Bisexual Behavior Among Male Injection Drug Users in New York City

Kathleen H. Reilly, Alan Neaigus, Travis Wendel, David M. Marshall, Holly Hagan

Research output: Contribution to journalArticlepeer-review


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”) (adjusted odds ratio (aOR) 92.6; 95 % CI 18.9, 454.5), Bronx residence [vs. Manhattan (aOR 8.4; 95 %CI 1.6,43.7)], past 12 month behaviors of having sex with ≥3 sex partners (aOR 18.1; 95 % CI 3.3,98.4), “sold” sex (aOR 8.5; 95 % CI 2.3, 31.5), “bought” sex (aOR 0.2; 95 % CI 0.1, 0.9), and injection methamphetamine use (aOR 20.5; 95 % CI 3.0, 139.7). MSM IDUs are an important subgroup to consider for HIV interventions, as they may not be reached through HIV prevention programming aimed at MSM.

Original languageEnglish (US)
Pages (from-to)405-416
Number of pages12
JournalAIDS and Behavior
Issue number2
StatePublished - Feb 1 2016


  • Bisexuality
  • Drug use
  • Injection drug use
  • Men
  • Sexual behavior

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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