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Behaviourally bisexual men as a bridge population for HIV and sexually transmitted infections? Evidence from a national probability survey

Mercer, CH; Hart, GJ; Johnson, AM; Cassell, JA; (2009) Behaviourally bisexual men as a bridge population for HIV and sexually transmitted infections? Evidence from a national probability survey. INT J STD AIDS , 20 (2) 87 - 94. 10.1258/ijsa.2008.008215.

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Abstract

We consider the potential of behaviourally bisexual men (BBM) as a bridge population in sexually transmitted infection (STI)/HIV transmission by comparing sexual risk behaviours, attitudes and sexual health outcomes of BBM (defined as men who reported sex with men and women), with men who reported (i) exclusively male partners (MEMP) and (ii) exclusively female partners (MEFP), using a probability survey of the British general population aged 16-44 years, conducted between 1999 and 2001 (n = 5168 men). About 1.3% of men who reported sex in the past five years were BBM (44.1% of all men reporting male partners); 29.0% of BBM were married/cohabiting with women. Median partner numbers in this timeframe were seven among BEIM, two among MEFP and 10 among MEMP. Similar proportions of BBM and MEMP reported STI diagnosis/es in the past five years, yet BEIM were less likely than MEMP to report HIV-testing (odds ratio adjusted for sociodemographics: 0.31). BBM are thus mid-way between MEFP and MEMP in their sexual risk behaviour, but are similar to MEMP in reporting STI diagnosis/es. These data have implications for health promotion and partner notification, as BBM are unlikely to be appropriately targeted by safe-sex messages aimed at men identifying as gay.

Type: Article
Title: Behaviourally bisexual men as a bridge population for HIV and sexually transmitted infections? Evidence from a national probability survey
DOI: 10.1258/ijsa.2008.008215
Keywords: Bisexual, men who have sex with men, gay men, sexual behaviour, HIV-risk, RISK BEHAVIORS, BRITAIN, WOMEN, PARTNERSHIPS, SEX
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health > Infection and Population Health
URI: http://discovery.ucl.ac.uk/id/eprint/111932
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