       Document 0682
 DOCN  M9440682
 TI    Sexual behavior and sexual identity in male injection drug users.
 DT    9404
 AU    Lewis DK; Watters JK; University of California, Santa Cruz 95064.
 SO    J Acquir Immune Defic Syndr. 1994 Feb;7(2):190-8. Unique Identifier :
       AIDSLINE MED/94133092
 AB    Sexual behavioral data from a survey of 396 male drug injectors showed
       that 301 (76%) were behavioral heterosexuals, 49 (12.45%) were
       bisexuals, and 46 (11.6%) were homosexuals over the previous 5 years.
       Among those sexually active during the 6 months before the interview,
       bisexuals were similar to heterosexuals and homosexuals in reporting two
       or more female or male partners, respectively. Overall, almost three
       fourths of the bisexuals had two or more sexual partners. Bisexuals were
       also similar to heterosexuals in reported heterosexual and intercourse
       (16 and 15%, respectively), and to homosexuals in reported homosexual
       insertive anal intercourse (33 and 54%, respectively). They were less
       likely than heterosexuals to engage in vaginal and insertive oral sex
       with women and than homosexuals to practice receptive and and oral sex
       with men. The three groups all practiced high levels of unprotected sex.
       Almost half the behavioral bisexuals identified themselves as
       heterosexuals. Self-identified heterosexuals in the sample were less
       likely than self-identified gays or bisexuals to state they reduced
       sexual risk; however, reported condom use was low for all three groups.
       With human immunodeficiency virus infection rates of 54% (21 of 39) for
       behavioral homosexuals, 24% (11 of 45) for bisexuals, and 9% (24 of 260)
       for heterosexuals, these findings indicate an urgent need for more
       effective sexual risk reduction among injection drug users and their
       partners.
 DE    Adult  Condoms  Contraception Behavior  Female  *Gender Identity  Human
       HIV Infections/PREVENTION & CONTROL  Male  Middle Age  Multivariate
       Analysis  Prostitution  Risk Factors  *Sex Behavior  Sexual Partners
       Substance Abuse, Intravenous/*PSYCHOLOGY  Support, Non-U.S. Gov't
       Support, U.S. Gov't, P.H.S.  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

