caa a22 4500 606232729 CHVBK 20210128101228.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s10508-014-0346-7 doi (NATIONALLICENCE)springer-10.1007/s10508-014-0346-7 Psychosocial Vulnerability and HIV-Related Sexual Risk Among Men who have Sex with Men and Women in the United States [Elektronische Daten] [Typhanye Dyer, Rotrease Regan, Lauren Pacek, Abenaa Acheampong, Maria Khan] In the U.S., HIV is concentrated among men who have sex with men (MSM), some of whom have had female partners (MSMW). MSMW are disproportionately impacted by psychosocial vulnerabilities, like depression and substance use that increase sexually transmitted infection (STI) and HIV risk. Research on psychosocial vulnerability and HIV-related sexual risk among MSMW is warranted to reduce infection transmission among MSM and to prevent bridging to female partners. We analyzed data from Wave IV (2007-2008) of the National Longitudinal Study of Adolescent Health to assess psychosocial vulnerability and HIV risk-taking among MSMW. Using lifetime and past year sexual activity, we classified men as ever having sex with: women only (MSW), men only (MSMO) or MSMW, with further refined categorization of MSMW with male only partners in the past 12months, only female partners in the past 12months, and both male and female partners in the past 12months (N=6,945). We compared psychosocial vulnerability characteristics and HIV-related risk behaviors among the five categories of men. MSMW were more likely to report depression, suicidality, substance use, and incarceration than MSW and MSMO. Compared to MSW, MSMW with current female partners had greater odds of unprotected sex, exchange sex, and STI. MSMW with male partners in the past year had greater odds of multiple or concurrent partners in the past year. HIV risk and psychosocial vulnerability factors are elevated among MSMW, a priority population for HIV risk reduction. HIV risk reduction interventions should address this and heterogeneity of sexual partnerships among MSMW. Springer Science+Business Media New York, 2014 HIV nationallicence Sexually transmitted infections nationallicence Substance use nationallicence Sexual minorities nationallicence Epidemiology nationallicence Sexual orientation nationallicence Dyer Typhanye Department of Epidemiology and Biostatistics, University of Maryland, 2234FF School of Public Health, 20742, College Park, MD, USA aut Regan Rotrease Department of Family Medicine, University of California Los Angeles, Los Angeles, CA, USA aut Pacek Lauren Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore, MD, USA aut Acheampong Abenaa Department of Epidemiology, University of Florida, Gainesville, FL, USA aut Khan Maria Department of Epidemiology, University of Florida, Gainesville, FL, USA aut Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/2(2015-02-01), 429-441 0004-0002 44:2<429 2015 44 10508 https://doi.org/10.1007/s10508-014-0346-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10508-014-0346-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Dyer Typhanye Department of Epidemiology and Biostatistics, University of Maryland, 2234FF School of Public Health, 20742, College Park, MD, USA aut NATIONALLICENCE 700 1- Regan Rotrease Department of Family Medicine, University of California Los Angeles, Los Angeles, CA, USA aut NATIONALLICENCE 700 1- Pacek Lauren Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore, MD, USA aut NATIONALLICENCE 700 1- Acheampong Abenaa Department of Epidemiology, University of Florida, Gainesville, FL, USA aut NATIONALLICENCE 700 1- Khan Maria Department of Epidemiology, University of Florida, Gainesville, FL, USA aut NATIONALLICENCE 773 0- Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/2(2015-02-01), 429-441 0004-0002 44:2<429 2015 44 10508