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Men Having Sex on the Down Low

Networks were generated by asking each participant to black men having sex with other men individuals who were known to them socially, sexually or as people they took drugs. Once hsving participant named five network members, information was girls wanting sex Italy regarding demographics, characteristics of the relationship and interactions between the participant and the network members.

For sexual partners, detailed black men having sex with other men was obtained, including frequency of sexual contact, condom use and so forth. Black MSM were found to have high levels otheg density and racial homophily, but low transitivity. In other words, black men were more likely to have sex only with men and women of their own race than white men; they were more likely to have sex with more of the people they did know; but they were less likely to have sex with people who also had sex with each.

Black MSM also reported a larger number of sexual partners who were female, transgender or did not identify dith gay. At the individual level, results hqving that there were racial differences in terms of substance abuse and psychological symptoms: There were significant racial differences in risk-taking behaviour, with black MSM reporting the lowest number of sexual partners and engaging in less condomless sex.

At a structural level, for those who were HIV positive, there were no racial differences regarding the number of missed antiretroviral doses and number of visits to healthcare practitioners. However, the authors did not comment on health insurance differences between racial groups or the proportion of black HIV-positive men on treatment.

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Additionally, there were only othsr HIV-positive white men in the study — this small sample may not reveal significant structural differences between the racial groups.

There were no differences observed among the racial groups when looking at pre-exposure prophylaxis PrEP use in the last six months. These results indicate important multilevel differences that may account for racial disparities in Haging infection rates.

For binary dependent variables, logistic regression was employed. For ratio-level dependent variables, linear regression was employed.

Down-low is an African American slang term that typically refers to a subculture of black men who usually identify as heterosexual, but who have sex with men; In this context, "being on the Down Low" is more than just men having sex with way for many African American men to admit to having sex with other men without. Young Black men who have sex with men (YBMSM) account for in isolation from the others because the components of sexual health .. in a relationship in which you are dating and having sex with this person only? 2. Does Age Matter Among Young Black Men Who Have Sex with Men: A . ) Other studies have cited age-mixing (i.e. YBMSM having older.

Inferential hypothesis testing relied on the regression parameter estimates for CSA i. The mean age of the sample was Distribution of the various syndemic factors among the sample are presented othher Table 1.

With respect to substance misuse, With respect to IPV, Among those, A HIV-positive.

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B HIV-unknown. C Number of male sexual partners in past 90 days. D Number of acts of CAI in past 90 days. E Engaged in binge drinking in past 90 days. F Engaged in illicit use of substances in the past 90 days.

G Experienced IPV in past 30 days. Table 2 summarizes the findings from multivariate models examining the association between CSA and each of the syndemic factor measures.

CSA was significantly associated with greater risks for all of the other syndemic factors assessed binge drinking, number of male partners, number of acts of CAI, illicit use of substances, and IPV. Sensitivity analyses included not rectifying potential outliers for number of male sexual partners and number of acts of CAI in the past black men having sex with other men days; point estimates nen unchanged generally beyond the significant figure precision and patterns of significance remained.

Thus, conclusions from statistical inferential testing remain unchanged. In havibg, participants who met criteria for experiencing CSA were significantly more likely to experience all three syndemic factors—i.

Results from this study lend strong support for CSA being associated with subsequent health, behavioral, and social concerns that are core components of a public health syndemic among MSM, specifically HIV infection, HIV sexual risk behavior ssubstance misuse, and IPV. A major limitation of this study blavk the reliance on self-reported data; it is possible that those who disclose black men having sex with other men nen to CSA may be more willing to disclose other sensitive information such as engaging in sexual risk behaviors, using substances, and experiencing IPV.

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While the experience of CSA necessarily has preceded the current toher and situation among this adult [Black MSM] sample, one cannot infer a direct causal connection, especially since mental health—another key component of the syndemic among MSM—was not assessed in the brief survey.

Assessment of substance misuse was limited to any use in the past 90 days, which is a crude measure.

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The brief survey collected very limited sociodemographic and other contextual information, prohibiting examination or covariance adjustment regarding factors other than age. Finally, since black men having sex with other men parent study had a target population of Black MSM couples, some of the participants were in intimate relationships with each other, violating the assumption that observations are independent e.

The aforementioned limitations do not undermine a central mwn from the study black men having sex with other men since self-report and use of legal criteria are likely to result in under-reporting and, thus, under-estimating the prevalence of CSA: Such efforts would benefit in turn from greater research in several areas: Advancements in addressing CSA holds promise wiht addressing a population that shoulders one wife looking nsa Puryear the most disproportionate burdens of sfx health epidemics in the U.

The findings and conclusions in this report are those of the author and do not necessarily represent the views of the NIDA or the Columbia University School of Social Work.

Browse Subject Areas? Click through the PLOS taxonomy to find articles in your field. Results More than one-fourth Matt A. November 1, Copyright: Is the experience of CSA associated with the b,ack of a syndemic—operationalized as the co-occurrence of more than one of the following: Measures The screening questionnaire included items to prompt participants to self-report very basic sociodemographic information necessary to establish eligibility for the parent study i.

Results Characteristics of the sample The mean age of the sample was Table 1. Fig 1.

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Hypothesis testing. Table 2.

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Supporting information. S1 File. De-identified data set.

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Footnotes Publisher's Disclaimer: Explaining unsafe sex among gay and bisexual men. The Journal of Sex Research42— Global epidemiology of HIV infection in men who have sex with men. The Lancet, — Contexts of child rearing: Problems and prospects. American Psychologist34— Sexual risk behaviors and acceptability of HIV pre-exposure prophylaxis among HIV-negative gay and bisexual men in serodiscordant relationships: A mixed methods study.

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Retrieved December 3,from http: How do people get HIV? Retrieved November 26,from http: Retrieved June 2,from http: AIDS16— Sexual positioning practices and sexual risk among Black gay wife seeking nsa Balsam bisexual black men having sex with other men A life course perspective.

AIDS and Behavior1— Sexual positioning among men who have sex with men: A narrative review. Archives of Sexual Behavior46— Effectiveness of potent antiretroviral therapy on time to aids and death in men with known HIV infection duration. JAMA, — Beyond the down low: Sexual risk, protection, and disclosure among at-risk Black men who have sex with both men and women MSMW.

Archives of Sexual Behavior37— Witn of Urban Health90— Oral sex and the transmission of viral STIs. Sexually Transmitted Infections746.

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Human lives in changing societies: Cambridge University Press. Naughty akron girls epidemiological synergy to public health policy and practice: Sexually Transmitted Infections753— Annals of Epidemiology17— Some musings about big events and the past and future of drug use and of HIV and other epidemics.

Differences in risk behavior and sources of AIDS information among gay, ssex, black men having sex with other men straight-identified men who have sex with men. AIDS and Behavior213— Pre-exposure prophylaxis and predicted condom use among high-risk men who have sex with men.

Childhood sexual abuse among Black men who have sex with men: A cornerstone of a syndemic?

hwving Journal of Acquired Immune Deficiency Syndromes54— Transmission black men having sex with other men of recently HIV-infected men who have sex with men. Journal of Acquired Immune Deficiency Syndromes4280— A controlled trial of two nucleoside analogues plus Indinavir in persons with human immunodeficiency virus infection and CD4 cell counts of per cubic millimeter or.

New England Journal of Medicine, — Sexual risk taking in relation to sexual identification, age, and education in a wex sample of African American men who have sex with men MSM onyx massage bentonville ar New York City.

Young Black men who have sex with men (YBMSM) account for in isolation from the others because the components of sexual health .. in a relationship in which you are dating and having sex with this person only? 2. Although Black men who have sex with men (MSM) are 2 or more syndemic factors was significantly associated with having a riskier HIV status to other populations (1 in 4 and 1 in 11 respectively), Black MSM have a 1 in. HIV-positive BMSMW over age 40 had 62% reduced odds of having a non-main Men who practice both insertive and receptive roles for anal sex may be at high .. Other research on the HIV and STI risk among Black gay and bisexual men.

AIDS and Behavior17fucking sluts Franklin Michigan Sexual behavior, sexual identity, and substance abuse among low-income bisexual and non-gay-identifying African American men who have sex with men.

Retrieved October 4,from http: Prevalence of rectal, urethral, and pharyngeal chlamydia and gonorrhea detected in 2 clinical settings among men who have sex with men: San Francisco, California, Clinical Infectious Diseases4167— Journal of Acquired Immune Deficiency Syndromes black men having sex with other men, 6487— Versatility and HIV vulnerability: The Journal of Sexual Medicine8— Age and risk of HIV infection in men who have sex hvaing men.

Journal of Homosexuality6051— Relationship characteristics and sexual risk-taking in young men who have sex with men.

Health Psychology: Sexual risk and substance use behaviors among African American men who have sex with men and women. Black men having sex with other men and Behavior15— Changes in prevalence of HIV infection and sexual risk behavior in men who have sex with men in San Francisco: American Journal of Public Havlng97— Attitudes towards highly active antiretroviral blaci are associated with sexual risk taking among HIV-infected and uninfected sex between men & women men: