A significant shortcoming of previous HIV research is that it has polarized """"""""heterosexual"""""""" transmission and """"""""homosexual"""""""" without investigating the potentially substantial overlap between these routes through individuals who engage in """"""""bisexual"""""""" behaviors. Limited research focusing directly on bisexual men has highlighted unique HIV risk factors and prevention needs. However, little information is available on how factors associated with bisexual men's risk behavior may be amenable to change through intervention. Using multiple methods, this development research study aims to: 1. identify the individual and socio- cultural determinants related to the sexual interactions that increase risk of HIV acquisition in a diverse sample of bisexual men in an underserved area of the Midwestern United States;2. evaluate the feasibility of engaging a diverse sample of bisexual men, in terms of recruitment and participation, in a multi-method study aimed at understanding the levels of risk to sexual health in order to inform a subsequent sexual health intervention;and 3. acquire information useful for designing relevant, accessible, and culturally-appropriate HIV/STI prevention information to be used in a subsequent intervention aimed at promoting sexual health among bisexual men. Using a community-informed research approach, in-depth interviews, and STI diagnostics from a diverse sample of 75 bisexual men, this study will provide rich insights into the individual and social-cultural factors, as well as the sexual and risk-related decision-making processes, that may be potential points of future sexual health promotion efforts.

Public Health Relevance

This study will provide current data designed to develop and test a targeted sexual health intervention among bisexual men, a high risk population for HIV infection and transmission. Scientific outcomes will add to the knowledge base that is lacking evidenced-based information on the social, sexual, and risk behaviors of diverse groups of bisexual men. By improving our understanding of this previously understudied population, results will not only inform future research and intervention efforts but also be of benefit to bisexual men and their communities.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Exploratory/Developmental Grants (R21)
Project #
5R21HD059494-02
Application #
7849495
Study Section
Behavioral and Social Science Approaches to Preventing HIV/AIDS Study Section (BSPH)
Program Officer
Newcomer, Susan
Project Start
2009-05-22
Project End
2012-04-30
Budget Start
2010-05-01
Budget End
2012-04-30
Support Year
2
Fiscal Year
2010
Total Cost
$192,500
Indirect Cost
Name
Indiana University Bloomington
Department
Other Health Professions
Type
Other Domestic Higher Education
DUNS #
006046700
City
Bloomington
State
IN
Country
United States
Zip Code
47401
Baldwin, Aleta; Dodge, Brian; Schick, Vanessa et al. (2015) Sexual self-identification among behaviorally bisexual men in the midwestern United States. Arch Sex Behav 44:2015-26
Hubach, Randolph D; Dodge, Brian; Goncalves, Gabriel et al. (2014) Gender matters: condom use and nonuse among behaviorally bisexual men. Arch Sex Behav 43:707-17
Friedman, M Reuel; Dodge, Brian; Schick, Vanessa et al. (2014) FROM BIAS TO BISEXUAL HEALTH DISPARITIES: ATTITUDES TOWARD BISEXUAL MEN AND WOMEN IN THE UNITED STATES. LGBT Health 1:309-318
Dodge, Brian; Schnarrs, Phillip W; Reece, Michael et al. (2013) Sexual behaviors and experiences among behaviorally bisexual men in the midwestern United States. Arch Sex Behav 42:247-56
Dodge, Brian; Schnarrs, Phillip W; Reece, Michael et al. (2012) Individual and Social Factors Related to Mental Health Concerns among Bisexual Men in the Midwestern United States. J Bisex 12:223-245
Schnarrs, Phillip W; Dodge, Brian; Reece, Michael et al. (2012) Subjective Sexual Experiences of Behaviorally Bisexual Men in the Midwestern United States: Sexual Attraction, Sexual Behaviors, & Condom Use. J Bisex 12:246-282
Schick, Vanessa; Dodge, Brian (2012) Introduction to the Special Issue: Bisexual Health: Unpacking the Paradox. J Bisex 12:161-167
Martinez, Omar; Dodge, Brian; Goncalves, Gabriel et al. (2012) Sexual Behaviors and Experiences among Behaviorally Bisexual Latino Men in the Midwestern United States: Implications for Sexual Health Interventions. J Bisex 12:283-310
Dodge, Brian; Schnarrs, Phillip W; Goncalves, Gabriel et al. (2012) The significance of privacy and trust in providing health-related services to behaviorally bisexual men in the United States. AIDS Educ Prev 24:242-56
Dodge, Brian; Van Der Pol, Barbara; Reece, Michael et al. (2012) Rectal self-sampling in non-clinical venues for detection of sexually transmissible infections among behaviourally bisexual men. Sex Health 9:190-1

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