Male Bisexuality and Condom Use at Last Sexual Encounter: Results From a National Survey

Abstract

Relatively little is known about condom use among bisexual men as separate and distinct from exclusively homosexual and heterosexual men. Most previous research on bisexual men has relied on nonprobabilistic, high-risk samples with limited generalizability. We examined the relationship between behavioral bisexuality and condom use in the 2002 cycle of the National Survey of Family Growth (NSFG). Bisexually active men positively differed from heterosexually and homosexually active men on every indicator of confounding risk. Bisexually active men, however, did not report using condoms less often than other men during their last sexual encounters with males and females. Indeed, with female partners, bisexually active men reported higher rates of condom use than did other men. These relationships remained when all sociodemographic and confounding risk factors were held constant. Our results suggest that caution must be used when making assumptions about condom use in the general population of bisexual men from nonprobabilistic samples.