Neighborhood-level correlates of consistent condom use among men who have sex with men: a multi-level analysis.

Neighborhood-level correlates of consistent condom use among men who have sex with men: a multi-level analysis.
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DOI:
10.1007/s10461-008-9438-5
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发表时间:
2010-08
期刊:
影响因子:
4.4
通讯作者:
Galea, Sandro
Galea, Sandro
中科院分区:
医学2区
文献类型:
--
作者:
Frye, Victoria;Koblin, Beryl;Chin, John;Beard, John;Blaney, Shannon;Halkitis, Perry;Vlahov, David;Galea, Sandro

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越来越多的证据表明,社区环境会影响性行为和相关结果,但很少有研究专门针对男男性行为者(MSM)。利用1999年和2000年在纽约市公共场所招募的385名年轻男男性行为者的概率样本访谈数据,以及2000年美国人口普查获得的社区特征数据,我们对社区特征与肛交期间持续使用避孕套之间的关系进行了多层次分析,同时控制了个人层面的社会人口统计学和其他因素。在调整了个人层面的因素后,社区层面的同性恋存在与肛交期间持续使用避孕套仍然显著正相关。这一发现表明,有大量同性恋存在的社区可能有阻止高风险性行为的规范。
There is growing evidence that the neighborhood environment influences sexual behavior and related outcomes, but little work has focused specifically on men who have sex with men (MSM). Using interview data from a probability sample of 385 young MSM living in New York City, recruited at public venues in 1999 and 2000 as part of the Young Men’s Survey-New York City, and data on neighborhood characteristics obtained from the U.S. Census 2000, we conducted multi-level analyses of the associations between neighborhood-level characteristics and consistent condom use during anal intercourse, while controlling for individual-level sociodemographic and other factors. After adjusting for individual-level factors, neighborhood-level gay presence remained significantly and positively associated with consistent condom use during anal intercourse. This finding suggests that neighborhoods with a significant gay presence may have norms that act to discourage high risk sexual activity.
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发表时间: 2006-01-01
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