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.
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.
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DOI：
10.1080/08964289.2015.1110560
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发表时间：
2016-07
期刊：
影响因子：
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通讯作者：
Stephenson R
中科院分区：
文献类型：
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作者：
Bauermeister J;Eaton L;Stephenson R
在评估年轻男同性恋、双性恋和其他男男性行为者感染艾滋病毒/性传播感染风险的脆弱性时，结构性因素的作用是艾滋病毒预防的一个重要重点领域。使用来自底特律大都会的年轻人的横截面数据。（N=319;年龄18-29岁; 50%黑人，25%白色，15%拉丁美洲人，9%其他种族/民族; 9%艾滋病毒阳性），我们研究了与临时伴侣的交易性行为是否与社区层面的社会经济劣势和个人层面的因素（种族/民族和性身份，社会经济地位，艾滋病毒/性病诊断和物质使用）相关。生活在更大的社会经济劣势中的青年报告了更多的性交易（B= 0.11; SE= 0.04; p≤ 0.01）。一旦将个体水平的相关性输入模型，这种关系就得到了缓解。通过社区和个人层面的战略，在多个层面努力消除社会经济赤字，可以减少青年接触性交易的机会，并降低他们对艾滋病毒/性传播感染风险的脆弱性。
The role of structural factors when evaluating the vulnerability of 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; ages 18–29; 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=.11; SE=.04; p≤.01). This relationship was mitigated once individual-level correlates were entered into the model. Multi-level 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.