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A Multilevel Analysis of Neighborhood Socioeconomic Disadvantage and Transactional Sex with Casual Partners Among Young Men Who Have Sex with Men Living in Metro Detroit.
- Source :
-
Behavioral medicine (Washington, D.C.) [Behav Med] 2016 Jul-Sep; Vol. 42 (3), pp. 197-204. - Publication Year :
- 2016
-
Abstract
- The role of structural factors when evaluating the vulnerability of human immunodeficiency virus/sexually transmitted infection (HIV/STI) risks among young gay, bisexual, and other men who have sex with men is an important area of focus for HIV prevention. Using cross-sectional data from young men living in Metro Detroit (N = 319; aged 18-29 years; 50% black, 25% white, 15% Latino, 9% other race/ethnicity; 9% HIV-positive), we examined whether transactional sex with casual partners was associated with neighborhood-level socioeconomic disadvantage and individual-level factors (race/ethnicity and sexual identity, socioeconomic status, HIV/STI diagnoses, and substance use). Youth living in greater socioeconomic disadvantage reported more transactional sex (b = 0.11; SE = 0.04; p ≤ 0.01). This relationship was mitigated once individual-level correlates were entered into the model. Multilevel efforts to counteract socioeconomic deficits through community and individual level strategies may alleviate youth's exposure to transactional sex and reduce their vulnerability to HIV/STI risks.
- Subjects :
- Adolescent
Adult
Cross-Sectional Studies
Humans
Male
Michigan
Multilevel Analysis
Risk-Taking
Sexually Transmitted Diseases prevention & control
Sexually Transmitted Diseases psychology
Socioeconomic Factors
Unsafe Sex prevention & control
Unsafe Sex psychology
Young Adult
Homosexuality, Male psychology
Poverty psychology
Sexual Behavior psychology
Sexual Partners psychology
Subjects
Details
- Language :
- English
- ISSN :
- 0896-4289
- Volume :
- 42
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Behavioral medicine (Washington, D.C.)
- Publication Type :
- Academic Journal
- Accession number :
- 27337624
- Full Text :
- https://doi.org/10.1080/08964289.2015.1110560