Congruence of Home, Social and Sex Neighborhoods among Men Who Have Sex with Men, NYCM2M Study
Congruence of Home, Social and Sex Neighborhoods among Men Who Have Sex with Men, NYCM2M Study
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DOI：
10.1007/s11524-016-0074-5
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发表时间：
2017-06-01
影响因子：
6.6
通讯作者：
Frye, Victoria
中科院分区：
文献类型：
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作者：
Koblin, Beryl A.;Egan, James E.;Frye, Victoria
大量文献证明了社区环境对健康行为和结果的影响。但是，很少有研究调查同性恋和双性恋男性如何在不同的地理和虚拟空间中体验和存在，以及这与他们的性行为有什么关系。纽约市男性对男性（NYCM2M）是一项横断面研究，旨在确定城市环境中影响纽约市男男性行为者（MSM）性风险行为、物质使用和抑郁的社区水平特征。样本是使用改进的基于地点的时空抽样方法并通过选定的网站和移动应用程序招募的。评估人类活动的关键社区，参与者居住的地方（称为家）、社交的地方（称为社会）或最常发生性行为的地方（称为性）是否相同或不同。17%的男性认为他们的家庭、社会和性邻居“一致”（或相同），而30%的男性认为他们的邻居都不一样。最大的男性群体（39%）报告说，他们的家庭和性邻居是相同的，但他们的社会邻居不同，而10%的人报告说，他们的家庭邻居不同于他们的社会邻居和性邻居；5%的男性报告与不同性别的邻居住在同一个家庭和社会社区。在黑人和/或拉丁裔男性中，完全的邻里不一致是最高的，他们受教育程度和个人收入水平都较低，并且有更大的经济不安全感。在调整分析中，血清不一致的无安全套肛交和与来自互联网或移动应用程序的伴侣的无安全套肛交与拥有相同的社会和性别（但不是家庭）社区显著相关。了解不同空间和地点与男男性行为者健康和性行为之间的关系的复杂性，对于集中干预措施以最好地覆盖各种感兴趣的人群至关重要。
Substantial literature demonstrates the influence of the neighborhood environment on health behaviors and outcomes. But limited research examines on how gay and bisexual men experience and exist in various geographic and virtual spaces and how this relates to their sexual behavior. New York City Men 2 Men (NYCM2M) was a cross-sectional study designed to identify neighborhood-level characteristics within the urban environment that influence sexual risk behaviors, substance use, and depression among men who have sex with men (MSM) living in NYC. The sample was recruited using a modified venue-based time-space sampling methodology and through select websites and mobile applications. Whether key neighborhoods of human activity, where a participant resided (termed home), socialized (termed social), or had sex most often (termed sex), were the same or different was evaluated. "Congruence" (or the sameness) of home, social, and most often sex neighborhood was reported by 17 % of men, while 30 % reported that none of their neighborhoods were the same. The largest group of men (39 %) reported that their home and sex neighborhoods were the same but their social neighborhood was different while 10 % reported that their home neighborhood was different than their social and sex neighborhood; 5 % men reported same home and social neighborhoods with a different sex neighborhood. Complete neighborhood incongruence was highest among men who were Black and/or Latino, had lower education and personal income levels, and had greater financial insecurity. In adjusted analysis, serodiscordant condomless anal intercourse and condomless anal intercourse with partners from the Internet or mobile applications were significantly associated with having the same social and sex (but not home) neighborhoods. Understanding the complexity of how different spaces and places relate to the health and sexual behavior of MSM is essential for focusing interventions to best reach various populations of interest.