Concordance Between Sexual Behavior and Sexual Identity in Street Outreach Samples of Four Racial/Ethnic Groups

Ross, Michael W.; Essien, E. James; Williams, Mark L.; Fernandez‐Esquer, Maria Eugenia

doi:10.1097/00007435-200302000-00003

Cited by 91 publications

(51 citation statements)

References 3 publications

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“…Although some discordance between sexual identity and sexual behavior is to be expected in any population and has been described in the context of nonrandom samples (13,16,18), our analysis suggests a larger discrepancy than has been noted previously in population-based studies. The Urban Men's Health Study (UMHS) (25) included a large probability sample of men who have sex with men, of whom only 3% perceived themselves as heterosexual.…”

Section: Discussioncontrasting

confidence: 61%

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Discordance between Sexual Behavior and Self-Reported Sexual Identity: A Population-Based Survey of New York City Men

et al. 2006

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Section: Discussioncontrasting

confidence: 61%

“…Previous research has found discordance between selfreported sexual identity and sexual behavior in men (11)(12)(13). Several reports (14 -22) have focused on risk behaviors among men who have sex with men and acknowledge having male sexual partners but do not report a gay identity.…”

mentioning

confidence: 99%

Discordance between Sexual Behavior and Self-Reported Sexual Identity: A Population-Based Survey of New York City Men

et al. 2006

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“…Completion of the questionnaire took approximately five minutes. More details on the study are provided elsewhere (Essien et al 3 ; Ross et al 4 , and Essien et al 5 ). The study was approved by the appropriate university human subjects review board.…”

Section: Methodsmentioning

confidence: 99%

Reported condom use and condom use difficulties in street outreach samples of men of four racial and ethnic backgrounds

et al. 2005

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The epidemiology of the HIV/AIDS epidemic in the United States has focused research attention on lesbian, gay, bisexual and transgendered communities as well as on racial and ethnic minorities. Much of that attention has, however, been focused on specific racial and ethnic groups and specific sexual minorities. We report on the results of a study that examined the association between condom use and partnership types among men from four major racial/ethnic groups.Self-reported data on sexual identity (homosexual, bisexual, and heterosexual) and condom use in the past three months were collected from 806 African American, Hispanic, Asian, and White men intercepted in public places in Houston, Texas. Data indicated that condom use was lowest in African American and Hispanic men, Bisexual men reported the highest levels of use, with heterosexual men reporting the lowest use. African American and Hispanic men reported generally that it was very difficult to use a condom during sexual contact, although the patterns for self-identified homosexual, heterosexual and bisexual men varied across race/ ethnicity. Homosexual African American men reported the least difficulty and White homosexual men the most difficulty compared with heterosexual and bisexual peers. For homosexually-identified men, there were considerable differences across race/ethnicity in the proportion of partners who never or rarely disagreed to use condoms, with Asians disagreeing least and African Americans most. Within racial/ethnic groups, the levels of condom use and difficulty were similar for male and female partners, suggesting that it is sexual identity, rather than partner gender, that has impacted condom use messages. These data suggest that racial/ethnic targeting of condom use is likely to be most efficacious in increasing condom use in men.

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“…The questions did not define the meaning of "down low" because we were interested in describing the characteristics of men who identified with this term as they defined it for themselves. This decision was based in part on prior research showing that sexual practices do not necessarily correspond to the labels that individuals use to describe their sexual identity (Ross, Essien, Williams, and Frenandez-Esquer, 2003) and is supported by a recent commentary calling for the use of self-defined labels when working with sexual-minority groups (Young and Meyer, 2005). Further, given the lack of data on DL MSM, we were concerned that providing a definition based on race/ethnicity, gay identity, and/or behavior might inappropriately exclude some men who identify themselves as DL or include others who do not consider themselves to be on the DL.…”

Section: Identification As Down Lowmentioning

confidence: 99%

Self-Identification as “Down Low” Among Men Who Have Sex with Men (MSM) from 12 US Cities

et al. 2006

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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 MSM who considered themselves to be on the DL with MSM who did not (non-DL MSM). 20% self-identified as DL. Blacks and Hispanics were more likely than Whites to self identify as DL. MSM who did not identify as gay were more likely than gayidentified MSM to describe themselves as DL. DL-identified MSM were less likely to have had seven or more male partners in the prior 30 days, but were more likely to have had a female sex partner and to have had unprotected vaginal sex. DL-identified MSM were less likely to have ever been tested for HIV than were non-DL MSM. Prevention agencies should expand existing programs for MSM to include specific efforts to reach DL MSM.

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Concordance Between Sexual Behavior and Sexual Identity in Street Outreach Samples of Four Racial/Ethnic Groups

Abstract: Data indicate the importance of designing and targeting HIV risk interventions and clinical screening, based on behavior and not reported sexual identity.

Cited by 91 publications

References 3 publications

Discordance between Sexual Behavior and Self-Reported Sexual Identity: A Population-Based Survey of New York City Men

Discordance between Sexual Behavior and Self-Reported Sexual Identity: A Population-Based Survey of New York City Men

Reported condom use and condom use difficulties in street outreach samples of men of four racial and ethnic backgrounds

Self-Identification as “Down Low” Among Men Who Have Sex with Men (MSM) from 12 US Cities

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