{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T10:38:27Z","timestamp":1779359907178,"version":"3.51.4"},"reference-count":39,"publisher":"American Public Health Association","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2010,1]]},"abstract":"<jats:p> Objectives. We explored factors influencing sexual behavior, disclosure of same-sex behavior, and condom-use practices among Black bisexual men. <\/jats:p><jats:p> Methods. We conducted semistructured interviews with 38 Black men in Atlanta, Georgia, who reported having had oral, vaginal, or anal sex with both men and women in the prior 6 months. <\/jats:p><jats:p> Results. Participants described approaches to disclosure of same-sex behavior as part of a complex decisional balance influenced by both situational and individual factors and ranging from full disclosure to total secrecy. Influences on sexual behavior and condom-use practices included: (1) type of relationship, (2) gender-specific considerations, (3) perceptions of comfort or trust, and (4) fear of disease or pregnancy. <\/jats:p><jats:p> Conclusions. Disclosure of same-sex behavior was not a major influence on the sexual behavior and condom-use practices of the Black bisexual men in our study, who demonstrated heterogeneity in approaches to sexual behavior, disclosure of same-sex behavior, and condom-use practices. Additional research is needed to assess the social determinants of sexual risk for this population. Future HIV-prevention efforts should include initiatives to encourage accuracy in risk assessment and in taking sexual histories in clinical settings. <\/jats:p>","DOI":"10.2105\/ajph.2008.158725","type":"journal-article","created":{"date-parts":[[2009,11,13]],"date-time":"2009-11-13T03:20:12Z","timestamp":1258082412000},"page":"159-164","source":"Crossref","is-referenced-by-count":62,"title":["Exploring the \u201cBisexual Bridge\u201d: A Qualitative Study of Risk Behavior and Disclosure of Same-Sex Behavior Among Black Bisexual Men"],"prefix":"10.2105","volume":"100","author":[{"given":"David J.","family":"Malebranche","sequence":"first","affiliation":[{"name":"At the time of the study, David J. Malebranche was with the Division of General Medicine, Emory University School of Medicine, Atlanta, GA, and the Behavioral Science and Health Education Department, Rollins School of Public Health, Emory University. Kimberly Jacob Arriola was with the Behavioral Science and Health Education Department, Rollins School of Public Health, Emory University. Tyrrell R. Jenkins was a student in the Health Policy and Management Department, Rollins School of Public Health, Emory..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly Jacob","family":"Arriola","sequence":"additional","affiliation":[{"name":"At the time of the study, David J. Malebranche was with the Division of General Medicine, Emory University School of Medicine, Atlanta, GA, and the Behavioral Science and Health Education Department, Rollins School of Public Health, Emory University. Kimberly Jacob Arriola was with the Behavioral Science and Health Education Department, Rollins School of Public Health, Emory University. Tyrrell R. Jenkins was a student in the Health Policy and Management Department, Rollins School of Public Health, Emory..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tyrrell R.","family":"Jenkins","sequence":"additional","affiliation":[{"name":"At the time of the study, David J. Malebranche was with the Division of General Medicine, Emory University School of Medicine, Atlanta, GA, and the Behavioral Science and Health Education Department, Rollins School of Public Health, Emory University. Kimberly Jacob Arriola was with the Behavioral Science and Health Education Department, Rollins School of Public Health, Emory University. Tyrrell R. Jenkins was a student in the Health Policy and Management Department, Rollins School of Public Health, Emory..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Dauria","sequence":"additional","affiliation":[{"name":"At the time of the study, David J. Malebranche was with the Division of General Medicine, Emory University School of Medicine, Atlanta, GA, and the Behavioral Science and Health Education Department, Rollins School of Public Health, Emory University. Kimberly Jacob Arriola was with the Behavioral Science and Health Education Department, Rollins School of Public Health, Emory University. Tyrrell R. Jenkins was a student in the Health Policy and Management Department, Rollins School of Public Health, Emory..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shilpa N.","family":"Patel","sequence":"additional","affiliation":[{"name":"At the time of the study, David J. Malebranche was with the Division of General Medicine, Emory University School of Medicine, Atlanta, GA, and the Behavioral Science and Health Education Department, Rollins School of Public Health, Emory University. Kimberly Jacob Arriola was with the Behavioral Science and Health Education Department, Rollins School of Public Health, Emory University. Tyrrell R. Jenkins was a student in the Health Policy and Management Department, Rollins School of Public Health, Emory..."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"844","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.300.5.520"},{"key":"bib2","unstructured":"Boykin K. Beyond the Down Low: Sex, Lies and Denial in Black America. New York, NY: Carroll and Graf; 2005."},{"issue":"24","key":"bib3","first-page":"597","volume":"54","author":"Centers for Disease Control and Prevention","year":"2005","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bib4","unstructured":"King JL, Hunter K. On the Down Low: A Journey Into the Lives of \u201cStraight\u201d Black Men Who Sleep With Men. New York, NY: Random House; 2005."},{"issue":"7","key":"bib5","first-page":"52S","volume":"97","author":"Millett G","year":"2005","journal-title":"J Natl Med Assoc"},{"key":"bib6","first-page":"C37","author":"Steinhauer J","year":"2001","journal-title":"New York Times"},{"key":"bib7","first-page":"28","volume":"8","author":"Denizet-Lewis B","year":"2003","journal-title":"New York Times"},{"issue":"5","key":"bib8","first-page":"81","volume":"52","author":"Centers for Disease Control and Prevention","year":"2003","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bib9","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.93.6.862"},{"issue":"8","key":"bib10","first-page":"1103","volume":"97","author":"Martinez J","year":"2005","journal-title":"J Natl Med Assoc"},{"key":"bib11","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-006-9095-5"},{"key":"bib12","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-008-9364-7"},{"key":"bib13","doi-asserted-by":"publisher","DOI":"10.1521\/aeap.15.1.5.1.23607"},{"key":"bib14","doi-asserted-by":"publisher","DOI":"10.1080\/00224490701443973"},{"key":"bib15","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2006.09.006"},{"key":"bib16","doi-asserted-by":"publisher","DOI":"10.1177\/0095798403260265"},{"key":"bib17","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.13.1.39"},{"key":"bib18","unstructured":"Janis IL, Mann L. 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