{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T23:02:15Z","timestamp":1782255735323,"version":"3.54.5"},"reference-count":25,"publisher":"American Public Health Association","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[1999,12]]},"abstract":"<jats:p>OBJECTIVES: This study was done to compare risk factors for HIV\/STDs in women who reported having had sex with both men and women and women who reported having had sex with men only. METHODS: Female participants in a multisite, randomized HIV\/STD prevention study in the Seattle area reported both having had sex with a man in the 3 months before and having at least 1 risk factor for HIV\/STDs during the year before the study. Of these women, 38% who reported ever having had sex with a woman were compared with those who reported having had sex with men only. RESULTS: Women who had had sex with both men and women were more likely than women who had had sex with men only to report drug use in the 3 months before the study, a greater lifetime number of male partners, a sex partner who had had sex with a prostitute, an earlier age at sexual debut, and forced sexual contact (P &lt; .01 for all comparisons). Women who had had sex with both men and women had a mean of 3.2 of these 5 risk factors, vs 2.1 among women who had had sex with men only (P &lt; .001). CONCLUSION: Women who had had sex with both men and women were more likely than women who had had sex with men only to engage in multiple risk behaviors. Health workers should be aware of bisexual experience among women, since this may be a marker for multiple risk behaviors for HIV\/STDs.<\/jats:p>","DOI":"10.2105\/ajph.89.12.1841","type":"journal-article","created":{"date-parts":[[2008,11,29]],"date-time":"2008-11-29T13:33:29Z","timestamp":1227965609000},"page":"1841-1846","source":"Crossref","is-referenced-by-count":27,"title":["Sexual and drug-use risk factors for HIV and STDs: a comparison of women with and without bisexual experiences."],"prefix":"10.2105","volume":"89","author":[{"given":"V","family":"Gonzales","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K M","family":"Washienko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M R","family":"Krone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L I","family":"Chapman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E M","family":"Arredondo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H J","family":"Huckeba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Downer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"844","reference":[{"key":"p_1","unstructured":"HIV\/AIDS Surveillance Report, Vol. 9 No 2. Atlanta, Ga: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 1997:1-44."},{"key":"p_2","unstructured":"HI V\/AIDS Surveillance Report, Vol 8, No. 2. Atlanta, Ga: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 1996:1-40."},{"key":"p_3","unstructured":"Sexually Transmitted Disease Surveillance, 1996. Atlanta, Ga: Centers for Disease Control and Prevention, Div of STD Prevention, US Dept of Health and Human Services; September 1997."},{"key":"p_4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199704103361512"},{"key":"p_5","doi-asserted-by":"crossref","unstructured":"Royce RA, Sena A, Cates W Jr, Cohen MS. Sexual transmission of HIV N Engl J Med. 1997;336: 1072-1078.","DOI":"10.1056\/NEJM199704103361507"},{"key":"p_6","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a009276"},{"key":"p_7","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1080\/10532528.1997.10559920","volume":"8","author":"Doll L","year":"1997","journal-title":"Annu Rev Sex Res."},{"key":"p_8","first-page":"514","volume":"6","author":"Einhorn L","year":"1994","journal-title":"AIDS Educ Prev."},{"key":"p_9","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(94)90008-6"},{"key":"p_10","unstructured":"Weiss SH, Vaughn A, Reyelt C, etal. Risk of HIV and other sexually transmitted diseases (STDs) among lesbian and heterosexual women. Paper presented at: Ninth International Conference on AIDS; Berlin, Germany; June 6-11, 1993. Abstract WS-DO4-4."},{"key":"p_11","doi-asserted-by":"crossref","unstructured":"McCombs SB, McCray E, Wendell DA, Sweeney PA, Onorato IM. Epidemiology of HIV-l infection in bisexual women. JAcquir Immune Defic Syndr. 1992;5:850-852.","DOI":"10.1097\/00126334-199208000-00016"},{"key":"p_12","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.80.11.1380"},{"key":"p_13","unstructured":"SAS. Version 6.12 for Windows. Cary, NY: SAS Institute Inc; 1989-1996."},{"key":"p_14","unstructured":"EGRET (Epidemiological Graphics, Estimation, and Testing) Reference Manual. Seattle, Wash: Statistics and Epidemiology Research Corporation; 1990."},{"key":"p_15","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.85.10.1366"},{"key":"p_16","unstructured":"Moore J, Warren D, Zierler S, etal. Characteristics of HIV-infected lesbians and bisexual women in four urban centers. Women s Health: Res Gender Behav Policy. 1996;2:49-60."},{"key":"p_17","doi-asserted-by":"crossref","unstructured":"Deren S, Goldstein M, Williams M, etal. Sexual orientation, HIV risk behavior, and serostatus in a multisite sample of drug-injecting and crack-using women. 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Disclosure of sexual preference to physicians by black lesbian and bisexual women. 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