Nelson KM, Perry NS, Stout CD, et al. - Given a disproportionate risk of HIV among adolescent sexual minority males (ASMM), researchers sought to summarize the sexual debut behaviors of ASMM, investigated if there are differences in sexual debut and sexual behavior by race/ethnicity, and examined the correlation between early anal sex debut and engaging in condomless anal sex. Online sexual health surveys completed by 118 sexually active ASMM (ages 14–17) in the United States were assessed. Sexual debut with a male partner was reported at an average age of 14 years (SD = 2.4). Anal sex was reported at their sexual debut by nearly one-third (31%), with non-Latino black/African American ASMM more likely to report anal sex at debut (63%) compared with non-Latino white (28%), Latino (21%), or mixed race/other identified youth (19%). Observations revealed that sexually active ASMM start engaging in sexual behavior with other males early and with deficient knowledge and skills concerning sexual health and safety.