Bisexual Behavior among Male Injection Drug Users in New York City

Drug using men who have sex with men and women (MSMW) may be at high risk for HIV infection and transmitting HIV to sex partners. 

In 2012, injection drug users (IDUs) were sampled in New York City for the National HIV Behavioral Surveillance cross-sectional study using respondent-driven sampling. Logistic regression was used to calculate crude and adjusted odds ratios (aOR) and 95 % confidence intervals (95 %CI) to determine correlates of bisexual behavior in the past 12 months. Of 333 participants, 47(14.1 %) reported MSMW. 

Variables independently associated (p < 0.05) with MSMW included bisexual sexual identity (vs. "straight"), Bronx residence [vs. Manhattan], past 12 month behaviors of having sex with ≥3 sex partners, "sold" sex, "bought" sex, and injection methamphetamine use. MSM IDUs are an important subgroup to consider for HIV interventions, as they may not be reached through HIV prevention programming aimed at MSM.

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By:  Reilly KH1, Neaigus A2, Wendel T3, Marshall DM 4th4, Hagan H5.

• 1HIV Epidemiology Program, New York City Department of Health and Mental Hygiene, 42-09 28th Street, CN: 22-109, Long Island City, NY, 11101, USA. kreilly3@health.nyc.gov.
• 2HIV Epidemiology Program, New York City Department of Health and Mental Hygiene, 42-09 28th Street, CN: 22-109, Long Island City, NY, 11101, USA.
• 3St. Ann's Corner of Harm Reduction, Bronx, NY, USA.
• 4Center for HIV Educational Studies & Training, New York, NY, USA.
• 5College of Nursing, New York University, New York, NY, USA. 

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