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
Year: 2016
Type: article
Study design: Observational Study
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.
Source: Behavioral Medicine
Authors: José Bauermeister, Lisa Eaton, Rob Stephenson
Institutions: University of Michigan, University of Connecticut
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: green
Awards: Serosorting Intervention for HIV Negative MSM, Optimizing HIV counseling testing and referral through an adaptive drug use intervention, STRENGTHENING AND EXPANDING PARTNERSHIPS TO REDUCE STIS AMONG YOUNG MEN WHO HAVE SEX WITH MEN, Understanding Delayed Access to HIV Prevention Services among Black MSM
OpenAlex ID: W2470733628