Intersectional Identities and HIV: Race and Ethnicity Drive Patterns of Sexual Mixing

Large disparities exist in HIV across racial and ethnic populationswith Black and Latino populations disproportionately affected. This study utilizes a large cohort of young men who have sex with men (YMSM) to examine how race and ethnicity drive sexual partner selection, and how those with intersecting identities (Latinos who identify as White or Black) differ from Latinos without a specific racial identification (Latinos who identify as Other). Data come from YMSM (N=895) who reported on sexual partners (N=3244). Sexual mixing patterns differed substantially by race and ethnicity. Latinos who self-identified as Black reported mainly Black partners, those who self-identified as White predominantly partnered with Whites, while those who self-identified as Other mainly partnered with Latinos. Results suggested that Black-Latino YMSM are an important population for prevention, as their HIV prevalence neared that of Black YMSM, and their patterns of sexual partnership suggested that they may bridge Black YMSM and Other-Latino YMSM populations.