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AJPH First Look, published online ahead of print Feb 12, 2009
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AJPH.2007.127217v1
99/S1/S92    most recent
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April 2009, Vol 99, No. S1 | American Journal of Public Health S92-S95
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2007.127217

RESEARCH AND PRACTICE

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

Lisa Bond, PhD, Darrell P. Wheeler, PhD, MPH, Gregorio A. Millett, MPH, Archana Bodas LaPollo, MPH, Lee F. Carson, MSW and Adrian Liau, PhD

Lisa Bond, Archana LaPollo, and Lee Carson are with the Public Health Management Corporation, Philadelphia, PA. Darrell Wheeler is with the Hunter College School of Social Work, City University of New York, New York, NY. Gregorio Millett and Adrian Liau are with the Centers for Disease Control and Prevention, Atlanta, GA.

Correspondence: Requests for reprints should be sent to Lisa Bond, Public Health Management Corporation, 260 South Broad St, Philadelphia, PA 19102-5085 (lisab{at}phmc.org).

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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