The Down Low Among Latino Men Who Have Sex With Men: A Review and Theoretical Analysis.

Being on the "down low" (DL) describes men who identify as straight and secretly engage in same-sex encounters while maintaining heterosexual public identities. While the DL phenomenon has been discussed primarily in the context of African American men, Latino men in the United States experience similar patterns of sexual concealment shaped by cultural forces not experienced similarly by other groups. Relatively little is still known about how machismo, familismo, and religious values affect the sexual decisions and health outcomes of Latino men who have sex with men (MSM), and most existing research aggregates Latino MSM with other racial and ethnic minorities without examining their experiences separately. This article applies three theoretical frameworks to the DL among Latino men. The concealment-specific model is used to explore how the act of hiding same-sex behavior produces anxiety, depression, and ongoing self-monitoring, particularly within cultural settings where discovery threatens masculine standing and family belonging. Sexual configuration theory is used to examine why Western categories of gay and bisexual do not fit the way many Latino men understand their own sexuality, especially in cultural contexts where sexual role rather than partner gender defines sexual identity. Syndemic theory is used to examine how conditions such as homophobia, HIV stigma, substance use, poverty, and immigration status interact to worsen health outcomes for this population. The findings of this analysis suggest that DL behavior among Latino men is shaped by the interaction of cultural, psychological, and structural conditions and cannot be understood through any single framework alone. Applied in combination, these theories explain DL behavior among Latino men more fully than established Western approaches. This article is intended to support future empirical research and the development of culturally informed interventions for Latino MSM.