Double Jeopardy with Men's Sexual Behavior and Drug Use: Down Low and High
Costenbader, E. C., Zule, W. A., Coomes, C. M., & Wechsberg, W. M. (2007, November). Double Jeopardy with Men's Sexual Behavior and Drug Use: Down Low and High. Presented at American Public Health Association Annual Meeting 2007, Washington, DC.
Background: Male bisexual behavior is thought to be driving the HIV epidemic among African-American women. We examined the prevalence and correlates of bisexual behavior among a predominantly African-American population of high-risk men in North Carolina. Method: As part of a NIDA-funded study, drug users, MSM and their sexual partners were recruited using respondent driven sampling between 2005 and 2006. Data were collected using ACASI, and participants were tested for HIV. Results: Of 596 males, 188 (32%) reported a history of sex with men and women. These men were significantly more likely to be HIV-positive (17% vs. 10%, p