Drug use and Hispanic men who have sex with men in South Florida: implications for intervention development.
نویسندگان
چکیده
Despite continued high HIV risk among Hispanic men who have sex with men (HMSM), culturally tailored, theoretically based interventions have yet to be developed and tested. As a first step toward intervention development, we collected quantitative and qualitative data on sociocultural and psychological factors associated with drug use and risky sex among 566 HMSM recruited from community and Internet venues. Participants reported high rates of drug use (43%), unprotected anal sex (45%), and multiple sex partners (median 4) in the past 6 months. In multivariate analyses, use of drugs was associated with HIV seropositivity, less orientation to the Hispanic community, stronger attachment to the gay community, lower levels of homophobia, higher numbers of sex partners and more unprotected anal sex. The need for acceptance and desire to please partners emerged as core drivers of HIV risk in the qualitative data. Findings were used to guide development of Proyecto SOL, a theoretically grounded intervention that targets core determinants of HIV risk, builds on protective cultural influences, and strengthens positive social connections.
منابع مشابه
A Comparison of Substance Use Behaviors of Hispanic Men by Sexual Orientation.
BACKGROUND/SIGNIFICANCE Substance use is a public health concern in the United States. Hispanic men in the United States experience disproportionate rates of substance use when compared to other ethnic groups. Previous research with the general population of Hispanic men has identified factors that are related and may contribute to substance use. In addition, Hispanic men who have sex with men ...
متن کاملHIV risk behaviors of Latin American and Caribbean men who have sex with men in Miami, Florida, USA.
OBJECTIVE The goal of this study is to describe the sexual practices, drug use behaviors, psychosocial factors, and predictors of unprotected anal intercourse (UAI) in a sample of Hispanic men who have sex with men (MSM) born in Latin American and Caribbean (LAC) countries who currently reside in Miami-Dade County, Florida. METHODS Hispanic MSM (N = 566) recruited from community and Internet ...
متن کاملRisky sexual behaviors among Hispanic young adults in South Florida: nativity, age at immigration and gender differences.
CONTEXT U.S. Hispanics are disadvantaged compared with whites in regard to sexual health, particularly early sexual initiation and contraceptive use. It is unclear whether differences in nativity and immigration are associated with risky sexual behaviors. METHODS Data collected between 1998 and 2000 from a community sample in South Florida were analyzed to examine sexual behaviors among 709 H...
متن کاملReducing substance use and sexual risk behaviour among men who have sex with men in South Africa
FUNDING: US Centers of Disease Control and Prevention (CDC): 5U2GPS001137-05 Men who have sex with men have been identified as a population at risk of acquiring and transmitting HIV. Studies in South Africa have reported a high prevalence of HIV, as well as high levels of alcohol and other drug use, among men who have sex with men, and the use of substances (alcohol and drugs) to facilitate the...
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ورودعنوان ژورنال:
- AIDS education and prevention : official publication of the International Society for AIDS Education
دوره 21 5 Suppl شماره
صفحات -
تاریخ انتشار 2009