Black men who have sex with men and the association of down-low identity with HIV risk behavior.

@article{Bond2009BlackMW,
  title={Black men who have sex with men and the association of down-low identity with HIV risk behavior.},
  author={Lisa Gayle Bond and Darrell P. Wheeler and Gregorio A Millett and Archana Bodas Lapollo and Lee Carson and Adrian Liau},
  journal={American journal of public health},
  year={2009},
  volume={99 Suppl 1},
  pages={
          S92-5
        }
}
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… 
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References

SHOWING 1-8 OF 8 REFERENCES
Focusing "down low": bisexual black men, HIV risk and heterosexual transmission.
TLDR
The high prevalence of HIV in the black community and the greater likelihood of bisexuality among black men place heterosexual black women at risk for HIV infection.
Exploring HIV Prevention Needs for Nongay-Identified Black and African American Men Who Have Sex With Men: A Qualitative Exploration
  • D. Wheeler
  • Psychology, Medicine
    Sexually transmitted diseases
  • 2006
Objectives: The objectives of this study were to describe ways in which black men who have sex with men (MSM) identify their sexual identities, explore their views of HIV prevention interventions,
Self-Identification as “Down Low” Among Men Who Have Sex with Men (MSM) from 12 US Cities
Men who have sex with men (MSM) who are on the “down low” (DL) have been the subject of considerable media attention, but few data on this population exist. This exploratory study (N=455) compared
Discordance between Sexual Behavior and Self-Reported Sexual Identity: A Population-Based Survey of New York City Men
TLDR
A population-based health survey of men living in New York City found that almost 10% who self-identified as straight had at least 1 sexual encounter with another man during the previous year, and these men were less likely than self- identified gay men to have been tested for HIV infection or to have used a condom during their most recent sexual encounter.
Extensions of Respondent-Driven Sampling: A New Approach to the Study of Injection Drug Users Aged 18–25
TLDR
It is indicated that steering incentives helped to increase recruitment of younger IDUs, that the sample was representative, and that both volunteerism and masking were modest.
Respondent-driven sampling : A new approach to the study of hidden populations
TLDR
A new variant of chain-referral sampling, respondent-driven sampling, is introduced that employs a dual system of structured incentives to overcome some of the deficiencies of such samples and discusses how respondent- driven sampling can improve both network sampling and ethnographic investigation.