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Am J Public Health ; 100(1): 159-64, 2010 Jan.
Article in English | MEDLINE | ID: mdl-19910348

ABSTRACT

OBJECTIVES: We explored factors influencing sexual behavior, disclosure of same-sex behavior, and condom-use practices among Black bisexual men. METHODS: We conducted semistructured interviews with 38 Black men in Atlanta, Georgia, who reported having had oral, vaginal, or anal sex with both men and women in the prior 6 months. RESULTS: Participants described approaches to disclosure of same-sex behavior as part of a complex decisional balance influenced by both situational and individual factors and ranging from full disclosure to total secrecy. Influences on sexual behavior and condom-use practices included: (1) type of relationship, (2) gender-specific considerations, (3) perceptions of comfort or trust, and (4) fear of disease or pregnancy. CONCLUSIONS: Disclosure of same-sex behavior was not a major influence on the sexual behavior and condom-use practices of the Black bisexual men in our study, who demonstrated heterogeneity in approaches to sexual behavior, disclosure of same-sex behavior, and condom-use practices. Additional research is needed to assess the social determinants of sexual risk for this population. Future HIV-prevention efforts should include initiatives to encourage accuracy in risk assessment and in taking sexual histories in clinical settings.


Subject(s)
Bisexuality/ethnology , Black or African American/psychology , Homosexuality, Male/ethnology , Sexual Behavior/ethnology , Adolescent , Adult , Bisexuality/psychology , Condoms/statistics & numerical data , Disclosure , Georgia , Homosexuality, Male/psychology , Humans , Interviews as Topic , Male , Middle Aged , Qualitative Research , Risk-Taking , Sexual Behavior/psychology , Young Adult
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