Perspectives on Substance Use and Disclosure Among Behaviorally Bisexual Black Men With Female Primary Partners

Abstract

Black men who have sex with men and women (MSMW) are believed to be a bridge to HIV infection among heterosexual Black women, and substance use can increase the risk of infection among men. However, empirical evidence on the social context of MSMW's sexual behavior and substance use is needed. This study examines the perspectives of Black MSMW with female primary partners on the role of substance use in their sexual encounters with men and their reasons for disclosing or not disclosing this behavior to their female partners. Findings can inform culturally relevant HIV prevention interventions for this population.

KEYWORDS:

• bisexuality
• Black men
• disclosure
• MSMW
• substance use

Acknowledgments

The authors would like to acknowledge the contributions to the project made by Dr. Eloise Dunlap, Doris Randolph, Deborah Murray, Michael Pass, Donte Clark-Davis and Jennifer Morris.

This research was funded by a grant from the National Institute on Drug Abuse (R03DA024997). The points of view in this paper do not represent the official position of the U.S. Government, the National Institute on Drug Abuse, or National Development and Research Institutes, Inc.