The objective of this study is to determine whether young Black MSM who also have sex with females report similar levels of sexual risk behaviors as those not having sex with females. YBMSM (N = 400) were recruited from an STI clinic, located in the Southern U.S. Men completed an audio-computer assisted self-interview and donated specimens for STI/HIV testing. Forty-three percent recently engaged in penile-vaginal sex. They were less likely to report having concurrent partners (P = .01), unprotected fellatio (P = .04), multiple partners as a bottom (P < .02), any unprotected anal sex as a bottom (P < .013), and any anal sex (P = .007). They were equally likely to report favorable attitudes toward serosorting (P = .80), multiple male partners as a top (P = .20), unprotected anal insertive sex with males (P = .15). Frequency of sex with males as a top (P = .61) or bottom (P = .61) did not differ. Compared to YBMSM not having sex with females, those having sex with females may be exercising greater caution.

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Published in AIDS and Behavior, v. 20, issue 4, p. 717-721.

© Springer Science+Business Media New York 2015

The copyright holder has granted the permission for posting the article here.

This is a post-peer-review, pre-copyedit version of an article published in AIDS and Behavior. The final authenticated version is available online at: https://doi.org/10.1007/s10461-015-1227-3.

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This study was funded by a grant from the National Institute of Mental Health to the first author, R01MH092226.