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Black men who have sex with men MSM and women but who do not identify as gay or disclose their bisexual activities to main female partners, also known as men "on the down-low," have been cited as the Bisexual black female reason for the increase in HIV infections in black women. A total of 24 articles and two conference abstracts were selected for review. Data from existing studies of MSM reveal low agreement between professed sexual identity and corresponding sexual behavior among black and other MSM; show that black MSM are more likely than MSM of other racial or ethnic groups to be bisexually active or identified; and, compared with white MSM, are less likely to disclose their bisexual or homosexual activities to others.

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The high prevalence of HIV in the black community and the greater Bisexual black female of bisexuality among black men place heterosexual black women at risk for HIV infection. However, the contribution of high-risk heterosexual black men to the rising HIV caseload among black women has been largely ignored.

Future research must evaluate the relative contributions of bisexual men and exclusively heterosexual black men to HIV cases among black women. National Center for Biotechnology InformationU.

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J Natl Med Assoc. Author information Copyright and License information Disclaimer. This article has been cited by other articles in PMC. HIV incidence among young men who have sex with men--seven U.

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Seroprevalence of human immunodeficiency virus type 1 and sexual behaviors in bisexual African-American and Hispanic men visiting Bisexual black female sexually transmitted disease clinic in New York City. Black men who have sex with men and the HIV epidemic: Am J Public Health. The extent of bisexual behaviour in HIV-infected men and implications for transmission to their female sex partners.

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Racial and ethnic differences in human immunodeficiency virus type 1 HIV-1 seroprevalence among homosexual and bisexual men. Self-reported behavior patterns of patients attending a sexually transmitted disease clinic.

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