Adolescent Sexual Minority Males Engage in Sexual Behaviors With Both Male and Female Partners: Implications for HIV Prevention.

Adolescent sexual minority males (ASMM) are substantially burdened by HIV in the United States. HIV prevention efforts targeting ASMM have primarily focused on male-male sexual contact, often ignoring male-female sexual behaviors. The objective of this study was to explore the sexual behaviors of ASMM with male and female partners among the baseline sample of an online sexual health pilot study (N = 118, ages 14-17 years). We report frequencies of sexual behaviors by partner sex. Almost half of the participants (47%) engaged in sexual activity with female partners in the past 3 months. Frequency of sexual behaviors, condom use, and future intentions to have sex and use condoms varied by partner sex. HIV prevention efforts should address the full range of sexual behaviors ASMM may engage in with both male and female partners. Focusing only on male-male sex among ASMM fails to address the breadth of ASMM's HIV prevention needs.