Geographic Mobility, Place Attachment, and the Changing Geography of Sex among African American and Latinx MSM Who Use Substances in Los Angeles
Geographic Mobility, Place Attachment, and the Changing Geography of Sex among African American and Latinx MSM Who Use Substances in Los Angeles
复制标题
DOI：
10.1007/s11524-020-00481-3
复制
发表时间：
2020-09-29
影响因子：
6.6
通讯作者：
Gorbach, Pamina M.
中科院分区：
文献类型：
--
作者：
Cassels, Susan;Meltzer, Dan;Gorbach, Pamina M.
人们去的地方和与他人互动的地方，沿着这些地方的特点，决定了同性恋、双性恋和其他男男性行为者（MSM）的性健康风险程度和随之而来的预防机会。本文的目的是使用症状群理论，以指导分析20个深入的访谈，非洲裔美国人和西班牙裔/拉丁裔男男性接触者生活在洛杉矶。我们描述了非洲裔美国人和拉丁裔男男性接触者生活和社交的地方，以及这些地方如何影响性行为，药物使用和获得医疗保健。我们发现了移动性的共同空间模式，住宅和性场所的不一致性，以及使用地理社交连接应用程序的男性的不同地理性别模式。家庭生活的严重不稳定以及各种形式的流动和冒险是对累积的不利因素和交叉的结构性力量，包括贫困，种族主义和同性恋恐惧症的反应。我们的研究结果强烈表明，地理流动性是洛杉矶男男性接触者艾滋病风险的一个综合因素，因为流动性放大了其他综合因素的负面影响。创新的地方干预措施，以减少艾滋病毒的发病率和艾滋病毒的差异需要承认的协同因素，推动艾滋病毒发病率较高的AA和拉丁美洲男男性接触者。
The places that people go and interact with others, along with the characteristics of those places, determine degrees of sexual health risk and concomitant prevention opportunities for gay, bisexual, and other men who have sex with men (MSM). The objective of this paper is to use syndemic theory to guide analyses of 20 in-depth interviews with African American and Hispanic/Latinx MSM living in Los Angeles. We describe the places in which African American and Latinx MSM interviewees live and socialize, and how these places influence sexual behavior, drug use, and access to health care. We find common spatial patterns in mobility, incongruence in residential and sexual places, and differing geographic patterns of sex by men who use geo-social hook-up apps. Significant instability in home life and varying forms of mobility and risk-taking were a response to cumulative disadvantage and intersecting structural forces including poverty, racism, and homophobia. Our results strongly suggest that geographic mobility is a syndemic factor for HIV risk among MSM in Los Angeles, as mobility amplified negative impacts of other syndemic factors. Innovative place-interventions to reduce HIV incidence and disparities in HIV need to acknowledge the synergistic factors that drive higher HIV incidence among AA and Latinx MSM.