Sexual Orientation- and Race-Based Discrimination and Sexual HIV Risk Behavior Among Urban MSM

被引:67
作者
Frye, Victoria [1 ,2 ]
Nandi, Vijay [3 ]
Egan, James [4 ]
Cerda, Magdalena [5 ]
Greene, Emily [1 ,4 ]
Hong Van Tieu [6 ]
Ompad, Danielle C. [7 ]
Hoover, Donald R. [8 ,9 ]
Lucy, Debbie [6 ]
Baez, Eduardo [6 ]
Koblin, Beryl A. [6 ]
机构
[1] New York Blood Ctr, Lindsley F Kimball Res Inst, Lab Social & Behav Sci, New York, NY 10065 USA
[2] Columbia Univ, Mailman Sch Publ Hlth, Dept Sociomed Sci, New York, NY USA
[3] New York Blood Ctr, Lindsley F Kimball Res Inst, Data Management Serv, New York, NY 10065 USA
[4] Univ Pittsburgh, Grad Sch Publ Hlth, Dept Behav & Community Hlth Sci, Pittsburgh, PA USA
[5] Columbia Univ, Mailman Sch Publ Hlth, Dept Epidemiol, New York, NY USA
[6] New York Blood Ctr, Lindsley F Kimball Res Inst, Lab Infect Dis Prevent, New York, NY 10065 USA
[7] NYU, Steinhardt Sch Culture Educ & Human Dev, Dept Nutr Food Studies & Publ Hlth, New York, NY USA
[8] Rutgers State Univ, Dept Stat & Biostat, Piscataway, NJ USA
[9] Rutgers State Univ, Inst Hlth Hlth Care Policy & Aging Res, Piscataway, NJ USA
关键词
HIV prevention; Social discrimination; Sexual behavior; MSM; GENDER-ROLE CONFLICT; USE SELF-EFFICACY; MENTAL-HEALTH; YOUNG MEN; CONDOM USE; BLACK-MEN; RACIAL-DISCRIMINATION; IDENTITY FORMATION; AFRICAN-AMERICAN; UNPROTECTED SEX;
D O I
10.1007/s10461-014-0937-2
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Understanding what social factors are associated with risk of HIV acquisition and transmission among gay, bisexual and other men who have sex with men (MSM) is a critical public health goal. Experiencing discrimination may increase risk of HIV infection among MSM. This analysis assessed relations between experiences of sexual orientation- and race-based discrimination and sexual HIV risk behavior among MSM in New York City. 1,369 MSM completed a self-administered computerized assessment of past 3-month sexual behavior, experience of social discrimination and other covariates. Regression models assessed relations between recent experience of discrimination and sexual HIV risk behavior. Mean age was 32 years; 32 % were white; 32 % Latino/Hispanic; 25 % African American/Black. Of MSM who self-reported HIV-positive or unknown status (377), 7 % (N = 27) reported having unprotected insertive anal intercourse with an HIV-negative or unknown status partner ("HIV transmission risk"). Of MSM who self-reported HIV-negative status (992), 11 % (110) reported unprotected receptive anal intercourse with an HIV-positive or unknown status partner ("HIV acquisition risk"). HIV acquisition risk was positively associated with sexual orientation-based discrimination in home or social neighborhoods, but not race-based discrimination. We observed that sexual orientation-based discrimination was associated with sexual HIV risk behavior among urban-dwelling MSM. Addressing environmental sources of this form of discrimination, as well as the psychological distress that may result, should be prioritized in HIV prevention efforts.
引用
收藏
页码:257 / 269
页数:13
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