton University, Binghamton, NY, USA 4. Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA 5. School of Public Health, George Washington University, Washington, DC, USA 6. Department of Epidemiology and Biostatistics, University of Maryland, College Park, MD, USA 7. Department of Family Medicine, University of California, Los Angeles, Los Angeles, CA, USA 8. FHI 360 North Carolina, Research Triangle Park, Durham, NC, USA 9. Department of Psychiatry & Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA, USA 10. Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, USA 11. Fenway Institute CRS and Beth Israel Deaconess Hospital, Boston, MA, USA 12. Laboratory of Infectious Disease Prevention, New York Blood Center, New York, NY, USA |
| Abstract: | We used baseline data from a study of Black MSM/MSMW in 6 US cities to examine the association of female partnership types with disease prevalence and sexual behaviors among the 555 MSMW participants. MSMW reported more than three times as many total and unprotected sex acts with each primary as they did with each non-primary female partner. We compared MSMW whose recent female partners were: (1) all primary (“PF only”, n = 156), (2) both primary and non-primary (“PF & NPF”, n = 186), and (3) all non-primary (“NPF only”, n = 213). HIV/STI prevalence did not differ significantly across groups but sexual behaviors did. The PF only group had the fewest male partners and was the most likely to have only primary male partners; the PF & NPF group was the most likely to have transgender partners. PF & NPF men reported the most sex acts (total and unprotected) with females; NPF only men reported the fewest. Implications for HIV risk and prevention are discussed. |
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