Social integration and health: community involvement, stigmatized identities, and sexual risk in Latino sexual minorities.

Social integration and health: community involvement, stigmatized identities, and sexual risk in Latino sexual minorities.
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DOI:
10.1177/0022146509361176
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发表时间:
2010-03
影响因子:
5
通讯作者:
Diaz RM
Diaz RM
中科院分区:
医学2区
文献类型:
--
作者:
Ramirez-Valles J;Kuhns LM;Campbell RT;Diaz RM

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本研究的目的在于对社会整合理论在健康行为中的概念理解和实际应用做出贡献。我们测试社区参与艾滋病和GLBT组织是否会缓和种族和同性恋污名与同性恋和双性恋男性以及拉丁美洲血统或血统的变性人之间的性风险行为的关系。我们使用结构方程模型来分析通过响应者驱动抽样招募的643名个体的样本数据。在那些没有参与社区组织的人中,同性恋和种族歧视与酒精和毒品影响下的性活动有关,这与性风险行为有关。在涉及的群体中,这种耻辱与酒精和药物影响下的性活动或危险的性行为无关。社区参与的调节作用似乎在目前参与的人中比以往参与的人更突出。
The purpose of this study is to contribute to the conceptual understanding and practical application of social integration theory to health behaviors. We test whether community involvement in AIDS and GLBT organizations moderates the relationship of racial and homosexual stigmata to sexual risk behavior among gay and bisexual men and transgender persons of Latin American origin or descent. We use structural equation modeling to analyze data from a sample of 643 individuals recruited via respondent-driven sampling. Among those not involved in community organizations, homosexual and racial stigmata are related to sexual activity under the influence of alcohol and drugs, which is linked to sexual risk behavior. Among the involved group, the stigmata are not linked to sexual activity under the influence of alcohol and drugs, or to sexual risk behavior. The moderating role of community involvement seems to be more salient in those currently involved than those ever involved.
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