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

Details

• Alternative Title:
  Behav Med
• Personal Author:
  Bauermeister, José A. ; Eaton, Lisa ; Stephenson, Rob
• Description:
  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 Homosexuality, Male Humans Male Michigan Multilevel Analysis Poverty Risk-Taking Sexual Behavior Sexually Transmitted Diseases Sexual Partners Socioeconomic Factors Unsafe Sex Young Adult

  More +
• Keywords:
  HIV Sexual Minority Sex Work Young Adulthood
• Source:
  Behav Med. 42(3):197-204
• Pubmed ID:
  27337624
• Pubmed Central ID:
  PMC4972020
• Document Type:
  Journal Article
• Funding:
  R01 DA041032/DA/NIDA NIH HHSUnited States/ ; R01 MH094230/MH/NIMH NIH HHSUnited States/ ; R01 NR013865/NR/NINR NIH HHSUnited States/ ; U22 PS004520/PS/NCHHSTP CDC HHSUnited States/
• Volume:
  42
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:0d07c03b36da9296bcdef6c5d9dfa1e7bc1351af66c2c8180667b2d372c612da
• Download URL:
  https://stacks.cdc.gov/view/cdc/40668/cdc_40668_DS1.pdf
• File Type:
  [PDF - 126.23 KB ]