Disproportionate social vulnerability and HIV-related sexual risk among men who have sex with men and women (MSMW) in the United States
Results: Compared to MSW, MSMW with female partners had almost 3 times higher odds of an STI; MSMW with male and female partners had almost 4 times higher odds of reporting multiple partners. MSMW with male partners had almost 3 times higher odds of reporting multiple partners. MSMW with male partners and MSMW with male and female partners had approximately 3 times higher odds of concurrent partnerships. Compared to MSM, MSMW with female partners had almost 3 times higher odds of unprotected sex. MSMWs were more likely to report social vulnerabilities that are HIV risk factors including depression, substance use, and incarceration than MSWs and MSMOs. Conclusions: HIV risk is elevated among MSMW. Interventions to reduce HIV risk should address social vulnerability and varying sexual risk patterns of MSMW.
Public health or related research
Social and behavioral sciences
Identify subgroups of MSMW that are at greatest risk of acquiring new HIV infection and transmitting infection to members of their sexual networks. Compare MSW, MSMO, and the heterogeneity of groups within MSMW on HIV risk outcomes and social vulnerability factors that drive HIV risk.
Keyword(s): Gay Men, Sexual Risk Behavior
Qualified on the content I am responsible for because: I have been a researcher in the area of drug dependence, mental health, HIV/AIDS and STI among sexual and racial/ethnic minority populations and their sexual and substance use networks for 10 years. I am currently a NIDA and NIMHHD funded researcher whose interests include the examination of social, structural and behavioral aspects of risk that drive HIV/AIDS disparities in the US.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.