Down-low is an African American slang term  that typically refers to a subculture of black men who usually identify as heterosexual, but who have sex with men ; some avoid sharing this information even if they have female sexual partner s , they are married, or they are single. The term originated in the Black community, and was originally used to describe "any kind of slick, secretive behavior, including infidelity in heterosexual relationships". According to a study published in the Journal of Bisexuality , "[t]he Down Low is a lifestyle predominately practiced by young, urban Black men who have sex with other men and women, yet do not identify as gay or bisexual". In this context, "being on the Down Low" is more than just men having sex with men in secret, or a variant of closeted homosexuality or bisexuality—it is a sexual identity that is, at least partly, defined by its "cult of masculinity" and its rejection of what is perceived as white culture including white LGBT culture and terms. In his book Beyond the Down Low: Sex, Lies and Denial in Black America , Keith Boykin states that secret homosexual relations are not unique to African American men, and in fact occur in many societies and among all races.
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A total of 23 articles met our inclusion criteria. Despite limited focus in the extant literature, this review notes the important role contextual factors masculinity stereotypes, power, partner type, and HIV status likely play in influencing sexual positioning identity and practices. Through this review we offer an initial synthesis of the literature describing sexual positioning identities and practices and conceptual model to provide insight into important areas of study through future research.
HIV Surveillance Report ; Accessed January 24, These deaths may be due to any cause.