PMID- 29377734 OWN - NLM STAT- MEDLINE DCOM- 20191118 LR - 20221207 IS - 1559-8519 (Electronic) IS - 0022-4499 (Print) IS - 0022-4499 (Linking) VI - 55 IP - 8 DP - 2018 Oct TI - Age Cohort Differences in Sexual Behaviors Among Black Men Who Have Sex With Men and Women. PG - 1012-1021 LID - 10.1080/00224499.2017.1423016 [doi] AB - Little attention has focused on generational or age-related differences in human immunodeficiency virus/sexually transmitted infection (HIV/STI) risk behaviors among Black men who have sex with men and women (BMSMW). We examined sexual risk behaviors between BMSMW ages 40 and under compared to over age 40. Analysis was conducted using Centers for Disease Control and Prevention (CDC)-sponsored intervention data among BMSMW in Los Angeles, Chicago, and Philadelphia (n = 546). Pearson's chi-square tests were conducted to evaluate associations between age groups and behavioral outcomes. Logistic regression was used to evaluate the odds of behavioral outcomes by age group, adjusting for sexual orientation and study location, within strata of HIV status. HIV-positive BMSMW over age 40 had 62% reduced odds of having a nonmain female partner of HIV-negative or unknown status compared to those ages 40 and under (adjusted odds ratio [AOR] 0.38, 95% confidence interval [CI] = 0.15, 0.95). Among HIV-negative BMSMW, the older cohort was associated with greater odds of having condomless insertive anal intercourse (IAI) with most recent main male partner (AOR 2.44, 95% CI = 1.12, 5.32) and having a concurrent partnership while with their recent main female partner (AOR = 2.6, 95% CI = 1.10, 4.67). For both groups, odds of engaging in certain risk behaviors increased with increasing age. Prevention efforts should consider generational differences and age in HIV risks among BMSMW. FAU - Dangerfield, Derek T 2nd AU - Dangerfield DT 2nd AD - a The REACH Initiative , Johns Hopkins School of Nursing. FAU - Harawa, Nina T AU - Harawa NT AD - b Department of Medicine, UCLA Geffen School of Medicine; and Department of Psychiatry and Human Behavior , Charles R. Drew University of Medicine and Science. FAU - Fernandez, M Isabel AU - Fernandez MI AD - c College of Osteopathic Medicine , Nova Southeastern University. FAU - Hosek, Sybil AU - Hosek S AD - d Department of Psychiatry , Stroger Hospital of Cook County, Chicago. FAU - Lauby, Jennifer AU - Lauby J AD - e Research and Evaluation , Public Health Management Corporation , Philadelphia. FAU - Joseph, Heather AU - Joseph H AD - f U.S. Public Health Service, Division of Global Migration and Quarantine , Centers for Disease Control and Prevention , Atlanta. FAU - Frank, Heather Guentzel AU - Frank HG AD - g Community Health Sciences , UCLA Fielding School of Public Health. FAU - Bluthenthal, Ricky N AU - Bluthenthal RN AD - h Department of Preventive Medicine, Institute for Prevention Research, Keck School of Medicine , University of Southern California. LA - eng GR - P30 MH058107/MH/NIMH NIH HHS/United States GR - UR6 PS001098/PS/NCHHSTP CDC HHS/United States PT - Journal Article PT - Multicenter Study PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. DEP - 20180129 PL - United States TA - J Sex Res JT - Journal of sex research JID - 0062647 SB - IM MH - Adolescent MH - Adult MH - Black or African American/*statistics & numerical data MH - Age Factors MH - Aged MH - Bisexuality/*statistics & numerical data MH - Chicago/epidemiology MH - HIV Infections/*epidemiology MH - Humans MH - Los Angeles/epidemiology MH - Male MH - Middle Aged MH - Philadelphia/epidemiology MH - Sexual Behavior/*statistics & numerical data MH - *Sexual Partners MH - Unsafe Sex/statistics & numerical data MH - Young Adult PMC - PMC6146075 MID - NIHMS986443 EDAT- 2018/01/30 06:00 MHDA- 2019/11/19 06:00 PMCR- 2018/11/01 CRDT- 2018/01/30 06:00 PHST- 2018/01/30 06:00 [pubmed] PHST- 2019/11/19 06:00 [medline] PHST- 2018/01/30 06:00 [entrez] PHST- 2018/11/01 00:00 [pmc-release] AID - 10.1080/00224499.2017.1423016 [doi] PST - ppublish SO - J Sex Res. 2018 Oct;55(8):1012-1021. doi: 10.1080/00224499.2017.1423016. Epub 2018 Jan 29.