This document summarizes a study on the impact of gender role conflict and Black racial identification on sexual risk behavior among Black men who have sex with men (MSM) in the United States. The study surveyed 480 Black MSM in Atlanta, Georgia about their sexual behaviors and administered questionnaires measuring gender role conflict and Black racial identity. The results showed higher rates of unprotected anal intercourse compared to unprotected vaginal intercourse. Having more than 7 sexual partners in the past year and recruiting from certain venues predicted greater sexual risk. Higher gender role conflict and private racial regard predicted riskier behaviors with female partners.

1. The impact of gender role conflict and Black racial identification on sexual risk behavior among Black MSM in the United States David Malebranche, MD, MPH Emory University Division of Medicine Atlanta, Georgia

3. Descriptive Results Variable N % Male sex partners in past year 0 - 1 2 – 3 4 - 7 > 7 Not reported 92 153 111 109 15 19.2 31.9 23.1 22.7 3.1 Currently Having sex > 1 man Yes No Not Reported 159 296 25 33.1 61.7 5.2 Unprotected UIAI with man in past year Yes No Not reported 199 268 13 41.5 55.8 2.7 Unprotected URAI with man in past year Yes No Not reported 120 342 18 25.0 71.3 3.8 Female sexual partners past year None 1 or more Not reported 385 68 27 80.2 14.2 5.6 UVI with woman in past year Yes No 29/75 46/75 38.6 61.4 UAI with woman in past year Yes No 21/75 54/75 28 72