Objective: The association of sexual repertoire with sexual preference
, partnership and sociodemographic characteristics, and sexual history
among white American (WA) and African-Americans (AA) is described. De
sign: Cross-sectional computer-assisted telephone survey. Methods: Sea
ttle residents IS to 39 years of age selected via random digit dialing
; an additional sample of AA sampled from listed telephone numbers fro
m census tracks with over 40% AA, Results: The study included 356 WA a
nd 140 BA ever engaging ha vaginal intercourse who answered questions
regarding their usual sexual repertoire with their most recent opposit
e-sex partner. The 5% of NA engaging in vaginal oral, and anal interco
urse with their most recent opposite-sex partner were 2.7 times (95 %
CI: 0.9, 7.5)) as likely to report nonmonogamy and 8.4 times (95% CI:
2.6, 27.2) as likely to report a history of same-sex partners, Persons
reporting a history of both same- and apposite-sex partnerships were
more likely than those with only opposite-sex partners to report engag
ing in anal and oral sex with their most recent opposite-sex partner r
egardless of gender canal: women 24% vs, 4%, p < 0.001; men: 33% vs. 6
%, p < 0.001; oral: women 95% vs, 74%, p = 0.03; men 89% vs. 78%, p =
0.4), Persons with a history of a same sex partner were also more like
ly than those with only opposite-sex partners to have a nonmonogamous
current relationship (WA: odds ratio [OR] = 2.3; 95% CI: 0.9, 5.7; AA:
OR = 6.8; 95% CI: 0.6, 338) to engage in sex during menses (WA: OR =
1.9; 0.7, 5.4; AA: 9.6; 1.0, 4.6) and to have more sex partners in the
ir life (WA: p = 0.002; AA: p = 0.07), Conclusions: Diverse sexual rep
ertoires are associated with other risk behaviors putting the individu
al at high risk of acquiring or transmitting a sexually transmitted di
seases (STD).