Is Sex with Older Male Partners Associated with Higher Sexual Risk Behavior Among Young Black MSM?
Nicholas Chamberlain, Leandro A Mena, Angelica Geter, Richard A Crosby
Author Information
Nicholas Chamberlain: Department of Medicine, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS, 39213, USA. NChamberlain2010@gmail.com.
Leandro A Mena: Department of Medicine, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS, 39213, USA.
Angelica Geter: The Satcher Health Leadership Institute, Morehouse School of Medicine, Atlanta, GA, USA.
Richard A Crosby: College of Public Health, University of Kentucky, Lexington, KY, USA.
Participants at a sexual health clinic completed a survey with questions regarding sexual risk behavior and partner characteristics. Of 585 participants eligible for analysis, 124 reported generally having older male partners. These participants were significantly more likely to be HIV-infected (p < 0.001), have four or more sex partners as a "bottom" (p = 0.04), have concurrent partners (p = 0.01), and have partners suspected of having an sexually transmitted infection (p = 0.05) than participants without older partners. With analysis restricted to HIV- individuals, risk behaviors did not differ significantly between the groups. HIV- individuals with older partners may be at increased risk of HIV infection due to increased HIV prevalence among older sexual partners and not due to increased risk behaviors with these partners.
