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Fully accepting gay identity may be protective for BLMSM as it relates to transactional sex these factors warrant further research and consideration as part of HIV prevention strategies. Stage II gay identity was more likely seen among BLMSM with high involvement in the gay community (aOR 3.2 CI 1.00, 10.26) and less likely among BLMSM who exchanged sex for food or shelter (aOR 0.15 CI 0.02, 0.98). Gay Identity Questionnaire Scale assessment indicated that 22 (19.8%) were Stage I, and 85 (76.6%) were Stage II in this BLMSM sample. Among 111 self-identified BLMSM (median age = 32 years, 68.4% with some college or higher education), 34.2 reported receptive anal sex without condoms in the previous three months. We used logistic regression to calculate adjusted odds ratios (aOR) and 95% confidence intervals (CI) for the association between gay identity with HIV risk and social determinant factors. After data analysis, Stage I (not fully accepting) and Stage II (fully accepting) gay identity were determined based on participant responses. We used a brief scale of Gay Identity Questionnaire. BLMSM were administered a computerized survey as part of an HIV research study during 2011–2012 conducted in New York City. We examined gay identity and HIV risk among BLMSM to inform social and structural HIV intervention strategies. Strong gay identity among white men who have sex with men (MSM) has been associated with decreased HIV risk, but data for black and Latino MSM (BLMSM) are inconclusive.