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Black Men Who Have Sex With Men and the Association of Down-Low Identity With HIV Risk Behavior

2009/02/13 by Lisa Bond, Darrell P. Wheeler, Gregorio A. Millett +3 · 1 citation
Medicine · Social Sciences · Psychology · #HIV, Drug Use, Sexual Risk #HIV/AIDS Research and Interventions #Sex work and related issues #Anal sex #Men who have sex with men #Human immunodeficiency virus (HIV) #Association (psychology) #Demography #Sexual identity #Sexual behavior #Psychology #Homosexuality #Medicine #Identity (music) #Clinical psychology #Human sexuality #Gender studies #Family medicine #Sociology

paper · doi:10.2105/ajph.2007.127217

openalex publication_date 2009/02/13 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/07

Abstract

Black men "on the down low" have been considered prime agents of HIV transmission in the Black community despite little empirical evidence. We assessed the relationship between down-low identification and sexual risk outcomes among 1151 Black MSM. Down-low Identification was not associated with unprotected anal or vaginal sex with male or female partners. Future HIV prevention programs and research should target sexual risk behaviors of Black men, irrespective of identity, and not focus on the "down low."

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