Nearly one in 10 men who say they’re straight have sex with other men, a recent New York City survey found. And 70% of those straight-identified men having sex with men are married to women.
In fact, 10% of all married men in the survey report same-sex behavior during the past year.
Some of the findings include the following:
- Straight-identified men who have sex with men report fewer sex partners than gay-identified men.
- Straight-identified men who have sex with men report fewer STDs in the past year than gay-identified men.
- Straight-identified men who have sex with men are less likely than gay-identified men to report using a condom during their last sexual encounter.
- Straight-identified men who have sex with men are more likely to be foreign born than gay-identified men.
Because they report fewer STDs and fewer sex partners than gay-identified men, straight-identified men who have sex with men may think they are at a lower risk of HIV and STDs.
The men with whom these straight-identified men have sex may themselves have multiple sex partners and elevated STD and HIV risk, and the low rate of condom use makes the straight-identified men vulnerable.
This means safe-sex messages aimed at straight and gay men are likely missing this important subgroup, suggests Pathela.
"To reduce the burden of sexually-transmitted diseases and HIV infection among men who have sex with men, it is of utmost importance for [health care] providers to take a sexual history that ascertains the sex of a partner, prevention messages should focus on the activities that pose risk - for example, unprotected receptive anal sex - and should not be framed to appeal solely to gay-identified men."
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