Black men who have sex with men and women (BMSMW) are at increased HIV risk, but few efficacious interventions meet their unique needs, according to a recent study. 3 HIV prevention interventions were evaluated with a common protocol. BMSMW from Los Angeles, Philadelphia, and Chicago who reported sexual risk and bisexual behavior in the past year were recruited. Baseline assessments were conducted via audio computer-assisted interview and sexual behaviors assessed over the past 3 months. From December 2010 to November 2012, 584 BMSMW were enrolled across the 3 cities; more than half (55%) were recruited by other participants (mean age: 43 years). Researchers found:

• 75% reported an annual income <$10,000 and selling sex was prevalent (31%).
• Three-quarters identified as bisexual.
• 39% were HIV-positive.
• Among HIV-positive participants, 46% reported sex without condoms with HIV-negative or unknown male partners and 45% with HIV-negative or unknown female partners.
• Overall, factors associated with sex without condoms included network size, education, income, sexual orientation identification, HIV status, exchange sex, homonegativity, and social support.