Abstract
Bisexual behaviors may increase transmission pathways of HIV and sexually transmitted infections (STIs) from a higher prevalence
group to lower prevalence groups in El Salvador. In 2008, men who have sex with men (MSM) were recruited in San Salvador and
San Miguel using respondent driven sampling. Participants were interviewed and tested for HIV and STIs. Sixteen seeds and
797 MSM participated; 34.9% in San Salvador and 58.8% in San Miguel reported bisexual behavior. Bisexual behavior was associated
with drug use (adjusted odds ratio (AOR) = 2.57, 95% CI: 1.30–5.06) and insertive anal sex (AOR = 5.45, 95% CI: 3.01–9.87),
and inversely associated with having a stable male partner (AOR = 0.47, 95% CI: 0.26–0.84) and disclosing MSM behavior to
family (AOR = 0.41, 95% CI: 0.22–0.75). Bisexual behavior was associated with risk behaviors with male and female partners
that may be associated with HIV and STI transmission. Bisexual men displayed a distinct identity calling for tailored interventions.
group to lower prevalence groups in El Salvador. In 2008, men who have sex with men (MSM) were recruited in San Salvador and
San Miguel using respondent driven sampling. Participants were interviewed and tested for HIV and STIs. Sixteen seeds and
797 MSM participated; 34.9% in San Salvador and 58.8% in San Miguel reported bisexual behavior. Bisexual behavior was associated
with drug use (adjusted odds ratio (AOR) = 2.57, 95% CI: 1.30–5.06) and insertive anal sex (AOR = 5.45, 95% CI: 3.01–9.87),
and inversely associated with having a stable male partner (AOR = 0.47, 95% CI: 0.26–0.84) and disclosing MSM behavior to
family (AOR = 0.41, 95% CI: 0.22–0.75). Bisexual behavior was associated with risk behaviors with male and female partners
that may be associated with HIV and STI transmission. Bisexual men displayed a distinct identity calling for tailored interventions.
- Content Type Journal Article
- Category Original Paper
- Pages 1-9
- DOI 10.1007/s10461-012-0152-y
- Authors
- Evelyn J. Kim, Division of Global HIV/AIDS, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS E-30, Atlanta, GA 30333, USA
- Jacob Creswell, Centro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, Guatemala
- Maria Elena Guardado, Training Programs in Epidemiology and Public Health Interventions Network, Atlanta, GA, USA
- Neha Shah, Division of Global HIV/AIDS, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS E-30, Atlanta, GA 30333, USA
- Andrea A. Kim, Division of Global HIV/AIDS, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS E-30, Atlanta, GA 30333, USA
- Ana Isabel Nieto, National AIDS Program, Ministry of Health, San Salvador, El Salvador
- Flor de Maria Hernandez-Ayala, Training Programs in Epidemiology and Public Health Interventions Network, Atlanta, GA, USA
- Edgar Monterroso, Division of Global HIV/AIDS, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS E-30, Atlanta, GA 30333, USA
- Gabriela Paz-Bailey, Centro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, Guatemala
- Journal AIDS and Behavior
- Online ISSN 1573-3254
- Print ISSN 1090-7165