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First, contrary to what has been reported in the popular press, down-low identity was not associated with engaging in greater sexual risk behavior with female or male partners. Table 2 shows the results of 3 multivariate logistic regression models for each risk behavior outcome. National Center for Biotechnology InformationU. For all analyses, unadjusted bivariate relationships were examined first to test for differences between down-low—identified and nondown-low—identified MSM. This article has been cited by other articles in PMC. Support Center Support Center. All participants, except those who disclosed during screening that they had previously been diagnosed as HIV positive, received pretest counseling and were tested for HIV antibodies using a rapid, oral fluid HIV antibody test. We would like to know what DL means to you. Third, our study challenges prevailing assumptions that men on the down low primarily identify as heterosexual.