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AJPH First Look, published online ahead of print Apr 16, 2009
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June 2009, Vol 99, No. 6 | American Journal of Public Health 1062-1066
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2007.133462

RESEARCH AND PRACTICE

Drug Use and High-Risk Sexual Behaviors Among African American Men Who Have Sex With Men and Men Who Have Sex With Women

Dorothy C. Browne, DrPH, MSW, Patricia A. Clubb, PhD, Yan Wang, DrPH and Fernando Wagner, ScD

At the time this research was completed, all of the authors were with the Prevention Sciences Research Center, Morgan State University, Baltimore, MD.

Correspondence: Requests for reprints should be sent to Dorothy C. Browne, DrPH, MPH, MSW, Department of Sociology and Social Work, North Carolina A & T State University, Gibbs Hall Rm 203, 1601 E Market St, Greensboro, NC 27411 (e-mail: dbrowne{at}ncat.edu).

Objectives. We investigated covariates related to risky sexual behaviors among young African American men enrolled at historically Black colleges and universities (HBCUs).

Methods. Analyses were based on data gathered from 1837 male freshmen enrolled at 34 HBCUs who participated in the 2001 HBCU Substance Use Survey. The covariates of risky sexual behavior assessed included condom nonuse, engaging in sexual activity with multiple partners, and history of a sexually transmitted disease.

Results. Young Black men who had sex with men were more likely to engage in risky sexual behaviors than were young men who had sex with women. Two additional factors, early onset of sexual activity and consumption of alcohol or drugs before sexual activity, were independently associated with modestly higher odds of sexual risk behaviors.

Conclusions. Services focusing on prevention of sexually transmitted diseases should be provided to all male college students, regardless of the gender of their sexual partners. Such a general approach should also address drug and alcohol use before sexual activity.






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