Document 0035
 DOCN  M9460035
 TI    Do bisexual men play a significant role in the heterosexual spread of
       HIV?
 DT    9404
 AU    Krijnen P; van den Hoek JA; Coutinho RA; Municipal Health Service,
       Department of Public Health and; Environment, Amsterdam, The
       Netherlands.
 SO    Sex Transm Dis. 1994 Jan-Feb;21(1):24-5. Unique Identifier : AIDSLINE
       MED/94188780
 AB    BACKGROUND AND OBJECTIVES: To assess the potential role of bisexual men
       in the transmission of HIV to women. STUDY DESIGN: The study population
       consisted of homosexual men participating in a longitudinal cohort study
       on HIV and AIDS in Amsterdam, the Netherlands, which started in 1984.
       Between April and November 1991, an additional questionnaire was
       administered concerning sexual behavior with both male and female
       partners in the last 6 months. RESULTS: Of these men, 27% described
       their sexual preference as bisexual or heterosexual. In the last 6
       months, 23 (3%) had heterosexual contacts. Vaginal intercourse was the
       sexual technique most practiced. Anal intercourse with a female partner
       was rare. Four heterosexual active HIV positive men always used condoms
       when having heterosexual contact (1 missing). Of the 18 heterosexually
       active HIV seronegative men, 12 did not use condoms consistently with
       their female partner(s). Two of these 12 men also had unprotected
       insertive anogenital intercourse with male partners, which conveys a
       small transmission risk in the window period in the case of a
       seroconversion. CONCLUSION: Widespread transmission of HIV from these
       homosexual men in this study is not likely. However, the studied men are
       most probably not representative for homosexual men in Amsterdam, the
       Netherlands. Further study on the potential role that bisexual men play
       in the HIV transmission to women is therefore needed.
 DE    Acquired Immunodeficiency Syndrome/TRANSMISSION  *Bisexuality  Condoms
       Female  Human  HIV Infections/*TRANSMISSION  Male  Netherlands
       Questionnaires  Sex Behavior  Support, Non-U.S. Gov't  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).