Sexual health is another important health domain for LGBT adolescents. For sexual orientation, the investigators recorded every sexual identity label used by the authors and identified 26 identity labels in total. And more than one in four of these bisexual men have unsafe sex with both kinds of partners. By the end of the year, numerous major media outlets had reported on the down-low. Content Coding A content analysis coding and data sheet was created to gather information on demographics, recruitment strategies, research methods used in each article, the five core content areas related to health, and related subtopics within each content area.
Living on the 'Down Low' ; the show featured J. It was concluded that bisexual activity is highly correlated with secrecy and unprotected sex. Sex, Lies and Denial in Black America , Keith Boykin states that secret homosexual relations are not unique to African American men, and in fact occur in many societies and among all races. This article has been cited by other articles in PMC. Taken together, these concerns highlight a need for continued research that addresses psychosocial functioning, but also speaks to a need to examine the social determinants that give rise to adverse health outcomes. Most DL men identify themselves not as gay or bisexual but first and foremost as black. Core Content Codes The investigators coded for recruitment strategies and research methodologies employed in each article; a list of these are noted on Table 1. But the creation of an organized, underground subculture largely made up of black men who otherwise live straight lives is a phenomenon of the last decade. And more than one in four of these bisexual men have unsafe sex with both kinds of partners. Across all search engines, duplicate citations were quickly identified and avoided due to browser settings that highlight previously clicked links in a different color. Confirming previous research, the study of 5, MSM, aged 15—29 years, in six U. Future research must evaluate the relative contributions of bisexual men and exclusively heterosexual black men to HIV cases among black women. His study examines DL discourses closely, while also exploring how DL men handle masculinity and sexuality. To them, as to many blacks, that equates to being inherently masculine. The risks of bisexuality among black men are exacerbated by incarceration, homophobia, drug use, and the prison and public health focus on surveillance rather than prevention. In Jeffrey Q. A cross-study analysis that reviewed 24 articles and published in the Journal of the National Medical Association found 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. The first results from each search term combination on Google Scholar were checked for a total of search results. However, the contribution of high-risk heterosexual black men to the rising HIV caseload among black women has been largely ignored. The investigators coded for five substantive areas of health with each content area including a set of specific topics and subtopics. YGBMSM also have nuanced experiences across a number of general sexual health categories that may have important implications for sexual health outcomes, including age of partners, race of partners, sexual positioning e. Alternatively, the "Brokeback" white bisexual when seen as bisexual at all is often described in pitying language as a victimized homosexual man who is forced into the closet by the heterosexist society around him. The article was the first mainstream piece to openly criticize negative mainstream media depictions of down-low men and put a different spin on the DL phenomenon. Although this study did not find that nondisclosing MSM were at higher risk for HIV infection than MSM who are more open about their sexuality 1—3 , the data suggests that a substantial proportion of nondisclosers are infected with HIV and other STDs and are at high risk for transmitting these infections to their male and female sex partners. To conduct the search, a combination of three specific keywords were entered from the following list: These factors serve to contextualize behavioral health risk and health outcomes for adolescents and young adults. Content Coding A content analysis coding and data sheet was created to gather information on demographics, recruitment strategies, research methods used in each article, the five core content areas related to health, and related subtopics within each content area.
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