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AJPH First Look, published online ahead of print Nov 13, 2008
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January 2009, Vol 99, No. 1 | American Journal of Public Health 125-132
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2007.129809

RESEARCH AND PRACTICE

The Interaction of Sexual Identity With Sexual Behavior and Its Influence on HIV Risk Among Latino Men: Results of a Community Survey in Northern San Diego County, California

Jennifer A. Zellner, PhD, Ana P. Martínez-Donate, PhD, Fernando Sañudo, MPH, Araceli Fernández-Cerdeño, MA, Carol L. Sipan, MPH, RN, Melbourne F. Hovell, PhD, MPH and Héctor Carrillo, DrPH

At the time of the study, Jennifer A. Zellner, Ana P. Martínez-Donate, Araceli Fernández-Cerdeño, Carol L. Sipan, and Melbourne F. Hovell were with the Center of Behavioral Epidemiology and Community Health, Graduate School of Public Health, San Diego State University, San Diego, CA. Ana P. Martínez-Donate was also with the Department of Population Health Sciences, University of Wisconsin, Madison. Fernando Sañudo was with Vista Community Clinic, Vista, CA. Héctor Carrillo was with the Department of Human Sexuality Studies, San Francisco State University, San Francisco, CA.

Correspondence: Requests for reprints should be sent to Ana P. Martínez-Donate, Department of Population Health Sciences, University of Wisconsin–Madison, 610 Walnut St, WARF 605, Madison, WI 53726-2397 (e-mail: martinezdona{at}wisc.edu).

Objectives. We examined the sexual behavior, sexual identities, and HIV risk factors of a community sample of Latino men to inform efforts to reduce Latinos' HIV risk.

Methods. In 2005 and 2006, 680 Latino men in San Diego County, California, in randomly selected, targeted community venues, completed an anonymous, self-administered survey.

Results. Most (92.3%) respondents self-identified as heterosexual, with 2.2%, 4.9%, and 0.6% self-identifying as bisexual, gay, or other orientation, respectively. Overall, 4.8% of heterosexually identified men had a lifetime history of anal intercourse with other men. Compared with behaviorally heterosexual men, heterosexually identified men who had sex with both men and women were more likely to have had a sexually transmitted infection, to have unprotected sexual intercourse with female partners, and to report having sex while under the influence of alcohol or other drugs. Bisexually identified men who had sex with men and women did not differ from behaviorally heterosexual men in these risk factors.

Conclusions. Latino men who have a heterosexual identity and bisexual practices are at greater risk of HIV infection, and efforts to reduce HIV risk among Latinos should target this group.






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